在儿科瘤诊所的终端清晰度
Philip Roehrs1, Peter Fenwick2, Bruce Greyson1
1University of Virginia, Charlottesville, Virginia.
The Journal of nervous and mental disease
|September 21, 2023
概括
在儿童患者中观察到终端清晰度,或死亡前精神清晰度增强. 这些无法解释的认知和沟通方面的改善发生在死亡前不久,挑战了医学期望.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 抚慰性护理是一种缓解性护理.
背景情况:
- 终端清晰度是一个跨文化记录的现象.
- 它已被观察到在患有各种神经和精神疾病的患者,以及绝症患者.
研究的目的:
- 在儿科患者群体中记录末端清醒的临床表现.
- 探索临近死亡的儿童在心理清晰度和沟通方面无法解释的改善.
主要方法:
- 通过专业网络进行有目的的抽样.
- 征求儿科瘤学家和医务人员的临床陈述.
- 两个三级儿科医院的主治医生的病例汇编.
主要成果:
- 在儿科患者死亡前观察到精神清晰度,口头沟通和身体能力的意外变化.
- 在死亡前的几天和几个小时内,人们注意到了这些改善.
- 患者的病情并没有预测或解释这些清醒事件.
结论:
- 记录的病例表明,儿童出现了终端清醒.
- 需要进一步的系统文档和临床研究才能得出最终的结论.
- 终端清晰度为理解儿科终身护理中观察到的这些偏差提供了一个框架.
更多相关视频
相关概念视频
Treatment Resistant Cancers
3.3K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.3K
Lucid Dreaming
156
Lucid dreaming is a unique state of consciousness where an individual realizes they are dreaming while still in the dream. This awareness allows them to manipulate their dream environment consciously. Researchers like Stephen LaBerge have significantly contributed to the understanding of lucid dreams, highlighting that during these dreams, certain areas of the brain, such as the prefrontal cortex, that involve self-awareness and thought evaluation show increased activity.
Studies have shown...
Studies have shown...
156
Restless Leg Syndrome and Night Terrors
196
Restless Leg Syndrome (RLS), also known as Willis-Ekbom disease, is a neurological disorder characterized by an uncontrollable urge to move the legs due to uncomfortable sensations. These sensations typically occur during periods of rest or inactivity, particularly when lying down or sitting, and can severely disrupt sleep.
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
196
Psychosis: Goals of Pharmacotherapy
158
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
158


