超越声音:为终端分泌患者提供基于证据的护理服务
1Jo Ann Wilson, MSN-Ed., RN, is assistant professor, School of Nursing, College of Science, California State University-Stanislaus, Turlock, CA.
概括
管理终端分泌物,或"死亡声",包括专注于舒适和尊严. 非药物干预措施,如重新定位和口腔护理,被推作为终身护理的第一线治疗.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 生命终结症状管理 生命终结症状管理
- 护理实践 护理实践
背景情况:
- 终端分泌物,被称为"死亡声",是临终期患者的口腔大分泌物.
- 这些分泌物虽然在生理上是无害的,但可能会给家庭和医疗保健提供者带来严重的情绪困扰.
- 管理终端分泌物对于维持患者生命结束时的舒适和尊严至关重要.
研究的目的:
- 对管理终端分泌物的基于证据的干预措施进行审查.
- 强调非药理学方法作为一线治疗.
- 解决与管理终端分泌物相关的障碍和情绪影响.
主要方法:
- 临床试验,系统审查,息护理指南和护理资源指南的审查.
- 强调管理终端分泌物的基于证据的实践.
- 药理和非药理干预的探索.
主要成果:
- 推非药物干预措施,包括重新定位,口腔护理,水分管理,沟通和家庭教育,作为一线治疗.
- 药理学方法,如抗胆固醇药物,支持证据有限,应单独考虑.
- 护士主导的沟通策略可以有效地减少家庭的焦虑,并提高对死亡过程的理解.
结论:
- 为终端分泌物的一线,非药物管理,建议采用协作,跨学科的方法.
- 非药物干预与舒适护理目标保持一致,优先考虑患者的舒适和尊严.
- 解决实施障碍和对临床医生和家庭的情感影响对于有效的终身护理至关重要.
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