Department of Medicine, Northwestern Feinberg School of Medicine, Northwestern University, Chicago, IL, United States; Department of Medicine, Jesse Brown VA Medical Center, Northwestern University, Chicago, IL, United States.
Handb Clin Neurol. 2022;190:85-92. doi: 10.1016/B978-0-323-85029-2.00013-0.
This chapter describes several features of palliative care that we believe can assist neurologists in caring for patients with serious illness. These features include the importance of recognizing suffering, the central of total pain (including physical, emotional, spiritual, and existential aspects), structural features of palliative care such as the distinction been palliative care and hospice, and the concept of primary and specialty palliative care. Structural features of palliative care such as interdisciplinary teamwork, approaches to self-care, and a perspective on prognostic uncertainty are also considered. Throughout this chapter, the focus is on ways in which neurologists can integrate these approaches in caring for patients and their families.
本章描述了一些姑息治疗的特点，我们认为这些特点可以帮助神经科医生照顾重病患者。这些特点包括认识到痛苦的重要性、总疼痛的中心地位（包括身体、情感、精神和存在方面）、姑息治疗的结构特征，如姑息治疗和临终关怀的区别，以及初级和专科姑息治疗的概念。姑息治疗的结构特征，如跨学科团队合作、自我保健方法和对预后不确定性的看法，也在考虑之中。在本章中，重点是神经科医生如何将这些方法整合到患者及其家属的护理中。
