Harrison Kerry, Watson Sarah
Hospice in the Weald, Pembury, Tunbridge Wells, Kent, UK.
Int J Palliat Nurs. 2011 Jan;17(1):42-6. doi: 10.12968/ijpn.2011.17.1.42.
The National Service Framework for Renal Services Part 2 identifies quality requirements for end-of-life care for individuals with kidney failure, recognizing the potential to forge closer relationships between renal and specialist palliative care providers. This article describes a pilot project set up by two Clinical Nurse Specialists, one working in hospice specialist palliative care and the other in renal palliative care within an acute trust. The purpose of the pilot was to work in collaboration to run a streamlined nurse-led clinic that would meet the palliative care needs of chronic kidney disease (CKD) Stage 5 patients and their carers. To achieve this the clinic would have to provide optimal symptom management, empower patients to make their own choices, and support them with advance care planning underpinned by the End of Life Care Strategy. The partnership also aimed to promote service improvement and practice development using transference of knowledge, skills, and expertise. Initial informal feedback, including a very small patient survey, suggests that the clinic was well received by patients, carers, and other health professionals. The clinic is ongoing and deserves more formal evaluation to encourage future service development.
《肾脏服务国家服务框架》第2部分确定了肾衰竭患者临终关怀的质量要求，认识到肾脏和专科姑息治疗提供者之间建立更紧密关系的潜力。本文描述了一个由两名临床护士专家设立的试点项目，其中一名在临终关怀专科姑息治疗机构工作，另一名在急性信托机构的肾脏姑息治疗部门工作。该试点项目的目的是合作开展一个简化的由护士主导的诊所，以满足慢性肾脏病（CKD）5期患者及其护理人员的姑息治疗需求。为实现这一目标，该诊所必须提供最佳的症状管理，使患者能够自主做出选择，并在临终关怀战略的支持下通过预先护理计划为他们提供支持。该合作伙伴关系还旨在通过知识、技能和专业知识的传授来促进服务改进和实践发展。初步的非正式反馈，包括一项非常小型的患者调查，表明该诊所受到了患者、护理人员和其他卫生专业人员的好评。该诊所仍在运营，值得进行更正式的评估以鼓励未来的服务发展。
