Caswell D, Omery A
AACN Clin Issues Crit Care Nurs. 1990 May;1(1):179-86.
Death is an inevitable fact in the critical care setting. This fact does not make it more comfortable for the nurse who is caring for a critically ill patient who is dying. Some health care providers have recommended that the critical care resources are better utilized for the patient whose prognosis is not death. This position can be countered with the perspective that there may be no better place to provide the intensive nursing care that the dying patient may need than the critical care setting. A new nursing diagnosis, Terminal Syndrome related to the dying process is introduced to assist the nurse in providing comprehensive care for what is often a complex patient care situation. The goal is to achieve for each dying individual in the critical care setting what she or he truly desires, an end to the life process, a death achieved with comfort and dignity.
在重症监护环境中，死亡是一个不可避免的事实。但这一事实并不会让照顾濒死重症患者的护士感觉更轻松。一些医疗保健提供者建议，重症监护资源应更好地用于预后并非死亡的患者。然而，有一种观点可以反驳这一立场，即对于濒死患者可能需要的重症护理而言，可能没有比重症监护环境更好的地方来提供了。引入了一种新的护理诊断——与死亡过程相关的终末期综合征，以帮助护士为通常复杂的患者护理情况提供全面护理。目标是让重症监护环境中的每一位濒死个体都能实现其真正的愿望，即生命过程的结束，舒适而有尊严地离世。
