Terpstra Terry L, Williamson Shelley, Terpstra Tammy
J Psychosoc Nurs Ment Health Serv. 2014 Aug;52(8):32-8. doi: 10.3928/02793695-20140522-01. Epub 2014 Jun 4.
Individuals with schizophrenia are often medically undertreated and experience symptoms that interfere with communication and the capacity to make medical decisions. These issues complicate quality end-of-life care for this population and are of particular concern for hospice and palliative care nurses and health care providers. This article presents a case study of a terminally ill patient with schizophrenia. It is divided into a series of vignettes; each vignette presents a common clinical issue encountered by the palliative care team. Interventions suggested in the literature and those used by team members when working with the patient are discussed.
精神分裂症患者常常在医疗上未得到充分治疗,且会出现干扰沟通和做出医疗决策能力的症状。这些问题使该人群的优质临终关怀变得复杂,尤其受到临终关怀与姑息治疗护士及医疗服务提供者的关注。本文介绍了一名患有精神分裂症的晚期患者的案例研究。它分为一系列短文;每个短文呈现了姑息治疗团队遇到的一个常见临床问题。文中讨论了文献中建议的干预措施以及团队成员在与患者合作时所采用的措施。