Boyce Anne, McHugh Mandy, Lyon Penny
The Macmillan Unit, The Calderdale Royal Hospital, Salterhebble, Halifax HX3 0PW, UK.
Int J Palliat Nurs. 2003 Dec;9(12):544-50. doi: 10.12968/ijpn.2003.9.12.11991.
End stage haematology patients may require transfusion of blood, or blood products, regularly throughout the week. One regional haematology day unit sister identified difficulties that these hospital services dependent patients were experiencing in establishing contact with local community specialist palliative care services. As a consequence, some patients were unable to access specialist palliative care services in the community when they were too unwell to attend the day unit, resulting in acute admission to hospital for terminal care. Discussion of this issue with nursing colleagues from the hospital and community palliative care teams led to the development of an alternative model of palliative care delivery for these patients. The new model increased patient choice. Evaluation of this model of care demonstrated an increase in planned hospice/community deaths, avoiding unnecessary emergency hospital admissions in the last days of life. All regional patients accessed some palliative care services/treatment locally and there was opportunity for patient-initiated palliative care review.
晚期血液学患者可能需要在一周内定期输血或输注血液制品。一位地区血液学日间病房护士长发现，这些依赖医院服务的患者在与当地社区专科姑息治疗服务机构建立联系时遇到了困难。因此，一些患者在身体过于不适无法前往日间病房时，无法获得社区专科姑息治疗服务，导致因终末期护理而急性入院。与医院和社区姑息治疗团队的护理同事讨论这个问题后，为这些患者开发了一种替代的姑息治疗模式。新模式增加了患者的选择。对这种护理模式的评估表明，计划在临终关怀机构/社区死亡的人数有所增加，避免了在生命的最后几天不必要的紧急入院。所有地区患者都在当地获得了一些姑息治疗服务/治疗，并且有机会由患者发起姑息治疗评估。
