Altilio Terry, Otis-Green Shirley, Dahlin Constance M
Department of Pain, Medicine and Palliative Care, Beth Israel Medical Center, 350 East 17th Street, Baird 12, New York, NY 10003, USA.
J Soc Work End Life Palliat Care. 2008;4(1):3-16. doi: 10.1080/15524250802071999.
The National Consensus Project's (NCP) Clinical Practice Guidelines for Quality Palliative Care, published in 2004, defined eight domains of care essential to palliative care clinical practice. The National Quality Forum's (NQF) 2006 document, A National Framework and Preferred Practices for Palliative and Hospice Care Quality: A Consensus Report, based on the NCP's Guidelines, identified 38 evidence-based preferred practices for palliative care. This article demonstrates how the Guidelines and Preferred Practices may be operationalized in practice, focusing specifically on Domain 4 of the Guidelines, "Social Aspects of Care". Domain 4 incorporates many pertinent aspects of hospice and palliative care related to communication and care planning. In particular, emphasized is the inclusion of the patient and family in discussions about ongoing care and creation of care plans that respect the social community of patient and family.
国家共识项目（NCP）于2004年发布的《优质姑息治疗临床实践指南》定义了姑息治疗临床实践中至关重要的八个护理领域。基于NCP指南，国家质量论坛（NQF）2006年的文件《姑息与临终关怀质量的国家框架及推荐实践：共识报告》确定了38项姑息治疗的循证推荐实践。本文展示了指南和推荐实践如何在实际中得以实施，特别关注指南的第4领域“护理的社会层面”。第4领域纳入了临终关怀和姑息治疗中许多与沟通及护理计划相关的重要方面。尤其强调的是，要让患者及其家属参与关于持续护理的讨论，并制定尊重患者及其家属社会群体的护理计划。
