Maxwell Lesley-Ann
School of Health Science, University of Wales, Swansea.
Br J Nurs. 2005;14(21):1117-9. doi: 10.12968/bjon.2005.14.21.20068.
The management of terminally ill patients who are unable to maintain their own hydration, or who express a wish to discontinue artificial hydration, is a significant controversial topic among healthcare professionals, patients and families. Evidence-based research suggests a number of medical and nursing indications and contraindications for dehydration. The purpose of this article is to review the current research, consider the factors involved in decision-making and clarify the complex issues which have implications for nursing surrounding the management of dehydration in terminally ill patients. The article uses the case of a patient nursed by the author and is written as a reflective account of practice.
对于那些无法自行维持水合作用或表示希望停止人工补水的晚期患者的管理，在医疗保健专业人员、患者及其家属中是一个极具争议的话题。循证研究提出了一些关于脱水的医学和护理适应症及禁忌症。本文的目的是回顾当前的研究，考虑决策过程中涉及的因素，并阐明围绕晚期患者脱水管理对护理工作有影响的复杂问题。本文以作者护理的一名患者为例，写成一篇实践反思报告。
