Rawlings Deb, Damarell Raechel, Tait Paul, Chakraborty Amal, Dalli Angie, Devery Kim, Tieman Jennifer
<institution content-type="university">Research Centre for Palliative Care, Death and Dying</institution>, <institution content-type="university">College of Nursing and Health Sciences</institution>, <institution content-type="university">Flinders University</institution>, <city>Adelaide</city>, <state>SA</state> <postal-code>5042</postal-code>, <country>Australia</country>.
<institution content-type="university">Research Centre for Palliative Care, Death and Dying</institution>, <institution content-type="university">College of Nursing and Health Sciences</institution>, <institution content-type="university">Flinders University</institution>, <city>Adelaide</city>, <state>SA</state> <postal-code>5042</postal-code>, <country>Australia</country>; and.
Aust Health Rev. 2023 Oct;47(5):586-588. doi: 10.1071/AH23166.
Recognition of the importance of end-of-life care will enable improvements in the quality of care delivered to patients and their families. Australia is experiencing an increasing number of deaths, (many expected), with an aging population who are living longer, often with multimorbidity. This makes end of life care a priority. The last year of someone's life takes place in a complex healthcare system, with increasing pressures on care delivery, placing the spotlight on health service providers to ensure that teams and individuals are supported and enabled to provide such care. Two rapid literature reviews identified best practice principles and processes for delivering safe and high-quality end-of-life care in acute care, aged care and community settings. The reviews identified that end-of-life care is experienced within the whole health and social care system, including hospital admissions interspersed with care in the community, outpatient and emergency department visits and potentially admission to a hospice. Much of this last year of life is spent at home, which may be a personal residence, an aged care facility, prison, supported accommodation or even on the streets. Transitions across settings requires seamless care, as well as organisational readiness to deliver safe and culturally appropriate care. This is more important now with end-of-life care subject to quality assurance mechanisms within the National Safety and Quality Health Service Standards (2nd edn): Comprehensive care. This requires all sectors to work collaboratively when caring for someone at the end of their life in order to see positive changes in care outcomes.
认识到临终关怀的重要性将有助于提高为患者及其家人提供的护理质量。随着人口老龄化，预期寿命延长，且往往患有多种疾病，澳大利亚的死亡人数正在增加。这使得临终关怀成为当务之急。一个人生命的最后一年是在复杂的医疗保健系统中度过的，护理服务面临的压力越来越大，这就要求医疗服务提供者确保团队和个人得到支持并能够提供此类护理。两项快速文献综述确定了在急性护理、老年护理和社区环境中提供安全、高质量临终关怀的最佳实践原则和流程。综述发现，临终关怀贯穿于整个健康和社会护理系统，包括穿插在社区护理中的住院治疗、门诊和急诊科就诊以及可能入住临终关怀机构。生命的最后一年大部分时间是在家里度过的，家可能是个人住所、老年护理机构、监狱、支持性住所，甚至是街头。不同环境之间的过渡需要无缝护理，以及组织准备好提供安全且符合文化背景的护理。鉴于临终关怀已纳入《国家安全和质量健康服务标准》（第2版）：综合护理中的质量保证机制，这一点现在更为重要。这要求所有部门在照顾临终患者时进行协作，以便在护理结果方面看到积极变化。
