Lobb Elizabeth A, Clayton Josephine M, Price Melanie A
Western Australian Centre for Cancer & Palliative Care, Edith Cowan University, Perth, Western Australia, and Department of Palliative Care, Royal North Shore Hospital, New South Wales, Australia.
Aust Fam Physician. 2006 Oct;35(10):772-5.
The stress associated with advancing and incurable illness inevitably causes distress for patients, families and caregivers. A palliative approach to care aims to improve the quality of life for patients with a life limiting illness by reducing suffering through early identification, assessment and optimal management of pain, physical, cultural, psychological, social, and spiritual needs.
This article outlines some of the psychosocial issues in palliative care and offers communication strategies for general practitioners to use to elicit concerns. It also discusses anticipatory and complicated grief, and provides some useful resources.
There is much that can be done by GPs, in collaboration with other services, to alleviate distress and suffering in people with a life limiting illness. In order to provide support for dying patients and their families, GPs also need to care for themselves.
与病情进展且无法治愈相关的压力不可避免地给患者、家庭和照料者带来痛苦。姑息治疗方法旨在通过早期识别、评估以及对疼痛、身体、文化、心理、社会和精神需求的优化管理来减轻痛苦，从而提高患有危及生命疾病患者的生活质量。
本文概述了姑息治疗中的一些心理社会问题，并为全科医生提供用于引出担忧的沟通策略。还讨论了预期性悲痛和复杂性悲痛，并提供了一些有用的资源。
全科医生与其他服务机构合作，可以做很多事情来减轻患有危及生命疾病患者的痛苦。为了支持临终患者及其家人，全科医生也需要照顾好自己。
