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临终关怀临床医生应该了解的关于其工作与临床伦理交叉的十大要点。

Top Ten Tips Palliative Care Clinicians Should Know About Their Work's Intersection with Clinical Ethics.

机构信息

Department of Pediatrics, University of Nebraska, Omaha, Nebraska, USA.

National Center for Ethics in Health Care, Washington, DC, USA.

出版信息

J Palliat Med. 2022 Apr;25(4):656-661. doi: 10.1089/jpm.2021.0521. Epub 2021 Nov 22.

Abstract

Palliative care (PC) subspecialists and clinical ethics consultants often engage in parallel work, as both function primarily as interprofessional consultancy services called upon in complex clinical scenarios and challenging circumstances. Both practices utilize active listening, goals-based communication, conflict mediation or mitigation, and values explorations as care modalities. In this set of tips created by an interprofessional team of ethicists, intensivists, a surgeon, an attorney, and pediatric and adult PC nurses and physicians, we aim to describe some paradigmatic clinical challenges for which partnership may improve collaborative, comprehensive care.

摘要

缓和医疗(PC)专家和临床伦理顾问经常从事并行的工作,因为两者都主要作为跨专业的咨询服务而存在,在复杂的临床情况下和困难的情况下被调用。这两种做法都将积极倾听、以目标为基础的沟通、冲突调解或缓解以及价值观探索作为护理方式。在一组由伦理学家、重症监护医生、外科医生、律师以及儿科和成人 PC 护士和医生组成的跨专业团队创建的小贴士中,我们旨在描述一些典范的临床挑战,这些挑战可能通过合作改善全面的护理。

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