Camartin Cristian
Palliative Care, Kantonsspital Graubünden, Chur.
Ther Umsch. 2012 Feb;69(2):110-3. doi: 10.1024/0040-5930/a000261.
Interprofessional teamwork is a characteristic feature of palliative care. Palliative Care is a subspeciality/ discipline in health care that cares for patients with a life threatening illness. The patient determines individual goals and the extent of further treatment. The team supports patients in decision making, practical advice in symptom management and composition of the future care network. The case of a 58-year-old woman suffering from metastastic breast cancer is an extraordinary example of interprofessional teamwork in palliative care. The patient was hospitalized in a palliative care unit with a malignant bowel obstruction. She underwent ileostomy and chemotherapy. She required total parenteral nutrition and was suffering from anorexia-cachexia syndrome. During her stay in the palliative care unit, her condition deteriorated. Subsequently, her needs changed and she requested to leave the hospital for some days to see her daughter's new domicile. It was by the coordinated effort of the interprofessional palliative care team that this last wish got fulfilled and she died peacefully a few days after her return to the palliative care unit.
跨专业团队合作是姑息治疗的一个显著特征。姑息治疗是医疗保健中的一个亚专业/学科，负责照顾患有危及生命疾病的患者。患者确定个人目标和进一步治疗的程度。该团队支持患者进行决策，提供症状管理方面的实用建议，并构建未来的护理网络。一名58岁患有转移性乳腺癌的女性患者的案例，是姑息治疗中跨专业团队合作的一个非凡范例。该患者因恶性肠梗阻入住姑息治疗病房。她接受了回肠造口术和化疗。她需要全胃肠外营养，并且患有厌食-恶病质综合征。在她住在姑息治疗病房期间，病情恶化。随后，她的需求发生了变化，她请求出院几天去看看女儿的新家。正是通过跨专业姑息治疗团队的协调努力，她的这一最后愿望得以实现，并且在回到姑息治疗病房几天后平静地离世。
