National Institute of Mental Health, 10 Center Drive MSC 1276, NIH Building 10 CRC 6-5340, Bethesda, MD 20892-1276, USA.
Office of the Clinical Director, National Institute of Mental Health, 10 Center Drive MSC 1276, NIH Building 10 CRC 6-5360, Bethesda, MD 20892-1276, USA.
Child Adolesc Psychiatr Clin N Am. 2018 Oct;27(4):511-526. doi: 10.1016/j.chc.2018.05.001. Epub 2018 Jul 31.
This article describes the preparation, rationale, and benefits of talking with adolescents who have life-threatening or life-limiting illness about advance care planning (ACP) and end-of-life concerns in a developmentally sensitive manner. The first step is to ensure that a health care provider is ready to work with adolescents in ACP discussions by taking a self-inventory, learning communication skills, and understanding individual barriers. The authors then outline how to assess patient and family readiness, including developmental, cultural, personal, and psychosocial considerations. Evidence-based techniques for respectfully and productively engaging adolescents in ACP conversations are discussed.
本文介绍了以发展敏感的方式与患有危及生命或生命有限的疾病的青少年就预先护理计划 (ACP) 和临终问题进行交谈的准备、基本原理和好处。第一步是通过自我评估、学习沟通技巧和了解个人障碍，确保医疗保健提供者准备好与青少年一起进行 ACP 讨论。然后，作者概述了如何评估患者和家庭的准备情况，包括发展、文化、个人和心理社会方面的考虑。还讨论了尊重和有效地使青少年参与 ACP 对话的循证技术。
