Gloss Kayla
Emergency department, Camden and Campbelltown Hospitals, Campbelltown, NSW Australia.
Emerg Nurse. 2017 May 12;25(2):29-38. doi: 10.7748/en.2017.e1707.
Providing end of life care (EOLC) in emergency departments (EDs) is challenging because of minimal resources, lack of staff education and outdated models of care. Dynamic, chaotic environments like EDs require systematic, clear and concise principles and goals for patient care. Death in EDs is inevitable, therefore staff should be equipped to provide optimal care to this vulnerable patient group. This article reviews the literature on the barriers to providing EOLC in EDs, and makes recommendations for clinical practice and further research. EOLC refers to care of terminally and critically ill patients in their final days and hours of life.
由于资源有限、缺乏员工培训以及护理模式陈旧，在急诊科提供临终关怀颇具挑战性。像急诊科这样动态、混乱的环境需要系统、清晰且简洁的患者护理原则和目标。在急诊科死亡不可避免，因此工作人员应具备为这一弱势群体提供最佳护理的能力。本文回顾了有关在急诊科提供临终关怀的障碍的文献，并对临床实践和进一步研究提出了建议。临终关怀是指对处于生命最后几天和几小时的晚期和重症患者的护理。
