让我们进行对话:瘤学中的严重疾病沟通:定义,障碍和成功的方法
Danielle M Shilling1, Christopher R Manz2,3, Jacob J Strand1
1Division of Community Internal Medicine, Geriatrics & Palliative Care, Mayo Clinic, Rochester, MN.
概括
高质量的严重疾病沟通改善了癌症患者的体验,并使护理与患者的目标保持一致. 尽管有建议,但这些重要讨论仍未得到充分利用,这凸显了需要更好地纳入常规癌症护理.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 卫生沟通健康沟通
背景情况:
- 严重疾病沟通对于癌症患者的护理服务至关重要.
- 高质量的沟通包括对偏好,预后和治疗风险/益处的公开讨论.
- 有效的沟通应该在早期开始,解决情绪,引起价值观,并持续进行.
研究的目的:
- 描述癌症护理中高质量的严重疾病传播的要素.
- 确定将这些沟通融入日常护理中的障碍.
- 提出成功整合严重疾病传播的战略.
主要方法:
- 本章综合了有关瘤学严重疾病传播的现有知识.
- 它审查了患者,临床医生,机构和付款人层面的障碍.
- 讨论了成功的整合策略.
主要成果:
- 尽管有国家建议,但少数癌症患者仍获得高质量的严重疾病通讯.
- 在多个层面上存在障碍,阻碍了常规实施.
- 有效的策略对于整合这些通信至关重要.
结论:
- 高质量的严重疾病沟通显著提高了患者的体验和符合目标的护理.
- 克服已识别的障碍对于广泛采用是必要的.
- 这些通信的常规整合对于最佳的癌症护理提供至关重要.
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