Wright Linda, Pape Deborah, Ross Kelley, Campbell Michael, Bowman Kerry
University Health Network & Joint Centre for Bioethics, University of Toronto, Ontario.
Prog Transplant. 2007 Mar;17(1):57-61; quiz 62. doi: 10.1177/152692480701700109.
Despite the success of transplantation, many transplant candidates and transplant recipients die each year. Some die awaiting transplants and some die months or years after receiving an organ. Quality end-of-life care can play a valuable role in easing the impact of death and dying in transplantation, as it focuses on enhancing patients' quality of life near death. Quality end-of-life care recognizes the values and preferences of patients and their families, and involves a process of shared decision making about patients' healthcare treatment in collaboration with healthcare practitioners. Advance care planning involves discussions with patients about their wishes and values about care, in the event that the patient becomes incapable of making such decisions. This article focuses on the application to transplantation of quality end-of-life care and advance care planning and identifies the effects that death and dying of transplant patients have on others. The information herein encourages healthcare practitioners to view and deliver quality end-of-life care as part of transplant patients' overall treatment management.
尽管移植手术取得了成功，但每年仍有许多移植候选者和移植受者死亡。一些人在等待移植的过程中死亡，还有一些人在接受器官移植数月或数年之后死亡。高质量的临终关怀在减轻移植领域死亡和濒死的影响方面可以发挥重要作用，因为它专注于提高患者临终前的生活质量。高质量的临终关怀认可患者及其家人的价值观和偏好，并涉及与医护人员共同就患者的医疗治疗进行决策的过程。预先护理计划包括与患者讨论他们对护理的愿望和价值观，以防患者无法做出此类决定。本文重点关注高质量临终关怀和预先护理计划在移植领域的应用，并确定移植患者的死亡对他人的影响。本文中的信息鼓励医护人员将高质量的临终关怀视为移植患者整体治疗管理的一部分并予以提供。
