Prönneke R, Jablonowski H
Innere Medizin und Palliativmedizin Medizinische Klinik, Klinikum Salzgitter GmbH.
MMW Fortschr Med. 2005 Jun 2;147(22):27-30.
Rigorous and appropriate pain therapy is a major element in palliative medicine, and affords the patient the possibility of being better able to organize the remaining time left to him. Every person has a legal right to, receive appropriate treatment for his/her pain, which in advanced disease states, is a multidimensional condition. This means that in addition to nursing staff and physicians, spiritual counselors, social workers, physiotherapists and volunteer helpers must be included in the pain-management team. Despite all our efforts, the ideal of complete freedom from pain is unrealistic. Nevertheless, the simple expression of solidarity with the terminally-ill patient, as is reflected by the provision of sympathetic attention, has in itself a positive impact on pain. By offering comprehensive and nationwide palliative care that is oriented to the needs of the terminal patient, society helps to provide a culture of the dying, and thus also of the living, that reflects humanistic principles.
严谨且恰当的疼痛治疗是姑息医学的一个主要要素,它使患者有可能更好地规划自己剩余的时间。每个人都有合法权利接受针对其疼痛的适当治疗,在晚期疾病状态下,疼痛是一种多方面的状况。这意味着,除了护理人员和医生之外,疼痛管理团队还必须包括精神顾问、社会工作者、物理治疗师和志愿者帮手。尽管我们做出了所有努力,但完全摆脱疼痛的理想是不现实的。然而,对临终患者表示同情关注所体现的简单的团结之情,其本身就对疼痛有积极影响。通过提供面向临终患者需求的全面且覆盖全国的姑息治疗,社会有助于营造一种反映人文原则的死亡文化,进而也是生存文化。