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假装绝症以获取麻醉药品:临终关怀机构的警示故事。

Feigning terminal illness to get narcotics: a cautionary tale for hospices.

作者信息

Gonzalez Faustino, Galante Mirta

机构信息

1Hospice of Palm Beach County, West Palm Beach, FL 33407, USA.

出版信息

Am J Hosp Palliat Care. 2012 Aug;29(5):399-400. doi: 10.1177/1049909111418780. Epub 2011 Aug 25.

DOI:10.1177/1049909111418780
PMID:21868431
Abstract

We present the case of a woman who enrolled in the hospice benefit in order to obtain narcotics. We believe this is a cautionary tale for hospices because of our propensity to enroll patients with minimal corroborating information, in order not to delay symptom management. Also we are philosophically predisposed to believe a patient's self-report of pain and other distressing symptoms.

摘要

我们介绍了一位为获取麻醉药品而加入临终关怀福利项目的女性案例。我们认为这对临终关怀机构来说是一个警示故事,因为我们倾向于在几乎没有确凿信息的情况下就接纳患者,以免延误症状管理。此外,从理念上讲,我们倾向于相信患者对疼痛和其他痛苦症状的自我报告。

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