Restau Jame, Green Pamela
Department of Supportive and Palliative Care, Baylor Medical Center at Irving, 1901 North MacArthur Boulevard, Irving, TX 75061, USA.
Department of Supportive and Palliative Care, Baylor Regional Medical Center at Carrollton, 4343 N. Josey Lane, Carrollton, TX 75010, USA.
Crit Care Nurs Clin North Am. 2014 Dec;26(4):551-8. doi: 10.1016/j.ccell.2014.08.013. Epub 2014 Sep 18.
Most patients who receive terminal care in the intensive care setting die after withdrawing or limiting of life-sustaining measures provided in the intensive care setting. The integration of palliative care into the intensive care unit (ICU) provides care, comfort, and planning for patients, families, and the medical staff to help decrease the emotional, spiritual, and psychological stress of a patient's death. Quality measures for palliative care in the ICU are discussed along with case studies to demonstrate how this integration is beneficial for a patient and family. Integrating palliative care into the ICU is also examined in regards to the complex adaptive system.
大多数在重症监护环境中接受临终护理的患者，是在撤除或限制重症监护环境中提供的维持生命措施后死亡的。将姑息治疗融入重症监护病房（ICU），可为患者、家属和医护人员提供护理、慰藉和规划，以帮助减轻患者死亡带来的情感、精神和心理压力。本文将讨论ICU中姑息治疗的质量指标，并结合案例研究来说明这种融合对患者及其家庭的益处。还将从复杂适应系统的角度审视将姑息治疗融入ICU的情况。
