Hajjar Ramzi R, Charalambous Haris A, Baider Lea, Silbermann Michael
Geriatrics Medicine and Palliative Care Service, American University of Beirut Medical Center, Riad El Solh, Beirut 1107 2020, Lebanon.
Clinical Oncologist, The Bank of Cyprus Oncology Centre, 32 Acropoleus Avenue, Strovolos, Nicosia 2006, The Republic of Cyprus.
Clin Geriatr Med. 2015 May;31(2):281-94. doi: 10.1016/j.cger.2014.12.001. Epub 2015 Feb 17.
Care for elderly people with life-limiting illness cannot be delivered primarily by geriatricians or palliative care practitioners. The role of these clinicians is to help carers become adept in palliative care medicine. In a culture in which family ties run deep, the offer of palliative care from an outsider may be met with suspicion. The family bond in the Middle East is strong, but the emotional response to terminal illness may push families to request futile treatments, and physicians to comply. When palliative care is well developed and well understood, it provides a viable alternative to such extreme terminal measures.
对患有危及生命疾病的老年人的护理不能主要由老年病医生或姑息治疗从业者来提供。这些临床医生的作用是帮助护理人员熟练掌握姑息治疗医学。在一个家庭关系深厚的文化中，局外人提供的姑息治疗可能会遭到怀疑。中东地区的家庭纽带很强，但对绝症的情感反应可能会促使家庭要求进行无效治疗，医生也会予以配合。当姑息治疗得到充分发展和理解时，它为这种极端的临终措施提供了一种可行的替代方案。
