Can Fam Physician. 1983 Oct;29:1857-60.
Terminal care at home should be more generally available, but is often not offered because hospital treatment is perceived as better, because active treatment is not stopped until it is too late to move the patient, because families do not have the necessary resources, or because they are not given the option. To help families cope, good contact with the hospital and the family physician is essential. The decision to stop active treatment must include the family physician's perspective. Family resources must be explored, without assumptions that higher socioeconomic conditions are good, and lower ones bad. Many families are afraid of the unknown, or not being able to cope. They can be helped by short, informative visits. Pain control is paramount, but communication between members of the health care team comes a close second.
家庭临终关怀应该更广泛地提供，但通常由于医院治疗被认为更好、因为积极治疗直到无法转移患者时才停止、因为家庭没有必要的资源、或因为他们没有选择而无法提供。为了帮助家庭应对，与医院和家庭医生保持良好的联系至关重要。停止积极治疗的决定必须包括家庭医生的观点。必须探讨家庭资源，而不是假设较高的社会经济条件是好的，较低的条件是不好的。许多家庭害怕未知，或者无法应对。简短的、信息丰富的探访可以帮助他们。疼痛控制至关重要，但医疗团队成员之间的沟通也紧随其后。
