Adolph Michael D, Frier Kimberly A, Stawicki Stanislaw Pa, Gerlach Anthony T, Papadimos Thomas J
Center for Palliative Care, The James Cancer Hospital and Solove Research Institute, The Ohio State University Medical Center, Columbus, OH USA.
Int J Crit Illn Inj Sci. 2011 Jul;1(2):147-53. doi: 10.4103/2229-5151.84803.
Pain relief and palliative care play an increasingly important role in the overall approach to critically ill and injured patients. Despite significant progress in clinical patient care, our understanding of death and the dying process remains limited. For various reasons, people tend to delay facing questions associated with end-of-life, and the fear of the unknown often creates an environment of avoidance and an atmosphere of taboo. The topic of end-of-life care is multifaceted. It incorporates medical, ethical, spiritual, and religious aspects, among many others. Our ability to sustain the lives of the critically ill may be complicated by continuing life support in medically futile scenarios. This article, as well as the remainder of the IJCIIS Symposium on End-of-Life in Trauma/Intensive Care Unit, will explore the most important issues in the field of modern end-of-life care and palliative medicine, with a focus on critically ill and injured patients.
疼痛缓解和姑息治疗在重症和受伤患者的整体治疗方法中发挥着越来越重要的作用。尽管临床患者护理取得了重大进展，但我们对死亡和临终过程的理解仍然有限。由于各种原因，人们往往会推迟面对与生命末期相关的问题，对未知的恐惧常常营造出一种回避的环境和禁忌的氛围。临终关怀这一话题是多方面的。它包含医学、伦理、精神和宗教等诸多方面。在医学上无意义的情况下持续进行生命支持可能会使我们维持重症患者生命的能力变得复杂。本文以及《国际重症与危重病医学杂志》创伤/重症监护病房临终关怀研讨会的其余部分将探讨现代临终关怀和姑息医学领域中最重要的问题，重点关注重症和受伤患者。
