Nelson Kristine A, Walsh Declan
Cancer Treatment Research Foundation, Arlington Heights, Illinois, USA.
Am J Hosp Palliat Care. 2003 Sep-Oct;20(5):345-52. doi: 10.1177/104990910302000508.
Palliative medicine is the total continuing care of patients with cancer. Most resources for cancer care focus on curative attempts while often ignoring the symptoms created by the disease and its treatment. Attempts at curative treatment of the malignancy must be coupled with pain and symptom relief psychosocial and spiritual care, and support for the patient and family extending from the time of diagnosis through the bereavement period. To accomplish this important goal, we must establish comprehensive palliative medicine programs in cancer centers throughout the world. These programs must include education, research, and patient care and must work through an interdisciplinary team. The Cleveland Clinic Foundation palliative medicine program (PMP) is composed of a primary inpatient service, consult service, outpatient clinic, hospice homecare, and cancer homecare services. In this article, we describe the structure and development of the program and suggest future avenues for growth.
姑息医学是对癌症患者的全面持续护理。大多数癌症护理资源都集中在治愈性治疗尝试上，而常常忽略了疾病及其治疗所产生的症状。对恶性肿瘤的治愈性治疗尝试必须与疼痛和症状缓解、心理社会和精神护理以及从诊断时起直至丧亲期对患者及其家庭的支持相结合。为实现这一重要目标，我们必须在世界各地的癌症中心建立全面的姑息医学项目。这些项目必须包括教育、研究和患者护理，并且必须通过一个跨学科团队来开展工作。克利夫兰诊所基金会姑息医学项目（PMP）由一个主要的住院服务、会诊服务、门诊诊所、临终关怀家庭护理和癌症家庭护理服务组成。在本文中，我们描述了该项目的结构和发展，并提出了未来的发展途径。
