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安详离世。

A good death.

作者信息

Beuks Brigitte C, Nijhof Aafke C, Meertens John H J M, Ligtenberg Jack J M, Tulleken Jaap E, Zijlstra Jan G

机构信息

Intensive and Respiratory Care, Department of Internal Medicine, University Medical Centre Groningen, University of Groningen, 30.001, 9700 RB, Groningen, The Netherlands.

出版信息

Intensive Care Med. 2006 May;32(5):752-3. doi: 10.1007/s00134-006-0097-6. Epub 2006 Feb 25.

DOI:10.1007/s00134-006-0097-6
PMID:16501943
Abstract

We describe the cases of two patients discharged home directly from the ICU. Both patients had the strong wish to die at home after being told that there were no therapeutic options. Sometimes discharge is feasible and can mean very much for patients and their family. Taking measures to ensure a "good deathbed" is an obligation for doctors and nursing staff. However, due to the focus on cure this palliative goal is not always pursued.

摘要

我们描述了两名直接从重症监护病房出院回家的患者的病例。在被告知没有治疗选择后,这两名患者都强烈希望在家中离世。有时出院是可行的,对患者及其家人意义重大。采取措施确保“善终”是医生和护理人员的责任。然而,由于专注于治愈,这一姑息治疗目标并非总是能得以实现。

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2
[Intensive care patients who want to die at home: how can we fulfil this last wish?].[想要在家中离世的重症监护患者:我们如何满足这最后的愿望?]
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Homeward bound: an analysis of patients discharged home from an oncologic intensive care unit.返家之旅:分析从肿瘤重症监护病房出院回家的患者。
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The going home initiative: getting critical care patients home with hospice.回家计划:让重症监护患者与临终关怀一起回家。
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Guidelines for end-of-life and palliative care in Indian intensive care units' ISCCM consensus Ethical Position Statement.印度重症监护病房临终关怀与姑息治疗指南:印度危重病医学会共识伦理立场声明
Indian J Crit Care Med. 2012 Jul;16(3):166-81. doi: 10.4103/0972-5229.102112.
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Pattern of end-of-life decisions in two Tunisian intensive care units: the role of culture and intensivists' training.

本文引用的文献

1
Quality of dying in the ICU: ratings by family members.重症监护病房(ICU)中的死亡质量:家属评分
Chest. 2005 Jul;128(1):280-7. doi: 10.1378/chest.128.1.280.
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[Decisions around the end of life on Intensive Care: making the transition from curative to palliative treatment].[关于重症监护室临终决策:从治愈性治疗向姑息治疗的转变]
Ned Tijdschr Geneeskd. 2005 Apr 2;149(14):742-6.
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在突尼斯的两家重症监护病房中,临终决策模式:文化的作用和重症医师的培训。
Intensive Care Med. 2012 Apr;38(4):710-7. doi: 10.1007/s00134-012-2500-9. Epub 2012 Feb 11.
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Can we afford open-ended ICU care? Yes we can, but ..我们能否负担得起无期限的重症监护病房护理?我们能,但...
Crit Care. 2010;14(5):447; author reply 447. doi: 10.1186/cc9267. Epub 2010 Oct 26.
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Instrument development measuring critical care nurses' attitudes and behaviors with end-of-life care.开发用于测量危重病护理护士对临终关怀态度和行为的工具。
Nurs Res. 2010 Jul-Aug;59(4):234-40. doi: 10.1097/NNR.0b013e3181dd25ef.
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Intensive Care Med. 2009 Oct;35(10):1713-9. doi: 10.1007/s00134-009-1561-x. Epub 2009 Jul 1.
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Going home to die from surgical intensive care units.从外科重症监护病房回家等死。
Intensive Care Med. 2009 May;35(5):810-5. doi: 10.1007/s00134-009-1452-1. Epub 2009 Mar 12.
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Should we discharge comatose patients from intensive care to die in their own bed at home after withdrawal of mechanical ventilation?
Intensive Care Med. 2009 May;35(5):773-4. doi: 10.1007/s00134-009-1453-0. Epub 2009 Mar 12.
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A good death: another break in the wall.善终:墙上的又一道裂痕。
Intensive Care Med. 2006 Nov;32(11):1915-6. doi: 10.1007/s00134-006-0369-1. Epub 2006 Sep 22.
10
Dying at home: cultural and religious preferences.在家中离世:文化与宗教偏好
Intensive Care Med. 2006 Nov;32(11):1917-8. doi: 10.1007/s00134-006-0370-8. Epub 2006 Sep 22.
重症监护病房临终关怀的挑战。第五届重症监护国际共识会议声明:比利时布鲁塞尔,2003年4月
Intensive Care Med. 2004 May;30(5):770-84. doi: 10.1007/s00134-004-2241-5. Epub 2004 Apr 20.
4
Decision-making in the ICU: perspectives of the substitute decision-maker.重症监护病房中的决策:替代决策者的观点
Intensive Care Med. 2003 Jan;29(1):75-82. doi: 10.1007/s00134-002-1569-y. Epub 2002 Nov 28.
5
Predicting future functional status for seriously ill hospitalized adults. The SUPPORT prognostic model.预测重症住院成人患者未来的功能状态。SUPPORT预后模型。
Ann Intern Med. 1995 Mar 1;122(5):342-50. doi: 10.7326/0003-4819-122-5-199503010-00004.