[在重症监护室的舒适终端护理:实践建议]
Eva Schaden1, Helga Dier2, Dietmar Weixler3
1Universitätsklinik für Anästhesie, Allgemeine Intensivmedizin und Schmerztherapie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich. eva.schaden@meduniwien.ac.at.
Die Anaesthesiologie
|February 5, 2024
概括
过渡到舒适的终端护理确保为患者和家人提供人道的终身护理. 这种基于证据的方法侧重于症状管理和支持,促进尊严和积极的经验.
科学领域:
- 麻醉学和重症监护医学 麻醉学和重症监护医学
- 抚慰性护理是一种缓解性护理.
- 医学伦理 医学伦理
背景情况:
- 奥地利麻醉学复苏和重症监护医学协会 (ÖGARI) 之前已经开发了适应治疗目标的工具.
- 舒适终端护理的实际实施已经产生了关于其应用的持续问题.
研究的目的:
- 解决舒适终端护理实施过程中产生的实际问题.
- 为终身护理提供基于证据的答案和建议.
主要方法:
- 审查和讨论舒适终端护理的实际方面.
- 对指示和非指示干预措施的基于证据的分析.
- 对监测,实验室发现,药物治疗和护理的建议.
主要成果:
- 疼痛治疗,焦虑,压力和呼吸系统困扰管理的详细描述.
- 关于某些措施 (如氧气,通风,液体和营养) 的非指示的评论.
- 为监测,诊断,药物治疗和护理干预提供了指导方针.
结论:
- 将治疗目标转移到舒适终端护理,可以促进人性化的终身护理.
- 这种方法支持患者和家庭的福祉,允许积极的最终体验.
- 强调综合护理的重要性,包括对亲属的支持和死后手术.
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