Chiaramonte Delia
is with the Founder of Integrative Palliative Institute; Host of The Integrative Palliative Podcast; Adjunct Assistant Professor of University of Maryland, Baltimore, Maryland, USA.
J Pain Palliat Care Pharmacother. 2024 Sep;38(3):287-291. doi: 10.1080/15360288.2024.2377998. Epub 2024 Jul 24.
Integrative medicine and palliative care are philosophically similar, with a focus on whole person care and wellbeing. Integrative medicine provides a large toolbox of evidence-informed treatment modalities but doesn't prioritize the care of seriously ill people. Palliative care takes a holistic approach to reducing the suffering of seriously ill people, their families, and their caregivers, but the available treatment toolbox is often limited to pharmaceuticals, procedures, and radiation. The ideal care of families facing serious illness employs the philosophy and conventional expertise of palliative care clinicians coupled with an evidence-supported expanded treatment toolbox provided by the field of complementary and integrative medicine. This emerging field is called integrative palliative care. Reducing physical, emotional, and spiritual suffering is the fundamental goal of palliative care and all available effective tools should be employed toward this aim. Therefore, all palliative care should be integrative palliative care.
整合医学与姑息治疗在理念上相似，都注重对患者整体的照护与福祉。整合医学提供了大量基于证据的治疗方法，但并未将重症患者的照护作为优先事项。姑息治疗采用整体方法来减轻重症患者及其家人和照护者的痛苦，但其可用的治疗手段通常仅限于药物、手术和放疗。对于面临重病的家庭，理想的照护方式是将姑息治疗临床医生的理念和传统专业知识与补充和整合医学领域提供的有证据支持的扩展治疗手段相结合。这个新兴领域被称为整合姑息治疗。减轻身体、情感和精神上的痛苦是姑息治疗的根本目标，应使用所有可用的有效工具来实现这一目标。因此，所有姑息治疗都应是整合姑息治疗。
