严重脆弱患者的高压力手术:个性化和多学科共享决策的案例报告
Andrea Sanna1, Sara Miori2, Sergio Lassola2
1Department of Anesthesia and Intensive Care, Santa Chiara Hospital, Trento, Italy. Andrea.sanna83@gmail.com.
Journal of anesthesia, analgesia and critical care
|August 14, 2023
概括
一名患有晚期瘤的65岁男子避免了重大手术. 由于对他的健康和生活质量存在很高的风险,一个多学科团队决定不接受手术.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 老年医学 老年医学
背景情况:
- 一名65岁的男性患者呈现了晚期瘤.
- 患者有严重的残疾,表明复杂的健康需求.
研究的目的:
- 描述一个严重残疾患者晚期瘤治疗的病例.
- 为了说明复杂的外科病例中的多学科方法和共享决策的应用.
主要方法:
- 一个多学科的团队召开讨论病人的病例.
- 使用了共享决策原则,涉及所有医疗保健专业人员.
- 患者的整体健康状况和生活质量是主要考虑因素.
主要成果:
- 大型泌尿外科手术被认为对患者来说风险太高.
- 决定放弃手术干预.
- 患者的健康和生活质量优先于积极的治疗.
结论:
- 在复杂的晚期瘤病例中,多学科的方法至关重要.
- 在手术风险高的情况下,共享决策可能会导致保守的管理策略.
- 在老年瘤学中,优先考虑患者的生活质量至关重要.
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