Schuijt Henk Jan, Lehmann Lisa Soleymani, Javedan Houman, von Keudell Arvind G, Weaver Michael John
Harvard Medical School Orthopedic Trauma Initiative, Brigham and Women's Hospital, Boston, Massachusetts.
Harvard Medical School and Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
J Bone Joint Surg Am. 2021 Sep 15;103(18):e72. doi: 10.2106/JBJS.20.02149.
Medical decision-making for frail geriatric trauma patients is complex, especially toward the end of life. The goal of this paper is to review aspects of end-of-life decision-making, such as frailty, cognitive impairment, quality of life, goals of care, and palliative care. Additionally, we make recommendations for composing a patient-tailored treatment plan. In doing so, we seek to initiate the much-needed discussion regarding end-of-life care for frail geriatric patients.
为体弱的老年创伤患者进行医疗决策很复杂，尤其是在生命末期。本文的目的是回顾生命末期决策的各个方面，如虚弱、认知障碍、生活质量、护理目标和姑息治疗。此外，我们还就制定针对患者的治疗计划提出建议。在此过程中，我们试图引发关于体弱老年患者生命末期护理这一急需的讨论。
