Reddall C
Eur J Cancer Care (Engl). 1994 Mar;3(1):39-43. doi: 10.1111/j.1365-2354.1994.tb00008.x.
Planning care for the patient who has cancer in his own home is at the same time similar, yet profoundly different from planning care for the patient in hospital. The similarity arises out of the diagnosis and prognosis. The difference lies in the intermittent nature of home nursing as opposed to the continuity of hospital care. Although professional care is enlisted, the bulk of the care will be given by nonprofessionals, such as the patient's family and friends. Hospital doctors do not identify the same sort of goals for terminally ill patients as their hospice and their nursing colleagues in general hospitals (Lunt, 1985). They rarely include the needs of relatives in their plans and have a much smaller range of goals. Therefore, they need to be encouraged to participate with other team members and to listen to the views of their multi-disciplinary colleagues. Everyone who is responsible for discharging a patient into the community must be aware of the appropriate services that can be provided.
为在家中患癌症的患者规划护理,在某些方面与在医院为患者规划护理相似,但同时又存在深刻差异。相似之处源于诊断和预后。差异在于家庭护理具有间歇性,这与医院护理的连续性形成对比。尽管会寻求专业护理,但大部分护理将由非专业人员提供,比如患者的家人和朋友。一般来说,医院医生为绝症患者设定的目标,与临终关怀机构以及综合医院的护理同事所设定的目标不同(伦特,1985年)。他们在计划中很少考虑亲属的需求,目标范围也小得多。因此,需要鼓励他们与其他团队成员合作,并听取多学科同事的意见。每个负责将患者送回社区的人都必须了解可以提供的适当服务。