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康复与姑息治疗的交叉领域:住院康复环境中的晚期癌症患者

The Intersection of Rehabilitation and Palliative Care: Patients With Advanced Cancer in the Inpatient Rehabilitation Setting.

作者信息

Padgett Lynne S, Asher Arash, Cheville Andrea

出版信息

Rehabil Nurs. 2018 Jul/Aug;43(4):219-228. doi: 10.1097/rnj.0000000000000171.

Abstract

BACKGROUND

Patients diagnosed with advanced cancer often differ from the traditional patient typically seen in the inpatient rehabilitation setting.

PURPOSE

To identify differences in care while highlighting the considerable similarities between the complementary specialties of palliative care and rehabilitation, and to provide rehabilitation clinicians with knowledge and skills to enhance care for palliative care patients and their families.

METHODOLOGY

Narrative literature review describing common functional losses in patients diagnosed with advanced cancer, followed by articulation of the intersection of palliative care with traditional rehabilitation approaches and goals.

CONCLUSION

The evidence supports implementation of a distinct body of skills and knowledge, referred to as "palliative rehabilitation," among inpatient rehabilitation providers.

CLINICAL IMPLICATIONS

Implementing palliative rehabilitation skills can improve the quality of care within the inpatient rehabilitation setting for patients with advanced cancer.

摘要

背景

被诊断为晚期癌症的患者通常与住院康复环境中常见的传统患者有所不同。

目的

识别护理方面的差异,同时突出姑息治疗与康复这两个互补专业之间的显著相似之处,并为康复临床医生提供知识和技能,以加强对姑息治疗患者及其家属的护理。

方法

进行叙述性文献综述,描述被诊断为晚期癌症患者的常见功能丧失情况,随后阐明姑息治疗与传统康复方法及目标的交叉点。

结论

证据支持在住院康复提供者中实施一套独特的技能和知识体系,即“姑息康复”。

临床意义

实施姑息康复技能可提高住院康复环境中晚期癌症患者的护理质量。

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