I can see the status bar

Chapter 1087 (Updated 1W6 for subscription) Psychology (Blood Donation Plus Series 064065)

本章是为了感谢书友“womssc”在2020年5月5日和2020年11月7日所捐献的两次全血而加更，为他的加更已经全部更新完毕。

Psychological interventions for sick patients has been an area where little progress has been made.

Usually, it is the nurses who care most about the psychology of patients.In daily nursing work, judging the psychological state of patients is one of the key tasks of nurses.

But in actual work, whether it is a doctor or a nurse, they actually don't pay that much attention to the psychological state of the patient.After all, there are a small number of somatic symptoms due to mental illness, and most of the diseases dealt with by departments will not change much due to the patient's psychological condition.

The non-psychological and psychiatric departments that pay the most attention to psychology are actually oncology and hematology.Many of the patients contacted by these two departments are seriously ill or even have entered the terminal stage of the disease.Moreover, many patients simply cannot accept that they will suffer from the diseases dealt with by these departments, let alone accept that they will gradually enter the final stage of life with a high probability.

Anxiety, depression and other psychological conditions are mixed together, and the final result is that some patients who still have the ability to act on their own choose to end their lives early.This is one of the reasons why the windows of the inpatient department of the hospital were basically unable to be opened.

At the same time, poor psychological conditions may also lead to a decline in the patient's immune function.This is even more bad news for patients with diseases such as cancer - the immune system is the first line of defense to eliminate tumor cells, and such changes in psychological conditions may lead to rapid deterioration of patients' conditions.

But apart from these two departments, nurses in other departments still use "intimate care" to relax patients more often in their daily work.And this kind of intervention intensity is actually... not enough for the patients in Yunhe City Infectious Disease Hospital.

"I'm not very familiar with the matter of medication. I'll ask the clinical pharmacist in our hospital to consult and give some advice." Sun Lien thought for a while and said, "The efficiency of psychological treatment shouldn't be too high, right?"

"It will take a long time to completely reverse the situation." "Mind Reading" replied, "However, if it is only a crisis intervention for them to make their psychological situation slightly better, the time required will be shorter. "

"So the medicine is the most appropriate?" Sun Li'en hesitated, "Anyway, let's do it, you follow your normal procedures. For questions about the prescription, anyway, a clinical pharmacist can ask them."

"The biggest effect of medication is to prevent patients from doing things that they and their loved ones regret because of depression and anxiety. It is a very big project to really reverse the depression." "Mind Reading" Said, "Actually, we can start with some relatively simple places that can alleviate patients' anxiety and depression on a large scale - for example, for female patients, you can try to make simple small handicrafts. For men, middle-aged and elderly People can try something like chess, or they can be entrusted with simple labor, such as putting labels on bottles, or tearing newspapers into thin strips."

This long series of words made Sun Li'en a little stunned. He could understand things like making small handmade products to divert attention, and he could also understand playing chess to relieve boredom.But... simple labor, what is the way to label the bottle and tear the newspaper?
"The main purpose of this kind of activity is to make them move." The "mind reading" doctor replied, "As long as people move with a purpose, some messy thoughts will be suppressed. But in a state of depression, many patients There is no way to make up your mind to exercise at all... This method is only effective in a semi-mandatory state of hospitalization."

Psychological treatment pays more attention than general internal medicine.Sun Lien watched the psychiatrist's eloquent speech on the screen, and gradually began to feel that the words on the screen had almost become a bible.

"In short, find something for them to do first, and then let the clinical pharmacist review your prescription list, right?" Sun Lien had to stop the other party from continuing to speak before he became completely illiterate, "These jobs need to be done in Do it under your guidance, or let the nurses do it?"

"I'll be there in about two hours." Doctor "Mind Reading" replied, "I'll take my things with me when the time comes, just ask the nurse to assist me."

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The mind-reading doctor's surname is Du, and his name is Du Xinshu.Sun Li'en almost burst out laughing after seeing the other party's name on the status bar.

It has to be said that the combination of Dr. Du's name and occupation really gave him a very suitable screen name.The scene of the middle-aged man with this screen name wearing protective clothing and holding a large plastic bag in both hands is a bit funny.

"There are props here?" Sun Lien and Hu Jia, who had been waiting here for a long time, took the things in Dr. Du's hands. Sun Lien asked, holding the plastic bag with both hands, "What should I do?"

"You are Director Sun, right?" Du Xinshu greeted Sun Li'en and Hu Jia first, "Nurse Hu, hello."

"Just distribute these things to the patients—the handmade products I brought this time are tear-off paper." Dr. Du pointed to the bags in the hands of the two, "Psychotherapy requires the establishment of a preliminary trust relationship, but when I suddenly appeared, the patient Maybe the trust in me is not very high. So the nurse or doctor who manages the bed needs to go with me."

Dr. Du did not choose the more complicated handwork that requires scissors or knitting needles, mainly out of professional considerations.For patients prone to depression or anxiety, the fewer sharp objects that can hurt themselves and their doctors, the better.And tearing paper is as long as you have your hands, and the works and waste produced are just paper—not very dangerous.

Hu Jia and other nurses volunteered to help distribute the props, while Sun Lien was busy writing the medical records - he is currently in charge of ten patients, and their daily medication and doctor's orders must be recorded in the system.Oral doctor's orders can only be executed by nurses first, and doctors must be asked to complete the doctor's order on the computer in the end.

Even in Yunhe, the daily business work has not eased... Sun Lien began to hate Qian Hongjun upstairs while typing on the computer—why does this old boy look refreshed and relieved the pressure? appearance?unacceptable!

The continuous work of typing on the keyboard lasted for almost an hour. Just when Sun Lien was about to move his legs and feet a little, Dr. Du appeared in the red zone office.

"Are you done?" Sun Li'en quickly pulled out the stool for people to sit down. The status bar said that Dr. Du Xinshu is now in a state of fatigue.

"I'm done." Dr. Du nodded, "Most of your patients are in good condition, much better than I expected at the beginning."

They are also doctors, but Du Xinshu's "good condition" is definitely not referring to the vital signs of the patients, but other content.

Such as psychological conditions.

"Actually, I think that most patients will get better as long as they gain confidence." Sun Li'en nodded, which was also indicated in his status bar, "Patients who are more prone to psychological problems are those whose family members are also infected. "

"No one wants to see this kind of thing, especially when someone wants to blame their family members for their suffering - it is very difficult to get them out of this vortex." Dr. Du Xinshu said very seriously. He nodded, and then hammered his thigh, "Fortunately, their degree is not deep, and a little diversion of attention should improve."

Man is a creature that is very easy to get into a dead end. After "self-torture" and "investigation of the reason" time and time again, he will more or less fall into the abyss of self-doubt and blame.And in a place like the inpatient department, I was surrounded by patients with the same disease as myself, and from time to time I could hear the news of the death of the patient next door or see the patient in the next bed.The psychological pressure in this kind of place is simply not too great.

"So if you are in the North Fifth District, I will come about once every three days." Dr. Du Xinshu continued, "If any patient's psychological condition suddenly changes, you can call me at any time."

"What about the medicine?" Sun Li'en nodded, "In this special period, it doesn't matter if you don't have the prescription right here, I'll just prescribe it."

"I don't need medication for the time being." Du Xinshu shook his head and said, "If psychological adjustment can make them better, it's better not to use medication. It won't affect your treatment of patients—especially anesthesia."

Psychotropic drugs are basically equivalent to the nightmare of anesthesiologists.Both patients who are taking psychotropic drugs and addicts with a history of psychotropic drug abuse can respond poorly to anesthesia.These patients did not respond to small doses of anesthesia, but they would quickly experience central nervous system depression to large doses of anesthesia, and the troubles in the middle were repeated one after another.

"Alright." Sun Li'en, who understood the truth, nodded, then he stood up and said, "Dr. Du, have you been busy these days? Go back and rest early?"

"I also live in a hotel now." Dr. Du smiled wryly, "Since the hospital asked us to come out to support, everyone has lived in the hotel - we dare not go home, for fear of bringing the virus to the hospital. Go home and infect your family."

"Are you a local?" Sun Li'en nodded. The same situation as Dr. Du Xinshu also exists in Yunhe City Infectious Disease Hospital. In addition to the medical team, there are dozens of people from other hospitals in Yunhe City Infectious Disease Hospital Support the doctors and nurses who came over.Like the original medical staff in the Infectious Disease Hospital, they have never returned home since entering their posts.

"Authentic Yunhe people." Dr. Du patted his chest, and then said with a smile, "When the epidemic is over, I ask Dr. Sun to go too early."

"I have accepted several invitations like this." Sun Lien said with a smile, "When we return to Ningyuan, I will definitely gain more than ten catties."

Dr. Du Xinshu was amused by Sun Lien, and he sighed, "I really don't know when this epidemic will pass. My son was going back to university in early February, but now it looks...he may not be able to go back this semester. .”

"Isn't that good?" Sun Li'en tried to amuse himself, "When the children leave the house, they will become empty nests. Let them stay at home for a few more days. Wouldn't you be happier as parents?"

"Oh, forget it." Doctor Du Xinshu quickly waved his hand, pretending to be indifferent, "This little bastard was fine when he first came back, but his mother started to get annoyed after staying at home for two or three days. In the morning Don’t get up at night and don’t sleep at night, just spend all day in front of the desk studying political, economic and history... If he, a science student, is so interested in these things, why didn’t he choose liberal arts in the college entrance examination back then!”

"Isn't it good to have some hobbies?" Sun Lien mourned for two seconds for Xiao Du, who had never met or even knew his name, and then continued the chat, "I don't have any hobbies. I usually don't even get interested in playing games. Come on. As a result, when I arrive at Yunhe, besides coming to the hospital, I will sleep in the hotel, which is simply too boring."

"It's good to have hobbies. If you don't have them, you don't have to force yourself." Hearing this content, Dr. Du comforted reflexively, "Forcing yourself to like things is not a hobby! Interests, passions, It can be a hobby. Work is a hobby, and it is actually a very happy thing.”

As expected of a psychiatrist, Sun Lien sighed in his heart, look at his communication skills!
"So, I always feel that I gave my son a crooked name at the beginning." Doctor Du Xinshu said helplessly, "It's not good to name him at the beginning, calling him Du Shengzhe... Reading the philosophies of sages, this will not bring people into trouble." Crooked? What does it look like for a child studying pharmacy to chew on the general history of the world all day long?"

Everyone has psychological problems, even psychiatrists themselves are no exception.A doctor with mind reading skills can't mediate his own depression.

Back at the hotel at night, Sun Lien turned on the TV after a long absence.He just remembered that he hasn't seen this year's Spring Festival Gala yet.

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After watching the Spring Festival Gala for more than an hour, Sun Lien was going to take a shower and sleep after changing two more channels.As a result, after switching to the evening news channel of Song'an Provincial TV Station, he suddenly saw a very familiar face on it.

His interview has been broadcast.

How should I put it... Anyway, Sun Lien felt that he was wrapped up in something called "shame" in an instant.Obviously, in all fairness, the appearance of himself on the TV screen looks pretty good, and the tone of his speech is just right.But this complex and strong feeling rushed into his mind in an instant.Before Sun Li'en could react, he raised his hand like lightning and turned off the TV screen.

"Roast gluten!" A few seconds later, Sun Lien's mobile phone rang out, and the ghostly words "roast gluten" of Brother Gluten surrounded the room. It sounded like it could wake up a comatose patient.

"You're on TV!" A group of relatives and friends' WeChat messages directly maxed out Sun Lien's WeChat. Everyone rushed to convey the "good news" to Sun Lien that he was on TV, and they also attached the photos they took at home. The picture on the TV, "Look quickly, the provincial news channel!"

"Ah!!!!" Sun Li'en threw himself on the bed, buried his head with a pillow, and then yelled.The only thing that wasn't clear was whether the main ingredient in the yell was shame or something else.

(End of this chapter)