終末期の会話: 進化する実践と理論

D G Larson¹, D R Tobin

¹Veterans Affairs Health Care Network, Upstate New York, 113 Holland Ave (111T), Albany, NY 12208-0980 USA.

JAMA

|September 23, 2000

まとめ

終末期の会話は,終末期の患者にとって極めて重要です. 医者のコミュニケーションと患者中心のケアを改善することで,これらの議論を強化し,より良い生活の質を確保することができます.

科学分野:

医療コミュニケーション医療コミュニケーション
緩和ケアとは,緩和ケアです.

背景:

障壁は,患者,家族,医療従事者,システムにおいて存在します.
これらの障壁は,終末期疾患の患者の生活の質に悪影響を及ぼします.

研究の目的:

生命の終わりに関する会話の進化と必要性を検証する.
終末期の議論を改善するための戦略を特定する.

主な方法:

文献のレビューと,特定された障壁と戦略の合成.
終末期の議論に影響を与える要因の分析.

主要な成果:

重要な戦略は,医師のコミュニケーションスキルを向上させ,患者中心のケアを採用し,生活の質に焦点を当て,以前の臨床モデルを実装することです.
事前ケアプランニングは,進行中の終末期の議論の構成要素です.

結論:

終末期の会話は,日常的で構造的なヘルスケア介入であるべきです.
これらの議論を強化するための新しいアプローチとモデルを評価するために,さらなるランダム化試験が必要である.

キーワード:

死と安楽死についてプロフェッショナル患者との関係患者との関係

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