Malkin S
Can Med Assoc J. 1976 Jul 17;115(2):129-30.
Care of the terminally ill at home demands the attention of the medical and paramedical community. Patients who choose to remain at home while death approaches must be given full physical, emotional and psychological support by the attending physician and home care services personnel. In 1974 the Vancouver early hospital discharge home care service provided such care to 47 patients. Generally both patient and family were happy with the program. A few families were unable to cope for more than a few days but most continued the care almost to the end, a large number (14) keeping the patient at home until death occurred. Added benefits are the lower costs and the freeing of hospital beds.
在家中照顾绝症患者需要医疗和辅助医疗界的关注。当死亡临近时选择留在家中的患者必须得到主治医生和家庭护理服务人员全面的身体、情感和心理支持。1974年,温哥华早期医院出院家庭护理服务为47名患者提供了此类护理。总体而言,患者和家属对该项目都很满意。有几个家庭无法应对超过几天,但大多数家庭几乎一直持续护理到最后,有相当一部分家庭(14个)让患者在家中直至去世。额外的好处是成本降低以及医院病床得以腾出。