Palliative Options of Last Resort
Palliative Options of Last Resort
复制标题
最后手段的姑息选择
DOI：
10.1007/978-1-4020-2124-4_1
复制
发表时间：
2004
期刊：
影响因子：
3.9
通讯作者：
D. Brock
中科院分区：
文献类型：
--
作者：
T. Quill;B. Lo;D. Brock
当绝症患者发现继续延长生命的治疗的负担超过其益处时，姑息治疗是护理的标准。1-4 为了更好地减轻临终时的痛苦，医生需要提高姑息治疗的技能，并在绝症病程的早期定期讨论这一问题。此外，需要改善获得姑息治疗的机会，特别是对于那些缺乏医疗保险的美国人来说。然而，即使是最高质量的姑息治疗也对一些患者来说失败或变得不可接受，其中一些人请求帮助加速死亡。在致力于姑息治疗的项目中，有 10% 到 50% 的患者在死亡前 1 周仍报告有明显疼痛。1,5-7 此外，患者要求加速死亡不仅仅是因为疼痛未缓解，而是因为各种未缓解的身体症状，以及意义、尊严和独立性的丧失。8,9
PALLIATIVE CARE is the standard of care when terminally ill patients find that the burdens of continued life-prolonging treatment outweigh the benefits.1-4 To better relieve suffering near the end of life, physicians need to improve their skills in palliative care and to routinely discuss it earlier in the course of terminal illness. In addition, access to palliative care needs to be improved, particularly for those Americans who lack health insurance. However, even the highest-quality palliative care fails or becomes unacceptable for some patients, some of whom request help hastening death. Between 10% and 50% of patients in programs devoted to palliative care still report significant pain 1 week before death.1,5-7 Furthermore, patients request a hastened death not simply because of unrelieved pain, but because of a wide variety of unrelieved physical symptoms in combination with loss of meaning, dignity, and independence.8,9
将需要维持生命干预措施的绝症患者与不需要维持生命干预措施的患者等同起来是否具有临床意义？
DOI：
--
发表时间：
1997
期刊：
JAMA : the journal of the American Medical Association
影响因子：
--
作者：
Alpers,A;Lo,B
通讯作者：
Lo,B