癌症幸存者的姑息治疗。
Palliative Care for Cancer Survivors.
作者信息
Dy Sydney M, Isenberg Sarina R, Al Hamayel Nebras Abu
机构信息
Primary Care for Cancer Survivors Program, Department of Medicine, Johns Hopkins University, Room 609, 624 North Broadway, Baltimore, MD 21209, USA.
Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Room 609, 624 North Broadway, Baltimore, MD 21209, USA.
出版信息
Med Clin North Am. 2017 Nov;101(6):1181-1196. doi: 10.1016/j.mcna.2017.06.009.
The palliative care approach for survivors begins with comprehensive assessment of communication and advance care planning needs and the physical, psychological and psychiatric, social, spiritual and religious, and cultural domains. Communication and decision-making about difficult issues should include responding to emotions, planning for future communication needs, and considering reasons for miscommunication. Key palliative approaches to symptom management include addressing physical and psychosocial concerns, and using nonpharmacologic approaches first or together with medications. Physicians should address advance care planning in older cancer survivors and those at significant risk of recurrence and mortality, ideally through ongoing conversations in a longitudinal care relationship.
对幸存者的姑息治疗方法始于对沟通和预先护理计划需求以及身体、心理和精神、社会、精神和宗教以及文化领域的全面评估。关于困难问题的沟通和决策应包括应对情绪、规划未来的沟通需求以及考虑沟通不畅的原因。症状管理的关键姑息治疗方法包括解决身体和心理社会问题，并首先使用非药物方法或与药物一起使用。医生应在老年癌症幸存者以及那些有显著复发和死亡风险的患者中进行预先护理计划，理想情况下是通过长期护理关系中的持续对话来进行。
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