Department of Neurology, University of Rochester, Rochester, New York.
Semin Neurol. 2024 Oct;44(5):503-513. doi: 10.1055/s-0044-1788723. Epub 2024 Jul 25.
Persons hospitalized for neurologic illness face multidimensional care needs. They can benefit from a palliative care approach that focuses on quality of life for persons with serious illness. We describe neurology provider "skills" to help meet these palliative needs: assessing the patient as a whole; facilitating conversations with patients to connect prognosis to care preferences; navigating neurologic illness to prepare patients and care partners for the future; providing high-quality end-of-life care to promote peace in death; and addressing disparities in care delivery.
因神经系统疾病住院的患者面临多维度的医疗需求。他们可以从以生活质量为中心的姑息治疗方法中获益,这种方法适用于患有严重疾病的人群。我们介绍了神经科医生的“技能”,以帮助满足这些姑息治疗需求:全面评估患者;促进与患者的沟通,使预后与治疗偏好相衔接;处理神经系统疾病,使患者和护理人员为未来做好准备;提供高质量的临终关怀,促进安详离世;并解决护理服务中的差异问题。