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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.

DOI:10.1007/s00101-017-0377-2
PMID:29030648
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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1
[Interprofessional symptom management at the end of life].[临终时的跨专业症状管理]
Anaesthesist. 2017 Nov;66(11):889-900. doi: 10.1007/s00101-017-0377-2.
2
[Interprofessional symptom management at the end of life].[临终时的跨专业症状管理]
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本文引用的文献

1
[Choosing wisely at the end of life : Recommendations of the German Society for Palliative Medicine (DGP)].[临终时的明智选择:德国姑息医学协会(DGP)的建议]
Internist (Berl). 2017 Jun;58(6):575-579. doi: 10.1007/s00108-017-0244-x.
2
The Effects of a Single Session of Music Therapy on the Agitated Behaviors of Patients Receiving Hospice Care.音乐治疗对接受临终关怀患者激越行为的单次干预效果。
J Palliat Med. 2016 Aug;19(8):870-3. doi: 10.1089/jpm.2015.0503. Epub 2016 Apr 26.
3
Laxatives for the management of constipation in people receiving palliative care.
用于姑息治疗患者便秘管理的泻药。
Cochrane Database Syst Rev. 2015 May 13;2015(5):CD003448. doi: 10.1002/14651858.CD003448.pub4.
4
Shortness of breath and cough in patients in palliative care.姑息治疗患者的呼吸急促和咳嗽。
Dtsch Arztebl Int. 2013 Aug;110(33-34):563-71; quiz 572. doi: 10.3238/arztebl.2013.0563. Epub 2013 Aug 19.
5
International palliative care experts' view on phenomena indicating the last hours and days of life.国际姑息治疗专家对生命终末数小时和数天相关现象的看法。
Support Care Cancer. 2013 Jun;21(6):1509-17. doi: 10.1007/s00520-012-1677-3. Epub 2012 Dec 15.
6
Drug therapy for delirium in terminally ill adult patients.晚期成年患者谵妄的药物治疗
Cochrane Database Syst Rev. 2012 Nov 14;11:CD004770. doi: 10.1002/14651858.CD004770.pub2.
7
[Is the pharmacological treatment of constipation in palliative care evidence based? : a systematic literature review].[姑息治疗中便秘的药物治疗是否有循证依据?:一项系统文献综述]
Schmerz. 2012 Sep;26(5):568-86. doi: 10.1007/s00482-012-1246-1.
8
[Recommendations for death rattle].[临终喉鸣的建议]
Schmerz. 2012 Sep;26(5):600-7. doi: 10.1007/s00482-012-1215-8.
9
Cancer-related fatigue: epidemiology, pathogenesis, diagnosis, and treatment.癌症相关性乏力:流行病学、发病机制、诊断和治疗。
Dtsch Arztebl Int. 2012 Mar;109(9):161-71; quiz 172. doi: 10.3238/arztebl.2012.0161. Epub 2012 Mar 2.
10
Gastrointestinal symptoms in cancer patients with advanced disease: new methodologies, insights, and a proposed approach.晚期癌症患者的胃肠道症状:新方法、新见解和拟议方法。
Curr Opin Support Palliat Care. 2012 Mar;6(1):69-76. doi: 10.1097/SPC.0b013e32834f689d.