Buss Mary K
Section of Palliative Care, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Division of Hematology-Oncology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Semin Intervent Radiol. 2017 Jun;34(2):140-144. doi: 10.1055/s-0037-1602756. Epub 2017 Jun 1.
In the treatment of cancer patients, many interventional radiologic procedures are palliative in nature. The goal for these therapies is often something other than cure, such as prolonged survival or improved quality of life. The goals of therapy should be matched with the patient's wishes, and must include open communication between the health care provider and the patient. Hospice and palliative medicine is its own specialty, and a multidisciplinary approach to the care of cancer patients should include discussions with these health care specialists. This article will briefly define palliative care in general, describe the specialty of hospice and palliative medicine, and discuss how hospice differs from palliative care. Finally, it will highlight opportunities for interventional radiology specialists to incorporate more deliberately palliative care skills and competencies into their own practice and to collaborate with palliative care specialists.
在癌症患者的治疗中,许多介入放射学程序本质上是姑息性的。这些治疗的目标通常不是治愈,而是诸如延长生存期或改善生活质量等其他方面。治疗目标应与患者的意愿相匹配,并且必须包括医疗服务提供者与患者之间的开放沟通。临终关怀和姑息医学是其自身的专业领域,对癌症患者的多学科护理方法应包括与这些医疗专家的讨论。本文将简要概述姑息治疗的一般定义,描述临终关怀和姑息医学的专业领域,并讨论临终关怀与姑息治疗的区别。最后,将强调介入放射学专家更有意识地将姑息治疗技能和能力融入自身实践并与姑息治疗专家合作的机会。