紧急息治疗:急性呈现一种无法生存的疾病
Kirsten G Engel1, Tammie E Quest2,3
1Division of Palliative Care and Geriatric Medicine, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Journal of palliative medicine
|October 20, 2023
概括
这一案例系列突出了新的,危及生命的疾病患者的紧急息护理. 息护理团队管理症状,澄清护理目标,并安排无法生存的诊断患者的处置.
科学领域:
- 紧急医疗 紧急医疗
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
背景情况:
- 患有新诊断的无法生存的疾病的患者可以在急诊室 (ED) 呈现急性症状.
- 转移性肺癌患者可能会经历新的灾难性过程,需要紧急医疗护理.
研究的目的:
- 提出一个紧急息护理病例,用于新诊断出无法生存的病情的患者.
- 为了说明息治疗在积极的症状管理中的作用和护理的目标,在ED中进行讨论.
主要方法:
- 病例报告介绍,一个病人被送进急诊室,有即将死亡的迹象.
- 在确定了外科手术非候选人后,要求提供息护理咨询.
- 专注于症状管理,护理目标和处置便利化.
主要成果:
- 息护理提供者成功支持了积极的症状管理.
- 照顾的目标得到了阐明,并且迅速促进了处置.
- 患者接受了全面的护理,既解决了急性症状,也解决了生命末期的需求.
结论:
- 紧急息治疗对于突然,无法生存的诊断患者至关重要.
- 在ED环境中进行息护理咨询可以显著改善患者的治疗结果和家庭支持.
- 缓和护理的早期整合优化了症状控制,并促进了及时,适当的处置.
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