Ohio's Hospice of Dayton.
Clin J Oncol Nurs. 2020 Dec 1;24(6):689-693. doi: 10.1188/20.CJON.689-693.
Provision of high-quality end-of-life care in a cost-effective work environment is the aim of all hospice organizations. This opportunity can be negatively affected when there is a limited supply of parenteral narcotics or administration routes are either not functional or fail to control symptoms. To combat these challenges, including a shortage of available parenteral narcotics, staff at a hospice organization adopted the use of a rectal catheter to deliver oral medications that were readily available. The implementation of a rectal catheter resulted in better control of symptoms, fewer titrations, and improvement in pain control and/or symptom management needs during end-of-life care management.
在具有成本效益的工作环境中提供高质量的临终关怀是所有临终关怀组织的目标。当肠外麻醉性镇痛药供应有限，或者给药途径无法发挥作用或无法控制症状时，这种机会就会受到负面影响。为了应对这些挑战，包括可用肠外麻醉性镇痛药的短缺，一家临终关怀组织的工作人员采用了直肠导管来输送现成的口服药物。直肠导管的实施使症状得到更好的控制，减少了滴定次数，并改善了临终关怀管理期间的疼痛控制和/或症状管理需求。
