評(píng)論
打印
Loneliness, despair, chronic illness, and depression are all prevalent in the geriatric population.
在老年群體中，孤獨(dú)、絕望、慢性病以及抑郁癥非常常見(jiàn)。
Our effort must be to treat individual symptoms and organ system failure as they appear,but most important,to help aging individuals develop an overall lifestyle that gives them a sense of well-being，of being useful, of being appreciated, and of having meaning in their lives.
當(dāng)個(gè)體出現(xiàn)癥狀，或是器官系統(tǒng)衰竭時(shí)，我們必須采取措施，但是最重要的是讓老年人得到幸福感，讓他們感覺(jué)自己還有用武之地，能夠得到人們的肯定，讓他們的生活更有意義。
The internist must devote increasing time and effort to aging patients and must be particularly sensitive to subtle changes in their environments,
內(nèi)科醫(yī)生要增加他們對(duì)待老年病患的時(shí)間和精力，并對(duì)周圍環(huán)境中的細(xì)微變化特別敏感，
including the loss of a loved one, shrinking income relative to cost of living, dislocation from their homes, and the despair that comes from being unable to adjust to new surroundings such as a retirement center or nursing home.
包括失去至親的痛苦，生活收入減少，遠(yuǎn)走他鄉(xiāng)，以及因無(wú)法適應(yīng)新環(huán)境而帶來(lái)的絕望感，例如在退休療養(yǎng)中心或是養(yǎng)老院。
Each of these profoundly affects the way a patient reacts to physical diseases.
這些都將對(duì)病人對(duì)抗疾病造成深遠(yuǎn)的影響。
The responsibility of the internist extends beyond the usual in this situation and requires a very special integration of medical knowledge and knowledge of how people adjust to their changing needs.
內(nèi)科醫(yī)生的責(zé)任范圍超過(guò)了他通常遇到的情況，這就需要他們將醫(yī)療知識(shí)與如何讓病人適應(yīng)需求的認(rèn)識(shí)結(jié)合起來(lái)。
HELP WITH DYING
幫助臨終患者
Rarely does an individual really wish to die, but when the time does come patients want to die with dignity.
很少有人想要終結(jié)生命，但是當(dāng)這一天來(lái)臨的時(shí)候，病人希望能夠有尊嚴(yán)的死去。
What most of us desire above all is not just life, but a satisfactory quality of life, and we may sometimes quite rationally risk death to escape an unacceptable life.
最重要的是，絕大多數(shù)人不僅僅需要生活，他們需要的是一個(gè)令他們滿意的生活質(zhì)量，但是有時(shí)，我們會(huì)為了逃避那不可接受的生活而走向死亡。
Issues surrounding dying patients and even the realistic definition of death are topics frequently encountered by today's internist.
如今，圍繞著臨終病患，甚至是關(guān)于死亡的真正定義等問(wèn)題一直圍繞著內(nèi)科醫(yī)生。
It is an often, if sometimes faintly, praised triumph for modern medicine that we now have the technologic skills and instrumentation to keep essential body functions such as circulation and respiration operating almost indefinitely.
我們現(xiàn)在已經(jīng)擁有這樣的技術(shù)和設(shè)備來(lái)維持重要的機(jī)體功能如循環(huán)、呼吸，使它們幾乎無(wú)限期地運(yùn)轉(zhuǎn)，這一點(diǎn)是人們經(jīng)常稱頌的現(xiàn)代醫(yī)學(xué)成就。
The ability to continue these functions regardless of the expected outcome for the patient has produced considerable ethical conflict for many who deal with patients in critical life support areas and intensive care units.
無(wú)論這樣做會(huì)給病患帶來(lái)什么樣的后果，對(duì)于那些工作在重癥監(jiān)護(hù)室治療病患的醫(yī)生來(lái)說(shuō)，繼續(xù)維持機(jī)體功能引發(fā)了諸多道德沖突。
譯文屬可可英語(yǔ)原創(chuàng)，未經(jīng)允許，不得轉(zhuǎn)載。
