Nauck F, Jaspers B
Abteilung Palliativmedizin, Zentrum Anaesthesiologie, Rettungs- und Intensivmedizin, Georg-August-Universität Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012 Sep;55(9):1154-60. doi: 10.1007/s00103-012-1531-2.
The palliative care physician accompanies patients and their families in times of great disstress and potentially difficult medico-ethical decision making. The main objective of palliative care is the alleviation of pain and distressing symptoms in patients with progressive, incurable illness. By addressing physical problems and psychosocial as well as spiritual needs, palliative care aims at improving the quality of life of patients in order to help them to spend their remaining lifetime with as much autonomy as possible and in dignity. The concept of accompaniment in palliative care involves a multiprofessional team. Important factors in this approach are time, trust, professional, ethical, communicative, social, and emotional competencies and the attitude of physicians and other professionals. The physician is given responsibility by the patient. In accepting the role as a respondent to another individual's request for help, the physician can avoid the pitfalls of the obsolete paternalistic relationship model, or of one that is either merely autonomy based or of a provider-customer nature.
姑息治疗医生在患者及其家人处于极度痛苦以及可能面临艰难的医学伦理决策时陪伴左右。姑息治疗的主要目标是缓解患有进行性、不治之症患者的疼痛和痛苦症状。通过解决身体问题以及心理社会和精神需求，姑息治疗旨在提高患者的生活质量，以帮助他们尽可能自主且有尊严地度过余生。姑息治疗中的陪伴概念涉及一个多专业团队。这种方法中的重要因素包括时间、信任、专业、伦理、沟通、社会和情感能力，以及医生和其他专业人员的态度。医生由患者赋予责任。在接受作为对另一个人求助请求的回应者的角色时，医生可以避免过时的家长式关系模式或仅仅基于自主性或提供者 - 客户性质的关系模式的陷阱。
