Diehl V
Klinik für Innere Medizin, Universität zu Köln, Germany.
Support Care Cancer. 1994 Mar;2(2):82-7. doi: 10.1007/BF00572087.
In the long term, about 75% of all cancer patients will need palliative care, but the curricula in courses of study leading to qualifications in the caring professions take no account of this, being concerned exclusively with curative strategies. Precise definition of palliative care as a medical discipline is needed, followed by an insistence on proper funding and instruction. In addition, palliation should be integrated into the early stages of patient contact, e.g., prevention, diagnosis, treatment planning, and not only implemented when attempts at curative therapy have failed. Public and political awareness must be promoted; in particular it should be recognized that the care givers themselves need support. There is a growing need for well-run hospices with purpose-trained staff. While "mercy killing" might be considered out of charity and humanity, the death of a terminally ill patient should be neither hastened nor postponed.
从长远来看，约75%的癌症患者都需要姑息治疗，但护理专业资格课程的教学大纲并未考虑到这一点，而是只专注于治疗策略。需要将姑息治疗精确界定为一门医学学科，随后坚持提供适当的资金和指导。此外，姑息治疗应融入患者接触的早期阶段，如预防、诊断、治疗规划，而不应仅在根治性治疗尝试失败后才实施。必须提高公众和政治层面的认识；尤其应认识到护理人员自身也需要支持。对配备经过专门培训员工的管理良好的临终关怀院的需求日益增长。虽然“安乐死”可能出于慈善和人道考虑，但晚期绝症患者的死亡既不应被加速，也不应被推迟。
