紧急缓和医疗：急诊科中非目标一致的关怀和限时试验。
Emergency Palliative Care: Nongoal Concordant Care and Time-Limited Trials in the Emergency Department.
机构信息
Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Harvard Medical School, Boston, Massachusetts, USA.
出版信息
J Palliat Med. 2024 Jun;27(6):823-826. doi: 10.1089/jpm.2023.0371. Epub 2023 Nov 21.
Abstract
When advance care plans are not communicated or goals are in conflict, significant family and clinician distress may result. The distress is especially high when potentially nongoal concordant care is expected by surrogates in the emergency department (ED). To demonstrate the effect of off-hour, phone consultations by palliative care clinicians in reducing the family and clinician distress when nongoal concordant care is expected in the ED. A partnership between palliative care and emergency medicine can decrease the burden of decision making and provide opportunities for modeling a goals-of-care discussion by experts in this important procedure.
摘要
当预先护理计划未被传达或目标存在冲突时，可能会导致患者家属和临床医生产生巨大的困扰。当急诊室（ED）的代理人预期接受潜在非目标一致的护理时，这种困扰尤其严重。本文旨在展示在 ED 预期接受非目标一致的护理时，通过姑息治疗临床医生进行非工作时间的电话咨询，减轻患者家属和临床医生的困扰。姑息治疗和急诊医学之间的合作可以减轻决策的负担，并为在这一重要程序中专家进行目标关怀讨论提供机会。
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