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[重症监护中成人临终期的治疗与支持。德国重症监护与急诊医学学会伦理委员会及德国姑息医学学会的建议。:第2部分:重症监护中临终期的治疗措施与支持]

[Treatment and support for adults at the end of life in intensive care. A recommendation by the Ethics Section of DIVI and the German Society for Palliative Medicine. : Part 2: Therapeutic measures and support at the end of life in intensive care].

作者信息

Knochel Kathrin, Barndt Iris, Duttge Gunnar, Dutzmann Jochen, Eggardt T Johanna, Fuest Kristina, Meier Stefan, Michalsen Andrej, Nauck Friedemann, Neukirchen Martin, Olgemöller Ulrike, Riegel Raffael, Schallenburger Manuela, Supady Alexander, Jöbges Susanne

机构信息

Klinische Ethik, TUM Universitätsklinikum, TUM School of Medicine and Health, Technische Universität München, München, Deutschland.

Institut für Geschichte und Ethik der Medizin, TUM School of Medicine and Health, Technische Universität München, München, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2025 Aug 29. doi: 10.1007/s00063-025-01330-4.

Abstract

Life in an intensive care unit (ICU) involves the successful use of life-sustaining treatment and patients dying. In intensive care medicine, allowing a patient to die often means discontinuing life-sustaining measures. Together with the severity of the illness, this has a significant impact on the course of the dying process. End of life treatment and support focus on alleviating symptoms. The interprofessional team's task in the ICU is to anticipate, plan and implement palliative measures. A family-centered approach to palliative care requires providing human resources for psychosocial support and spiritual care for those affected. Implementing internal recommendations for action improves the quality of care. Training in the necessary skills to support people at the end of life is an integral component of education and ongoing professional development. This training includes basic knowledge of palliative care as well as specific knowledge about terminating life-sustaining measures.

摘要

重症监护病房(ICU)中的生活涉及成功使用维持生命的治疗手段以及患者的死亡。在重症监护医学中,允许患者死亡通常意味着停止维持生命的措施。这与疾病的严重程度一起,对死亡过程产生重大影响。临终治疗和支持侧重于缓解症状。ICU中跨专业团队的任务是预测、规划和实施姑息治疗措施。以家庭为中心的姑息治疗方法需要为受影响的人提供心理社会支持和精神关怀的人力资源。实施内部行动建议可提高护理质量。对支持临终患者所需技能的培训是教育和持续专业发展的一个组成部分。这种培训包括姑息治疗的基本知识以及关于终止维持生命措施的具体知识。

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