Roth Alan R, Canedo Angelo R
Department of Family Medicine, Palliative Care Medicine, Hospice and Palliative Medicine Fellowship Program, Jamaica Hospital Medical Center, 8900 Van Wyck Expressway, Jamaica, NY 11418, USA.
MediSys Health Network, Jamaica Hospital Medical Center, 8900 Van Wyck Expressway, Jamaica, NY 11418, USA.
Prim Care. 2019 Sep;46(3):287-302. doi: 10.1016/j.pop.2019.04.001. Epub 2019 Jun 13.
Palliative care is a field of medicine that delivers patient-centered care for individuals and their families suffering from serious illness at all stages of the disease trajectory. It addresses the major priorities of relieving suffering, establishing goals of care, and managing physical symptoms while integrating the psychosocial, cultural, spiritual, and existential complexities of coping with chronic illness. This article discusses the role of palliative care in the health care system. It reviews the importance of prognostication, disease trajectory, and communication. The role of the primary care physician as part of a multidisciplinary team member delivering primary palliative care is emphasized.
姑息治疗是医学领域中的一个分支，它为处于疾病进程各个阶段的重症患者及其家属提供以患者为中心的护理。它解决缓解痛苦、确立护理目标以及管理身体症状等主要优先事项，同时整合应对慢性病所涉及的心理社会、文化、精神和生存方面的复杂性。本文讨论了姑息治疗在医疗保健系统中的作用。它回顾了预后判断、疾病进程和沟通的重要性。强调了初级保健医生作为提供初级姑息治疗的多学科团队成员之一的作用。
