Sedgewick John, Noble Helen, Ho Tai Mooi, Kafkia Theodora, Van Waeleghem Jean-Pierre
Teesside University, Middlesbrough, Cleveland, UK.
J Ren Care. 2010 Dec;36(4):218-26. doi: 10.1111/j.1755-6686.2010.00204.x.
Patients with advanced chronic kidney disease (Stage 5 CKD) have palliative care needs similar to patients with cancer. The decision not to commence dialysis or to withdraw from active treatment can have a profound impact upon all those closely involved in the patient's care. It is essential that every effort is made to minimise the physical and psycho-social symptoms experienced by patients who require palliative care. Effective teamwork across professional boundaries and specialities will ensure that patients and their families are provided with maximum comfort during their final days. All members of the healthcare team must strive to ensure patient and family are actively encouraged in the decision-making process surrounding palliative care needs.
晚期慢性肾脏病（5期慢性肾脏病）患者的姑息治疗需求与癌症患者相似。决定不开始透析或停止积极治疗会对所有密切参与患者护理的人员产生深远影响。必须尽一切努力将需要姑息治疗的患者所经历的身体和心理社会症状降至最低。跨专业界限和专业的有效团队合作将确保患者及其家人在生命的最后日子里得到最大程度的舒适。医疗团队的所有成员必须努力确保在围绕姑息治疗需求的决策过程中积极鼓励患者和家属参与。
