Rosland Jan Henrik, von Hofacker Sebastian, Paulsen Ørnulf
Sunniva Hospice, Haraldsplass Diakonale Sykehus, Postboks 6165, 5892 Bergen.
Tidsskr Nor Laegeforen. 2006 Feb 9;126(4):467-70.
All doctors in clinical practice have to face dying patients. In order to give help to the patient and his nearest family, the doctor needs knowledge about the dying process and how to relieve suffering. Based on relevant literature and own clinical experience, we discuss the challenges of identifying the terminal phase, ethical issues concerning medical treatment, and how to offer adequate symptom relief. We describe how to relieve pain and other symptoms, and how to organise the care of the dying. Drugs that may be useful in relieving suffering are described with dosing proposals. Family members have to be helped as well with information and reassurance. A Norwegian Standard for Palliation focusing on the organisation of palliative and terminal care has recently been published.
所有从事临床工作的医生都不得不面对濒死的患者。为了帮助患者及其至亲,医生需要了解死亡过程以及如何减轻痛苦。基于相关文献和自身临床经验,我们探讨了确定终末期的挑战、有关医疗治疗的伦理问题,以及如何提供充分的症状缓解。我们描述了如何减轻疼痛和其他症状,以及如何组织临终护理。文中介绍了可能有助于减轻痛苦的药物及其给药建议。还必须帮助家庭成员了解情况并使其安心。最近发布了一项侧重于姑息和临终护理组织的挪威姑息治疗标准。