机械循环支持患者的生命终端规划
Katie P Truong1, James N Kirkpatrick2
1Division of Cardiology, Department of Medicine, University of Washington, 1959 Northeast Pacific Street Box 356422, Seattle, WA 98195, USA.
Critical care clinics
|November 16, 2023
概括
对于等待移植或长期治疗的患者来说,对机械循环支持 (MCS) 的准备计划至关重要. 提前的护理计划确保尊重患者的愿望,特别是当考虑取消设备时.
科学领域:
- 心脏病学 心脏病学
- 医学伦理 医学伦理
- 患者护理 患者护理
背景情况:
- 越来越多的患者需要机械循环支持 (MCS) 来实现各种治疗目标.
- MCS包括桥梁到移植,目的地治疗和临时支持模式.
- 围绕MCS退出的复杂性和争议需要积极的规划.
研究的目的:
- 强调为机械循环支持患者做好准备计划的重要性.
- 强调整合特定设备的护理目标和预先护理规划.
- 解决与撤销临时和持久MCS相关的复杂问题.
主要方法:
- 审查机械循环支持管理当前的做法和道德考虑.
- 分析MCS患者管理中的护理目标和预先护理规划的作用.
- 讨论MCS退出中的挑战和争议.
主要成果:
- 准备计划,包括护理目标和预先护理计划,应在MCS治疗前启动.
- 对MCS候选人来说,定期重新评估护理计划是必不可少的.
- 取消暂时和持久的MCS带来了重大的伦理和临床挑战.
结论:
- 对于机械循环支持患者来说,积极和全面的准备计划至关重要.
- 整合护理目标和预先护理规划可以改善MCS患者的以患者为中心的护理.
- 解决MCS退出的复杂性需要仔细考虑和道德指导.
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