神经重症监护中的姑息治疗最新进展：面对预后不确定性时提供目标一致的护理。
An Update on Palliative Care in Neurocritical Care: Providing Goal‑Concordant Care in the Face of Prognostic Uncertainty.
作者信息
Hendershot Kristopher A, Elias Maya N, Taylor Breana L, Wahlster Sarah, Creutzfeldt Claire J
机构信息
Department of Emergency Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Department of Neurology, University of Washington School of Medicine, Seattle, WA, USA.
出版信息
Curr Treat Options Neurol. 2023 Dec;25(12):517-529. doi: 10.1007/s11940-023-00778-z. Epub 2023 Dec 5.
Abstract
PURPOSE OF REVIEW
We investigate the complexities and interplay between the concepts of prognostic uncertainty and patient preferences as they relate to the delivery of goal-concordant care to patients with severe acute brain injuries (SABI) in the Neurological Intensive Care Unit (Neuro-ICU).
RECENT FINDINGS
Patients with SABI in the Neuro-ICU have unique palliative care needs due to sudden, often unexpected changes in personhood and quality of life. A substantial amount of uncertainty is inherent and poses a challenge to both the patient's prognosis and treatment preferences. The delivery of goal-concordant care can be difficult to achieve.
摘要
综述目的
我们探讨预后不确定性概念与患者偏好之间的复杂性及相互作用，这些概念与在神经重症监护病房（Neuro-ICU）为重症急性脑损伤（SABI）患者提供目标一致的护理相关。
最新发现
由于人格和生活质量突然且往往出人意料的变化，Neuro-ICU中的SABI患者有独特的姑息治疗需求。大量的不确定性是内在的，对患者的预后和治疗偏好都构成挑战。实现目标一致的护理可能很难做到。
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