Lancaster Harriet
World Hosp Health Serv. 2015;51(4):22-4.
Around the world forty million people a year need palliative care yet more than four in five of these have no access to basic analgesia with morphine. 6% of those dying with no pain relief are children. Those left behind carry with them the memory of the death and it can colour their future lives, making good palliative care an urgent public health issue around the world. Everyone providing healthcare needs core training in palliative care, including the fundamentals of pain and symptom relief. Governments must urgently address barriers to morphine availability and educators of health care professionals must eliminate myths and phobias, and teach good end of life care.
全球每年有4000万人需要姑息治疗,但其中五分之四以上的人无法获得基本的吗啡镇痛治疗。在那些没有得到疼痛缓解而死亡的人中,6%是儿童。幸存者会带着对死亡的记忆,这可能会影响他们未来的生活,因此提供优质的姑息治疗成为全球紧迫的公共卫生问题。每个提供医疗服务的人都需要接受姑息治疗的核心培训,包括疼痛和症状缓解的基本知识。政府必须紧急解决吗啡供应方面的障碍,医疗保健专业人员的教育工作者必须消除误解和恐惧,并教授良好的临终关怀。