1 Department of Medicine, Duke University School of Medicine , Durham, North Carolina.
2 Department of Psychiatry, and Duke University School of Medicine , Durham, North Carolina.
J Palliat Med. 2018 Aug;21(8):1171-1176. doi: 10.1089/jpm.2018.0207.
Palliative care has long recognized the importance of treating the whole person to address a patient's physical, mental, and spiritual suffering. To address psychological suffering, palliative care often draws upon the pharmacotherapy and psychotherapy offered by psychiatry. Several new developments have occurred in the past decade within psychiatry that impact palliative care. For example, the recent updating of the Diagnostic and Stastistical Manual of Mental Disorders has led to renewed discussions on how to best distinguish grief from depression or recognize that both may be present at the same time. In this article, we draw upon a team of psychiatric, palliative care, and dual-trained physicians to highlight the "Top 10" tips from psychiatry to provide relief for patients with chronic disease or at the end of life.
缓和医疗长期以来一直认识到治疗整个人以解决患者身体、心理和精神痛苦的重要性。为了解决心理痛苦，缓和医疗通常借鉴精神病学提供的药物治疗和心理治疗。在过去十年中，精神病学领域发生了一些新的发展，这些发展对缓和医疗产生了影响。例如，最近更新的《精神障碍诊断与统计手册》导致了关于如何最好地区分悲伤和抑郁或认识到两者可能同时存在的重新讨论。在本文中，我们借鉴了一组精神病学、缓和医疗和双重培训医生的意见，强调了精神病学提供缓解慢性疾病或生命末期患者痛苦的“十大”技巧。
