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癌症患者的预先护理计划与临终决策

Advance Care Planning and End-of-Life Decision Making for Patients with Cancer.

作者信息

Agarwal Rajiv, Epstein Andrew S

出版信息

Semin Oncol Nurs. 2018 Aug;34(3):316-326. doi: 10.1016/j.soncn.2018.06.012. Epub 2018 Aug 9.

Abstract

OBJECTIVE

To highlight the importance, challenges, and evolution of advance care planning for patients with cancer.

DATA SOURCES

Peer-reviewed journal articles and clinical guidelines.

CONCLUSION

Advance care planning is fundamental to support the personhood of patients with advanced cancer. Patients must be encouraged by physicians and nurses to articulate what matters and provides meaning to them as they live, cope, and receive treatment for their cancer.

IMPLICATIONS FOR NURSING PRACTICE

Nurses can facilitate advance care planning and primary palliative care, to support patients and families to make informed and value-concordant decisions regarding cancer and end-of-life treatments.

摘要

目的

强调癌症患者预先护理计划的重要性、挑战及发展。

数据来源

同行评审期刊文章及临床指南。

结论

预先护理计划对于支持晚期癌症患者的人格至关重要。医生和护士必须鼓励患者阐明对他们来说重要的事情以及在他们生活、应对癌症和接受治疗过程中赋予其意义的事情。

对护理实践的启示

护士可以促进预先护理计划和初级姑息治疗,以支持患者及其家属就癌症和临终治疗做出明智且符合价值观的决定。

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