Chang Alice, Espinosa James, Lucerna Alan, Parikh Neelesh
Department of Emergency Medicine, Rowan University SOM, Jefferson Health New Jersey, Stratford, NJ, USA.
Clin Exp Emerg Med. 2022 Sep;9(3):253-256. doi: 10.15441/ceem.22.341. Epub 2022 Sep 30.
With current medical advances, the human population continues to age. This presents healthcare practitioners with the increasing complexity of providing care to elderly patients with multifactorial medical and personal needs. This is a particular challenge in the emergency department, where patients often present for care in the last months of their lives. Early identification of palliative care needs and initiation of comfort care can drastically improve patient care and quality of life. Although emergency physicians agree that palliative care is an important area of knowledge, there is a gap in palliative care training in emergency medicine residencies. It is increasingly important for emergency medicine providers to have the resources and training to provide palliative care and to understand end-of-life issues.
随着当前医学的进步,人口持续老龄化。这给医护人员带来了越来越大的复杂性,即要为有着多方面医疗和个人需求的老年患者提供护理。这在急诊科是一项特别的挑战,因为患者常常在生命的最后几个月前来就医。尽早识别姑息治疗需求并启动舒适护理可极大地改善患者护理及生活质量。尽管急诊医生一致认为姑息治疗是一个重要的知识领域,但急诊医学住院医师培训中在姑息治疗方面存在差距。对于急诊医学从业者而言,拥有提供姑息治疗及理解临终问题的资源和培训变得越来越重要。