Lichodziejewska-Niemierko Monika, Rutkowski Bolesław
Department of Palliative Medicine, Medical University of Gdańsk, Ul. Debinki 7, Gdańsk, Poland.
J Nephrol. 2008 Mar-Apr;21 Suppl 13:S153-7.
The goal of palliative care is to achieve good quality of life for patients with chronic life-limiting illnesses, and their families, through assessment and management of physical, psychosocial and spiritual problems and needs. Patients with kidney diseases present a particular target of such care from the time of diagnosis to the time of family bereavement family. End-stage renal disease is associated with limited life expectancy, high morbidity and considerable burden of symptoms especially in elderly patients. Nephrologists who are not prepared for the holistic aspects of care of such patients, frequently encounter high mortality rates. Pain and other physical, psychosocial and spiritual symptom management appear to be an important issue in nephrology. Withdrawal from dialysis is another problem that may require special attention in the form of legal and ethical guidance.
姑息治疗的目标是通过评估和处理身体、心理社会及精神方面的问题与需求，为患有慢性生命受限疾病的患者及其家属实现良好的生活质量。从诊断之时到家属居丧期间，肾病患者都是此类护理的特定对象。终末期肾病与预期寿命有限、高发病率以及尤其是老年患者的相当大的症状负担相关。对这类患者护理的整体方面没有做好准备的肾病学家，经常会遇到高死亡率。疼痛以及其他身体、心理社会和精神症状的管理似乎是肾脏病学中的一个重要问题。停止透析是另一个可能需要以法律和伦理指导的形式给予特别关注的问题。
