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[重症监护病房中的临终关怀]

[End of life care in intensive care units].

作者信息

Gardaz V, Doll S, Ricou B

机构信息

Service des soins intensifs, Département d'anesthésiologie, pharmacologie et soins intensifs HUG et Université de Genève, 1211 Geneve 14.

出版信息

Rev Med Suisse. 2011 Dec 14;7(321):2440-3.

PMID:22279862
Abstract

In intensive care units, death occurs after a medical decision of treatment limitation in a great majority of patients. In this context, taking care of the patient and his relatives is ethically, practically and emotionally complex. End of life is a well known factor of conflict, burnout and stress among medical and nursing teams in the ICU. The recommendations described in the following article are expected to clarify the roles and practices of the professionals involved in end of life procedures in the ICU.

摘要

在重症监护病房,绝大多数患者在做出治疗限制的医疗决定后死亡。在这种情况下,照顾患者及其亲属在伦理、实际操作和情感方面都很复杂。生命终结是重症监护病房医护团队中众所周知的冲突、职业倦怠和压力因素。以下文章中描述的建议有望阐明参与重症监护病房生命终结程序的专业人员的角色和做法。

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Simple changes can improve conduct of end-of-life care in the intensive care unit.简单的改变就能改善重症监护病房的临终关怀服务。
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[Epidemiology and evaluation of withdrawing and withholding of treatment procedure in a pediatric intensive care unit].[儿科重症监护病房中治疗措施撤除与 withhold 的流行病学及评估] (注:这里“withhold”在医学语境中可能较难准确对应中文词汇,大概意思是“ withhold treatment”有“暂缓治疗”等含义,整体翻译可能稍显生硬,具体需结合上下文进一步优化表述,但按要求不能添加解释说明)
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