Lelond Stephanie, Slobogian Vanessa, Visser Monique, Powell Tracy
Clinical Nurse Specialist, Early Palliative Care, CancerCare Manitoba, Winnipeg, Manitoba; College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, CC-40 825 Sherbrook St., Winnipeg, MB R3A 1M5 Ph: (204) 250-2091/Fax: (204) 235-0690,
Clinical Nurse Specialist Palliative Consultant, Alberta Health Services, Calgary, Alberta; Foothills Medical Centre, 1403 29 St. NW, Calgary, AB T2N 2T9 Ph: (403) 826-3889/Fax: (403) 270-9652,
Can Oncol Nurs J. 2024 Nov 1;34(4):562-573. eCollection 2024 Fall.
With increasing numbers of individuals presenting with advanced cancer, strong recommendations for the integration of palliative care in oncology, and the availability and acceptance of medical assistance in dying, oncology nurses must be informed and prepared to provide patient-centred care in advanced cancer. This is part one of a two-part case report presenting an exploration of early palliative care and medical assistance in dying in the setting of advanced cancer. It focuses on the patient and family experience throughout the illness trajectory, from diagnosis to death, and incorporates some of the common challenges seen in supporting someone with advanced cancer. While highlighting the perspective of the patient and family, it demonstrates how palliative care and medical assistance in dying can work together to achieve a patient's goals. The paper provides valuable insight for oncology nurses to consider in their practice.
随着越来越多的人被诊断为晚期癌症,对于在肿瘤学中整合姑息治疗的强烈建议,以及医疗协助死亡的可获得性和可接受性,肿瘤学护士必须了解并做好准备,为晚期癌症患者提供以患者为中心的护理。这是一篇分两部分的病例报告的第一部分,探讨了晚期癌症背景下的早期姑息治疗和医疗协助死亡。它关注患者及其家人在整个疾病过程(从诊断到死亡)中的经历,并纳入了在支持晚期癌症患者时常见的一些挑战。在强调患者及其家人观点的同时,展示了姑息治疗和医疗协助死亡如何共同作用以实现患者的目标。本文为肿瘤学护士在实践中提供了有价值的见解以供参考。