Department of Surgery, Oregon Health & Science University, 3181 Southwest Sam Jackson Park Road, Portland, OR 97239, USA.
Department of Surgery, Oregon Health & Science University, 3181 Southwest Sam Jackson Park Road, Portland, OR 97239, USA.
Clin Geriatr Med. 2019 Feb;35(1):35-44. doi: 10.1016/j.cger.2018.08.004. Epub 2018 Sep 28.
Although many seniors cite maintaining independence and a desire to die at home as health priorities, admission to the ICU and the use of invasive procedures are common near the end of life. Palliative care aims to relieve pain and other symptoms to maintain the highest quality of life for the longest period of time, but surgical patients are less likely to be referred to palliative care than patients with chronic medical conditions. Meeting the palliative care needs of elderly surgical patients requires early recognition, advance care planning, and multidisciplinary interventions that align patient goals with possible outcomes.
尽管许多老年人将保持独立性和在家中去世视为优先事项，但在生命末期，入住 ICU 和使用侵入性程序是很常见的。姑息治疗旨在缓解疼痛和其他症状，以在最长的时间内维持最高的生活质量，但接受姑息治疗的手术患者比患有慢性疾病的患者要少。满足老年手术患者的姑息治疗需求需要早期识别、预先护理计划以及多学科干预，使患者的目标与可能的结果保持一致。
