终末期心力衰竭的处理方法。
Approach to advanced heart failure at the end of life.
机构信息
Palliative care physician at the Temmy Latner Centre for Palliative Care at Mount Sinai Hospital in Toronto, Ont.
Research coordinator at the Temmy Latner Centre for Palliative Care.
出版信息
Can Fam Physician. 2017 Sep;63(9):674-680.
Abstract
OBJECTIVE
To outline symptom management in, as well as offer a home-based protocol for, patients with advanced heart failure (HF).
SOURCES OF INFORMATION
The terms and were searched in PubMed and relevant databases. All articles were reviewed. The specific medical management protocol was developed by the "HeartFull" collaborative team at the Temmy Latner Centre for Palliative Care in Toronto, Ont.
MAIN MESSAGE
Educating patients about advanced HF and helping them understand their illness and illness trajectory can foster end-of-life discussions. Home-based care of patients with advanced HF that includes optimizing diuresis can lead to improved symptom management. It is also hoped that it can reduce both patient and health care system burden and result in greater health-related quality of life for patients with advanced HF.
CONCLUSION
This article provides an overview of how to manage common symptoms in patients with advanced HF. The home diuresis protocol with guidelines for oral and intravenous diuretic therapy is available at .
摘要
目的
概述晚期心力衰竭（HF）患者的症状管理，并提供一种基于家庭的方案。
信息来源
在 PubMed 和相关数据库中搜索了“”和“”这两个术语。对所有文章进行了综述。特定的医疗管理方案由安大略省多伦多 Temmy Latner 姑息治疗中心的“HeartFull”协作团队制定。
主要信息
教育患者了解晚期 HF，并帮助他们理解自己的病情和疾病进程，可以促进临终讨论。包括优化利尿作用在内的对晚期 HF 患者的家庭护理，可以改善症状管理。同时，还希望能减轻患者和医疗系统的负担，并提高晚期 HF 患者的健康相关生活质量。
结论
本文概述了如何管理晚期 HF 患者的常见症状。可在 获取带有口服和静脉利尿剂治疗指南的家庭利尿方案。
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