在肝脏移植不太可能发生时,对缺乏补偿性肝硬化患者进行透析
Amar D Bansal1, Arpan A Patel2,3,4
1Renal Electrolyte Division, Section of Palliative Care and Medical Ethics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Current opinion in nephrology and hypertension
|December 1, 2023
概括
本综述概述了一种共享的决策方法,用于当肝移植不可行时,患有急性损伤的非补偿性肝硬化患者. 它指导临床医生在治疗目标上的对话,以改善患者的治疗结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 肝病学 肝病学是一种肝病学.
- 抚慰性护理是一种缓解性护理.
背景情况:
- 在不补偿性肝硬化中,急性损伤会导致不良结果.
- 在这些复杂的病例中,预后不确定性是常见的.
- 由于缺乏专业社会指导,因此需要依赖专家意见.
研究的目的:
- 描述一个共享的决策方法,为患者的无补偿性肝硬化和急性损伤.
- 引导临床医生管理不太可能接受肝移植的患者.
- 为了促进这个患者群体的护理对话的目标.
主要方法:
- 在临床实践中强调共享决策.
- 在多学科团队之间建立预后共识.
- 使用熟练的沟通策略来披露预后.
- 利用息护理咨询来提供沟通支持.
主要成果:
- 共享决策可以改善对不补偿性肝硬化和急性损伤患者的护理.
- 多学科的共识和熟练的沟通增强了预后讨论.
- 息护理的整合有助于敏感的对话.
结论:
- 强调共享决策的方法对于患有不补偿性肝硬化和急性损伤的患者至关重要,当肝移植不是一种选择时.
- 这一策略有助于讨论护理目标,并改善以患者为中心的护理.
- 多学科合作和有效的沟通是实施这种方法的关键.
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