Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Harvard Medical School, Boston, Massachusetts, USA.
J Palliat Med. 2022 Apr;25(4):537-541. doi: 10.1089/jpm.2021.0667. Epub 2022 Mar 8.
Palliative care clinicians provide psychological support throughout their patients' journeys with illness. Throughout our series exploring the psychological elements of palliative care (PEPC), we suggested that the quality of care is enhanced when clinicians have a deeper understanding of patients' psychological experience of serious illness. Palliative care clinicians are uniquely poised to offer patients a grounded, boundaried, and uplifting relationship to chart their own course through a life-altering or terminal illness. This final installment of our series on PEPC has two aims. First, to integrate PEPC into a comfort-focused or hospice setting and, second, to demonstrate how the core psychological concepts previously explored in the series manifest during the dying process. These aspects include frame/formulation, attachment, attunement, transference/countertransference, the holding environment, and clinician wellness.
姑息治疗临床医生在患者患病期间提供心理支持。在我们探索姑息治疗（PEPC）的心理要素的系列文章中，我们提出当临床医生更深入地了解患者对严重疾病的心理体验时，护理质量会得到提高。姑息治疗临床医生具有独特的优势，可以为患者提供一种基础的、有界限的、振奋人心的关系，帮助他们在改变生活或绝症的过程中规划自己的人生。本系列关于 PEPC 的最后一部分有两个目的。首先，将 PEPC 整合到以舒适为重点或临终关怀的环境中，其次，展示之前在系列文章中探讨的核心心理概念在临终过程中的表现。这些方面包括框架/配方、依恋、调谐、转移/反转移、保持环境和临床医生的健康。
