Melvin T A
Hospice of Chattanooga, Inc, Chattanooga, Tennessee, USA.
Prim Care. 2001 Jun;28(2):239-49. doi: 10.1016/s0095-4543(05)70020-8.
Palliative care is about total patient care, management of disabling and debilitating symptoms, and the role of the primary care physician. As physicians, we must understand who, what, when, how, and where to institute, or refer patients for palliative care. Who? Any patient needing assistance with the control of physical and nonphysical symptoms can benefit from palliative care. What? An interdisciplinary team coordinating care planning of the patient. When? The earlier in the disease process the patient is referred, the sooner symptom control can be maximally achieved. How? The primary care physician makes the initial referral to the palliative care physician or team. Where? All hospices should have a palliative care physician or consultant. This article provides a broad overview of palliative care management and incurable illnesses.
姑息治疗涉及对患者的全面护理、对致残和使人衰弱症状的管理以及初级保健医生的作用。作为医生，我们必须明白何时、何地以及如何为患者提供姑息治疗，或者将患者转介至姑息治疗机构。哪些患者？任何需要控制身体和非身体症状的患者都能从姑息治疗中受益。提供什么？一个跨学科团队协调患者的护理计划。何时？在疾病进程中越早将患者转介，就能越早最大程度地控制症状。如何转介？初级保健医生首先将患者转介给姑息治疗医生或团队。转介至何处？所有临终关怀机构都应有一名姑息治疗医生或顾问。本文对姑息治疗管理和不治之症进行了广泛概述。
