R Krishna L K, Yong C Y L, Koh S M C
Division of Palliative Medicine, National Cancer Centre, Singapore, Singapore.
Department of Occupational Therapist, Bright Vision Hospital, Singapore, Singapore.
BMJ Case Rep. 2014 Jul 9;2014:bcr2014204780. doi: 10.1136/bcr-2014-204780.
Progressive advancements in the fields of medicine, oncology and palliative care have seen significant gains in the life expectancy but have also resulted in patients living longer with the burdens of cancer. It is within the sphere of end-of-life care that the role of palliative rehabilitation comes into its own in addressing the effects of increased physical and psychological morbidity that accompany many of these prognostic gains. Focusing on the cancer journey, we highlight the impact of rehabilitative measures on efforts to preserve the personhood of a patient with metastatic renal cell carcinoma and thus maintain her dignity and quality of life and provide her with appropriate and effective holistic care at the end of life. Through employing the Ring Theory of Personhood, the critical role of the complementary aspects of palliative rehabilitation in end-of-life care is brought to the fore.
医学、肿瘤学和姑息治疗领域的不断进步使预期寿命显著提高，但也导致癌症患者在承受癌症负担的情况下活得更长。在临终关怀领域，姑息康复的作用在应对许多此类预后改善所伴随的身体和心理发病率增加的影响方面得以彰显。聚焦于癌症病程，我们强调康复措施对维护转移性肾细胞癌患者人格的努力所产生的影响，从而维护其尊严和生活质量，并在临终时为她提供适当且有效的整体护理。通过运用人格环理论，姑息康复的互补方面在临终关怀中的关键作用得以凸显。
