在ICU的初级息治疗
Bryan Boling1,2
1Division of Critical Care Medicine, Department of Anesthesiology, University of Kentucky, Lexington, Kentucky.
概括
危急护理提供者可以在重症监护室 (ICU) 提供必要的息护理. 这种初级息护理模式改善了终身症状管理,并在困难的对话和决策中支持患者和家人.
科学领域:
- 医疗保健 医疗保健 医疗保健
- 抚慰性护理是一种缓解性护理.
- 关键护理医学 关键护理医学
背景情况:
- 尽管进行了先进的医疗干预,但每年都有许多重症监护室 (ICU) 患者死亡.
- 在ICU环境中,需要大量的息护理服务.
- 虽然专业息护理是有价值的,但重症监护人员可以提供基础息护理.
研究的目的:
- 倡导和概述由重症监护人员提供的初级息护理的原则.
- 为重症监护团队提供技能,以管理ICU中生命终端护理.
- 加强患者和家庭在危急疾病和生命末期讨论期间的支持.
主要方法:
- 讨论与患者和家人沟通的最佳实践.
- 关于促进关于护理目标的共同决策的指导.
- 在生命结束时有效的症状管理策略.
主要成果:
- 赋予重症监护人员提供初级息护理的权力,可以改善患者和家庭的体验.
- 有效的沟通和共享决策对于终身护理至关重要.
- 积极的症状管理对于患者的舒适性至关重要.
结论:
- 临界护理提供者可以并且应该将初级息治疗纳入他们的实践.
- 实施初级息护理可以提高临终关键病患者的护理质量.
- 提供息护理,虽然最初具有挑战性,是重症监护的一个有价值的方面.
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