Schwartz Center Rounds are monthly multidisciplinary meetings where caregivers reflect on important psychosocial issues that they, along with patients and their families, face and gain insight and support from fellow staff members, with the goal of advancing compassionate health care, supporting caregivers, and fostering the connection between a clinician and his or her patients. This Schwartz Round focused on boundaries and the particular privileges and pressures of caring for a member of the staff. The article explores the tension between professional courtesy and empathic engagement. Major transitions can include the intrinsic fear of abandonment. Being "connected" is an important aspect of the patient-caregiver relationship. Patient-centered care requires that we balance clinical acumen and medical technology with humanism throughout the different phases of a patient's experience with a life-threatening illness.
摘要
Schwartz 中心查房是一个每月一次的跨科室查房。查房时，照护者可以回顾他们以及患者和患者家人所面临的重要社会心理问题，并从其他同事那里获得见解和支持；其目的是增加医疗护理的人情味，为照护者提供支持，并在临床医生与其患者之间建立深厚的情感联结。本 Schwartz 查房重点关注在照护医疗同事时所注意的界限问题、所享有的特别待遇，以及所面临的压力。本文探讨了职业礼节和移情投入之间的冲突。重大的角色转变包括对被遗弃的内在恐惧。建立“联结”是维持良好患者-照护者关系的一个重要方面。以患者为中心的照护要求我们在帮助患者渡过危重疾病的不同阶段时，始终协调好临床智慧和医疗技术与人道主义原则之间的平衡。The Oncologist 2014;19:545–549
Keywords: Cancer; Oncology; Psychosocial; Support.