Kristjanson Linda J, Toye Christine, Dawson Sky
School of Nursing and Public Health, Edith Cowan University, Pearson Street, Churchlands, WA 6018.
Med J Aust. 2003 Sep 15;179(S6):S41-3. doi: 10.5694/j.1326-5377.2003.tb05578.x.
A palliative care approach has much to offer people in the advanced stages of neurodegenerative diseases, as well as elderly people dying from diseases other than cancer. Palliative care can be part of the treatment repertoire of any health worker, supported by intermittent consultation or referral to specialist palliative care services (eg, for management of neuropathic pain). A palliative care approach encourages a focus on pain and symptom management, and prompts more open communication about end-of-life issues. This approach recruits as necessary the expertise of specialists and multidisciplinary teams to encourage a flexible, responsive service. Home carers and healthcare providers require education to ensure a palliative approach that meets the physical, psychological, spiritual and social challenges facing patients and their families, and enhances dignity and quality of life.
姑息治疗方法能为神经退行性疾病晚期患者以及因非癌症疾病临终的老年人提供很多帮助。姑息治疗可以成为任何医护人员治疗方案的一部分，由间歇性咨询或转介至专科姑息治疗服务机构（例如，用于管理神经性疼痛）提供支持。姑息治疗方法鼓励关注疼痛和症状管理，并促使就临终问题进行更开放的沟通。这种方法在必要时借助专家和多学科团队的专业知识，以提供灵活、响应式服务。家庭护理人员和医疗服务提供者需要接受教育，以确保采取一种姑息治疗方法，应对患者及其家人面临的身体、心理、精神和社会挑战，并提高尊严和生活质量。
