Froggatt Katherine A, Poole Karen, Hoult Lizzy
Macmillan Practice Development Unit, The Centre for Cancer and Palliative Care Studies, The Institute of Cancer Research, London, UK.
Palliat Med. 2002 Nov;16(6):481-7. doi: 10.1191/0269216302pm592oa.
The provision of end-of-life care within nursing and residential care homes is of concern to policy makers and specialist palliative care providers. There is evidence of an increasing number of initiatives involving clinical nurse specialists (CNS) with the care of residents within these care settings, but the extent to which this is occurring in the UK has not been documented. A survey of 730 community CNS in palliative care was undertaken to describe the extent to which these practitioners are involved with the care of residents in nursing and residential care homes and the nature of this work. Although 92% of the CNS surveyed had worked with nursing homes and 80% of the CNS with residential care homes, the responses showed that this work was primarily reactive and undertaken infrequently. The majority of the work undertaken by CNS involved caring for patients with malignant conditions with a clinical focus addressing the management of physical symptoms.
疗养院和养老院中临终关怀服务的提供情况，受到政策制定者和专业姑息治疗提供者的关注。有证据表明，涉及临床护理专家（CNS）为这些护理机构中的居民提供护理的举措越来越多，但在英国，这种情况的发生程度尚未有文献记载。对730名社区姑息治疗临床护理专家进行了一项调查，以描述这些从业者参与疗养院和养老院居民护理的程度以及这项工作的性质。尽管92%接受调查的临床护理专家曾与养老院合作，80%的临床护理专家曾与疗养院合作，但调查结果显示，这项工作主要是被动的，且开展频率较低。临床护理专家开展的大部分工作涉及照顾患有恶性疾病的患者，临床重点是解决身体症状的管理问题。
