Milch R A
The Center for Hospice and Palliative Care, 225 Como Park Boulevard, Cheektowaga, NY 14227, USA.
Curr Rev Pain. 2000;4(3):215-8. doi: 10.1007/s11916-000-0082-7.
Hospice care has irrevocably changed the landscape of healthcare. First seen as an alternative to dying in the impersonal, highly technical environment of the hospital, it provides comprehensive palliative, supportive care in patient-oriented settings, usually at home or, in some instances, special hospice units. Now the challenges of hospice care largely go beyond the philosophic to include the organizational, demographic, and pragmatic difficulties of providing such care in various settings. This article discusses some of those challenges, including a number of principles and techniques gleaned particularly from the hospice experience for successful pain management in the home setting.
临终关怀已经不可逆转地改变了医疗保健的格局。它最初被视为在医院那种缺乏人情味、技术高度专业化的环境中死亡的一种替代方式，在以患者为导向的环境中提供全面的姑息性、支持性护理，通常是在家里，或者在某些情况下，是在专门的临终关怀病房。如今，临终关怀面临的挑战很大程度上已超越了哲学层面，还包括在各种环境中提供此类护理所面临的组织、人口统计学和实际操作方面的困难。本文将探讨其中的一些挑战，包括特别从临终关怀经验中总结出来的一些原则和技巧，用于在家中成功管理疼痛。
