Morrison R S, Morris J
Department of geriatrics and adult development, Mount Sinai Medical Center, New York, USA.
Geriatrics. 1995 Jul;50(7):45-51; quiz 52-3.
Acknowledging that death is a normal and inevitable process is often difficult for both physicians and patients. This article highlights by case example the type of care typically received by the terminally ill in acute care hospitals in the United States. The lack of familiarity with the core concepts of palliative care demonstrated by the medical team in this case reflects the pressing need for death education for health care professionals. We discuss the major principles of palliative care, including breaking bad news, developing a palliative care plan, planning for death, and withdrawal of artificial nutrition and hydration.
认识到死亡是一个正常且不可避免的过程,这对医生和患者来说往往都很困难。本文通过案例展示了美国急症医院中晚期患者通常接受的护理类型。该案例中医护团队对姑息治疗核心概念的不熟悉,反映出医护人员迫切需要接受死亡教育。我们讨论了姑息治疗的主要原则,包括告知坏消息、制定姑息治疗计划、为死亡做准备以及停止人工营养和水分供给。