MBBS (Hons), FRACGP, DipClinPallMed, Advanced Trainee in Palliative Medicine, Barwon Health, Geelong, Vic
MBBS (Hons), FRACGP, DCH, DipClinPallMed, Advanced Trainee in Palliative Medicine, Barwon Health, Geelong, Vic
Aust J Gen Pract. 2018 Nov;47(11):765-769. doi: 10.31128/AJGP-07-18-4625.
Palliative care aims to improve quality of life for patients with life-limiting illnesses. It is often linked to the care of people with cancer; however, patients with non-cancer end-stage conditions also have significant needs.
The aims of this paper are to discuss common trajectories of deterioration in non-malignant conditions, consider possible barriers to palliative care referral, review the principles of the palliative care approach and illustrate specific factors relevant for common non-cancer conditions.
The symptom burden and care needs for patients with end-stage, nonmalignant illnesses are similar to those of patients with advanced cancer. These patients benefit from a palliative approach, comprising management of the underlying condition and attention to symptoms, psychosocial needs and carer support. Advance care planning provides an opportunity to prepare for future illness episodes, including provision of end-of-life care. General practitioners are well placed to provide palliative care for patients with advanced non-cancer illnesses.
姑息治疗旨在提高生命有限疾病患者的生活质量。它通常与癌症患者的护理相关联；然而，患有非癌症终末期疾病的患者也有重大的需求。
本文的目的是讨论非恶性疾病恶化的常见轨迹，考虑姑息治疗转介的可能障碍，回顾姑息治疗方法的原则，并说明常见非癌症疾病的具体因素。
患有终末期非恶性疾病的患者的症状负担和护理需求与晚期癌症患者相似。这些患者受益于姑息治疗方法，包括对基础疾病的管理以及对症状、心理社会需求和照顾者支持的关注。预先护理计划为准备未来的疾病发作（包括临终关怀）提供了机会。全科医生非常适合为患有晚期非癌症疾病的患者提供姑息治疗。
