大流行时期的医疗照护目标：我们的经验与建议。
Goals of Care in a Pandemic: Our Experience and Recommendations.
机构信息
Community Hospice, Albany, New York, USA; St. Peter's Hospital Albany, New York, USA.
出版信息
J Pain Symptom Manage. 2020 Jul;60(1):e15-e17. doi: 10.1016/j.jpainsymman.2020.03.018. Epub 2020 Mar 31.
Abstract
We propose that the palliative care team response will occur in two ways: first, communication and second, symptom management. Our experience with discussing goals of care with the family of a COVID-positive patient highlighted some expected and unexpected challenges. We describe these challenges along with recommendations for approaching these conversations. We also propose a framework for proactively mobilizing the palliative care workforce to aggressively address goals of care in all patients, with the aim of reducing the need for rationing of resources.
摘要
我们提出姑息治疗团队的反应将通过两种方式发生
首先是沟通，其次是症状管理。我们在与 COVID-19 阳性患者的家属讨论治疗目标方面的经验突出了一些预期和意外的挑战。我们描述了这些挑战，并提出了一些建议，以帮助处理这些对话。我们还提出了一个框架，主动调动姑息治疗人员的力量，积极解决所有患者的治疗目标，旨在减少资源分配的需要。
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