临终关怀机构中退伍军人的精神疗愈促成阿片类药物成功减量：一例报告

Spiritual Healing in a Hospice Veteran Led to a Successful Opioid Taper: A Case Report.

作者信息

DiScala Sandra L, Faley Brittany, Lewis Vanessa, Vartan Christine M, Silverman Michael

机构信息

Sandra L. DiScala, PharmD, BCPS, Brittany Faley, PharmD, Vanessa Lewis, MD, Christine M. Vartan, PharmD, BCPS, and Michael Silverman, MD, CMD are with the West Palm Beach (WPB) Veterans Affairs Medical Center, West Palm Beach, Florida, USA.

出版信息

J Pain Palliat Care Pharmacother. 2021 Jun;35(2):117-122. doi: 10.1080/15360288.2021.1914281. Epub 2021 May 6.

DOI:10.1080/15360288.2021.1914281

PMID:33955813

Abstract

Addressing "total pain" is a concept commonly practiced in palliative care. Spiritual healing in a Navy Veteran led to a significant improvement in pain allowing a voluntary taper of opioid medication. The Veteran was able to reconcile his faith in God and participated in several spiritual practices daily. The palliative care pharmacist assisted the team in developing an opioid taper process per Veteran's request as he had a strong conviction that he was spiritually healed. A reduction in opioid morphine equivalent daily doses (MEDD) were 87.5% without any symptoms from the clinical opioid withdrawal scale (COWS). The Veteran died peacefully during an opioid taper in hospice care.

摘要

解决“全方位疼痛”是姑息治疗中常用的一个概念。一名海军退伍军人的精神疗愈使疼痛得到显著改善，从而能够自主减少阿片类药物用量。这位退伍军人能够使自己对上帝的信仰协调一致，并每天参与多种精神修行活动。应退伍军人的要求，姑息治疗药剂师协助团队制定了阿片类药物减量方案，因为他坚信自己已获得精神疗愈。阿片类吗啡等效日剂量（MEDD）减少了87.5%，且未出现临床阿片类药物戒断量表（COWS）中的任何症状。这位退伍军人在临终关怀中进行阿片类药物减量期间平静离世。