University of Toledo College of Medicine, Toledo, Ohio 43614, USA.
Scand J Trauma Resusc Emerg Med. 2009 Apr 22;17:21. doi: 10.1186/1757-7241-17-21.
The challenges of end-of-life care require emergency physicians to utilize a multifaceted and dynamic skill set. Such skills include medical therapies to relieve pain and other symptoms near the end-of-life. Physicians must also demonstrate aptitude in comfort care, communication, cultural competency, and ethical principles. It is imperative that emergency physicians demonstrate a fundamental understanding of end-of-life issues in order to employ the versatile, multidisciplinary approach required to provide the highest quality end-of-life care for patients and their families.
临终关怀的挑战要求急诊医生运用多方面的、动态的技能。这些技能包括在生命末期缓解疼痛和其他症状的医疗疗法。医生还必须表现出在舒适护理、沟通、文化能力和伦理原则方面的才能。急诊医生必须表现出对临终问题的基本理解,以便采用灵活的多学科方法,为患者及其家属提供最高质量的临终关怀。