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[临终时的跨专业症状管理]

[Interprofessional symptom management at the end of life].

作者信息

Frankenhauser S, Geist M J P, Weigand M A, Bardenheuer H J, Keßler J

机构信息

Klinik für Anästhesiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.

出版信息

Anaesthesist. 2017 Nov;66(11):889-900. doi: 10.1007/s00101-017-0377-2.

Abstract

At the end of life patients often show distressful symptoms which significantly reduce their quality of life. The goal of all healthcare professionals should be to recognize the beginning of this end of life period in order to provide good symptom management. For this purpose, existing symptoms have to be recorded, suitable therapeutic goals have to be defined for the current situation and potential therapeutic strategies have to be individually formulated. Besides the identification of underlying causes with the possibility of causal treatment, a symptom-based therapy is often necessary. Therapeutic approaches of different professions should be equally considered and should additionally be used for the benefit of the patient.

摘要

在生命末期,患者常常表现出痛苦的症状,这显著降低了他们的生活质量。所有医护人员的目标都应该是识别生命末期阶段的开始,以便进行良好的症状管理。为此,必须记录现有的症状,针对当前情况确定合适的治疗目标,并为患者单独制定潜在的治疗策略。除了识别潜在病因并进行因果治疗外,基于症状的治疗通常也是必要的。不同专业的治疗方法应得到同等考虑,并应额外用于患者的利益。

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