Rondeau Dawn Felch, Schmidt Terri A
Department of Emergency Medicine, Oregon Health and Science University, 3181 S.W. Sam Jackson Park Road, Portland, OR 97239, USA.
Emerg Med Clin North Am. 2009 May;27(2):341-54. doi: 10.1016/j.emc.2009.01.006.
Cancer-related visits to the emergency department (ED) can be expected to increase in the next decade as the population ages. Some of the these patients and their caregivers will come to the ED without prior end-of-life care planning, and others will require modification of prior plans based on disease progression. In this article, we discuss some of these end-of-life issues related to and including those of legal documents, transmission of patient wishes, limiting factors in implementing those wishes, and the new horizon of palliative care in the ED.
随着人口老龄化,预计未来十年与癌症相关的急诊就诊人数将会增加。这些患者及其护理人员中,有些将在未事先进行临终护理规划的情况下前往急诊室,而另一些则需要根据疾病进展对先前的计划进行调整。在本文中,我们将讨论一些与临终问题相关的内容,包括法律文件、患者意愿的传达、实施这些意愿的限制因素以及急诊室姑息治疗的新前景。