有尊严地离世：患有物质使用障碍患者临终关怀的挑战。
Dying with dignity: the challenges of end-of-life care in patients with substance use disorders.
机构信息
Centre for Addiction Medicine, Nepean Hospital, Penrith, New South Wales, Australia.
Centre for Addiction Medicine, Nepean Hospital, Penrith, New South Wales, Australia
出版信息
BMJ Case Rep. 2021 Nov 23;14(11):e240945. doi: 10.1136/bcr-2020-240945.
Abstract
Substance use disorder is a chronic disease carrying a high risk of morbidity and mortality. We report a case of a patient on long-term opioid agonist treatment who was diagnosed with metastatic cholangiocarcinoma and was referred to palliative care services almost contemporaneously with this diagnosis. In this report, we explore the challenges posed in offering holistic care during the end of life of a patient with a history of opioid dependence. A coordinated approach by addiction medicine and palliative care teams can allow patients from this complex cohort to ultimately die with dignity.
摘要
物质使用障碍是一种慢性病，具有较高的发病率和死亡率。我们报告了一例长期接受阿片类激动剂治疗的患者，该患者被诊断为转移性胆管癌，并在几乎同时被转介到姑息治疗服务部门。在本报告中，我们探讨了在为有阿片类药物依赖史的患者提供临终关怀时所面临的挑战。通过成瘾医学和姑息治疗团队的协调方法，可以使来自这一复杂群体的患者最终有尊严地离世。
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