办公室中的预先护理计划制定方法。
An approach to advance care planning in the office.
作者信息
Gallagher Romayne
机构信息
Division of Residential Care for Providence Health, Vancouver, BC.
出版信息
Can Fam Physician. 2006 Apr;52(4):459-64.
OBJECTIVE
To outline how advance care planning is a process of communication among patients, their families, and health care providers regarding appropriate care for patients when they are no longer able to make decisions for themselves.
SOURCES OF INFORMATION
Level I evidence supports systematic implementation of advance care planning under controlled circumstances, such as in institutions. Level II evidence supports exploring factors that determine treatment preferences and change treatment preferences and other factors that complicate the process of end-of-life decision making. Level III evidence supports the approach to advance care planning in the office described in this article.
MAIN MESSAGE
Family physicians can help prevent the suffering of patients with chronic illnesses by facilitating discussion of end-of-life issues. The approach suggested in this article will help reduce avoidance of the issues and minimize the difficulty of discussing issues crucial to patients and their families.
CONCLUSION
Advance care planning can prevent suffering and enable patients to receive care congruent with their goals at the end of their lives. Family physicians can be key to facilitating this process.
目的
概述预先护理计划是患者、其家人和医疗服务提供者之间就患者无法自行做决定时的适当护理进行沟通的过程。
信息来源
一级证据支持在诸如机构等可控环境下系统实施预先护理计划。二级证据支持探索决定治疗偏好和改变治疗偏好的因素以及其他使临终决策过程复杂化的因素。三级证据支持本文所述的办公室预先护理计划方法。
主要信息
家庭医生可通过推动关于临终问题的讨论来帮助预防慢性病患者的痛苦。本文建议的方法将有助于减少对这些问题的回避，并将讨论对患者及其家人至关重要的问题的难度降至最低。
结论
预先护理计划可预防痛苦，并使患者在生命末期接受符合其目标的护理。家庭医生可能是推动这一过程的关键。
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