Pooler Jacqueline, McCrory Fiona, Steadman Yvonne, Westwell Helen, Peers Sue
Hospice of the Good Shepherd, Gordon Lane, Nr Chester CH2 4DG, UK.
Int J Palliat Nurs. 2003 Jun;9(6):258-64. doi: 10.12968/ijpn.2003.9.6.11507.
The Cancer Nursing Strategy (Department of Health (DoH), 2000a) expects nurses at senior level to lead the way in improving the organization and delivery of cancer care. Lack of forward planning can be a feature of community palliative care, and may lead to inappropriate crisis admission in the last days despite patients and relatives expressing a wish to stay at home. This article attempt to demonstrate how, though collaboration and effective team working, issues and/or problems encountered in the last days of life were managed by developing and promoting a care pathway for the last days of life. Although based on Ellershaw's pioneering work, this pathway was developed specifically for use in the community to reflect and address the particular problems encountered in this setting when caring for dying patients.
《癌症护理策略》（卫生部，2000a）期望高级护士在改善癌症护理的组织与提供方面发挥带头作用。缺乏前瞻性规划可能是社区姑息治疗的一个特点，尽管患者及其亲属表示希望在家中度过最后时光，但这可能导致在生命的最后几天出现不适当的危机入院情况。本文试图说明如何通过协作和有效的团队合作，通过制定和推广临终关怀路径来管理临终时遇到的问题和/或困难。尽管该路径基于埃勒肖的开创性工作，但它是专门为社区使用而开发的，以反映和解决在这种环境下照顾临终患者时遇到的特殊问题。
