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[将姑息治疗融入急性病医学]

[Integration of palliative care into acute care medicine].

作者信息

Nauck Friedemann, Jaspers Birgit

机构信息

Klinik für Palliativmedizin, Georg-August-Universität Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2021 Apr;116(3):267-276. doi: 10.1007/s00063-021-00792-6. Epub 2021 Mar 19.

Abstract

Palliative care is aimed at patients with incurable oncological and non-oncological diseases and their relatives with the aim of maintaining or improving their quality of life. In order to integrate palliative care into acute care medicine, palliative care training and continuing education for medical and nursing staff is recommended. Appropriate screening tools and standard operating procedures should be implemented to identify and address palliative care needs in emergency situations. For palliative care, established specialist palliative care services can be called upon for advice and/or cotreatment. Symptom control, treatment of malignant wounds, difficult ethical decision-making, and communication difficulties with patients, their legal representatives or relatives are the tasks of palliative care experts.

摘要

姑息治疗针对患有无法治愈的肿瘤和非肿瘤疾病的患者及其亲属,旨在维持或改善他们的生活质量。为了将姑息治疗纳入急性护理医学,建议对医护人员进行姑息治疗培训和继续教育。应实施适当的筛查工具和标准操作程序,以识别和满足紧急情况下的姑息治疗需求。对于姑息治疗,可向既定的专科姑息治疗服务机构寻求建议和/或联合治疗。症状控制、恶性伤口治疗、艰难的伦理决策以及与患者、其法定代表人或亲属的沟通困难是姑息治疗专家的任务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2852/7977498/1967d12b2c4d/63_2021_792_Fig1_HTML.jpg

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