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界定物理治疗在多发性硬化症姑息治疗中的作用

Defining the Role of Physiotherapy in Palliative Care in Multiple Sclerosis.

作者信息

Kaur Darshpreet, Kumar Gunjan, Billore Nidhi, Singh Ajay Kumar

机构信息

Departments of Neurology and Neurorehabilitaion, Bihar Neurodiagnostic Centre, Patna, India.

Department of Neurology, NIMHANS, Bengaluru, Karnataka, India.

出版信息

Indian J Palliat Care. 2016 Apr-Jun;22(2):176-9. doi: 10.4103/0973-1075.179599.

Abstract

With increasing prevalence of multiple sclerosis worldwide, India too has transitioned from low to medium prevalence region. This increases the overall burden of a number of people suffering from a chronic progressive disorder. Such scenario underlines the need for an early comprehensive and holistic patient management plan, aiming to provide a better quality of life. The presented case is one such example of a patient-centered, and interdisciplinary team approach for better management of a patient suffering from an incurable, progressive disorder. As physiotherapists tend to spend a considerable amount of time with their patients on a regular basis, it becomes imperative to view all the patient related problems from a wider angle and endeavor to address each of them individually/collaboratively. In a palliative care setting, physiotherapy can no longer be considered as only physical symptom management approach but a patient care approach considering their entire physical, emotional, psychosocial, and spiritual needs. This novel case report shall serve as a guiding strategy for physiotherapists to work in the domain of palliative care.

摘要

随着全球多发性硬化症患病率的不断上升,印度也已从低患病率地区转变为中等患病率地区。这增加了患有慢性进行性疾病的人数的总体负担。这种情况凸显了制定早期全面和整体患者管理计划的必要性,旨在提供更高的生活质量。所呈现的案例就是一个以患者为中心、采用跨学科团队方法来更好地管理患有不治之症、进行性疾病患者的例子。由于物理治疗师往往会定期与患者共度相当长的时间,因此必须从更广泛的角度看待所有与患者相关的问题,并努力单独/协作解决每个问题。在姑息治疗环境中,物理治疗不能再仅仅被视为一种身体症状管理方法,而应是一种考虑患者全部身体、情感、心理社会和精神需求的患者护理方法。这份新颖的病例报告将作为物理治疗师在姑息治疗领域工作的指导策略。

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