Department of Internal Medicine, Palliative Care Section, Mayo Clinic, Rochester, MN.
Mayo Clin Proc. 2013 Aug;88(8):859-65. doi: 10.1016/j.mayocp.2013.05.020.
With a focus on improving quality of life for patients, palliative care is a rapidly growing medical subspecialty focusing on the care of patients with serious illness. Basic symptom management, discussions of prognostic understanding, and eliciting treatment goals are essential pieces in the practice of nearly all physicians. Nonetheless, many complex patients with a serious, life-threatening illness benefit from consultation with palliative care specialists, who are trained and experienced in complex symptom management and challenging communication interactions, including medical decision making and aligning goals of care. This article discusses the changing role of modern palliative care, addresses common misconceptions, and presents an argument for early integration of palliative care in the treatment of patients dealing with serious illness.
以提高患者生活质量为重点,姑息治疗是一个快速发展的医学亚专科,专注于严重疾病患者的护理。基本症状管理、预后理解讨论和治疗目标的确定是几乎所有医生实践的重要组成部分。然而,许多患有严重危及生命疾病的复杂患者受益于姑息治疗专家的咨询,他们在复杂的症状管理和具有挑战性的沟通互动方面受过培训和经验丰富,包括医疗决策和协调护理目标。本文讨论了现代姑息治疗的角色变化,解决了常见的误解,并提出了在治疗严重疾病患者时尽早整合姑息治疗的论点。