von Gunten C F, Twaddle M L
Department of Medicine, Northwestern University Medical School, Chicago, Illinois, USA.
Clin Geriatr Med. 1996 May;12(2):349-58.
The hospice approach to terminal care will benefit patients with advanced chronic illnesses other than cancer. This article describes general criteria that will help clinicians assess when patients may be appropriately referred for hospice care. Common illnesses, such as dementia, heart disease, lung disease, and renal failure for which terminal care in advanced stages is appropriate, are discussed. Specific palliative management issues regarding these advanced disease states also are addressed.
临终关怀方法适用于晚期慢性病患者，而非仅癌症患者。本文描述了一些通用标准，可帮助临床医生评估何时适合将患者转介至临终关怀护理。文中讨论了诸如痴呆症、心脏病、肺病和肾衰竭等常见疾病，这些疾病在晚期阶段适合接受临终关怀护理。还探讨了针对这些晚期疾病状态的具体姑息治疗问题。
