最后的旅程,死前回家为移民癌症患者:一个案例系列
Luca Zambelli1, Alberto Gigliotti2, Clara Bianchessi3
1Palliative Care, Pain Therapy, and Rehabilitation Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Tumori
|January 31, 2025
概括
移民癌症患者往往希望回到家中接受终身护理. 早期规划和团队支持对于促进这一旅程至关重要,尽管快速的临床衰退可以阻止遣返.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 移民 卫生 移民 卫生
背景情况:
- 全球移民增加了海外移民的癌症诊断.
- 移民患者面临的挑战包括晚期疾病和有限的护理机会.
- 许多人希望回到家中接受生命末期 (EOL) 护理,但没有指导方针.
研究的目的:
- 描述移民瘤患者返回家园接受EOL护理的挑战和促进者.
- 突出早期沟通和规划的重要性.
主要方法:
- 三名移民瘤患者的病例系列.
- 对EOL护理的遣返经验的分析.
- 专注于沟通,行政方面和临床稳定性.
主要成果:
- 早期沟通和识别本国息护理提供者是关键.
- 稳定的患者可以获得支持,包括"迷你团队"成员.
- 快速的临床恶化可能使遣返不可能.
结论:
- 促进移民患者的EOL护理遣返是复杂的.
- 早期识别患者的愿望和"迷你团队"的积极计划是必不可少的.
- 解决医疗保健系统的差异和行政障碍至关重要.
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