Telje J
Tidsskr Nor Laegeforen. 1990 Jun 10;110(15):1954-6.
In Norway approx. 25% of all deaths take place outside institutions. In a small rural community--Nord-Fron--almost 40% die outside institutions, 30% die in the local nursing home and only 30% die in hospitals. Today terminally ill patients are more often treated at home, with assistance from the local home nursing service and the general practitioner. We briefly review the problems and advantages of caring for the dying patient at home. This can be done if the patient and family wish, provided a strong doctor-patient relationship has been established and there is good communication with consultants at the hospital, sufficient nursing capacity and the possibility of short term admittance to a nursing home. One in six deaths take place suddenly and unexpectedly. It is thus an important and difficult task for the general practitioner to care for families grief.
在挪威,约25%的死亡发生在医疗机构之外。在一个小型乡村社区——北弗罗恩,近40%的人在医疗机构之外死亡,30%的人在当地养老院死亡,只有30%的人在医院死亡。如今,绝症患者更多地在家中接受治疗,由当地家庭护理服务机构和全科医生提供协助。我们简要回顾一下在家中照料临终患者的问题和优点。如果患者及其家人愿意,在建立了牢固的医患关系、与医院的会诊医生保持良好沟通、有足够的护理能力以及有短期入住养老院的可能性的情况下,就可以做到这一点。六分之一的死亡是突然且意外发生的。因此,对全科医生来说,照顾家属的悲痛是一项重要而艰巨的任务。