Goals of Care in a Pandemic: Our Experience and Recommendations
Goals of Care in a Pandemic: Our Experience and Recommendations
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DOI：
10.1016/j.jpainsymman.2020.03.018
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发表时间：
2020-07-01
影响因子：
4.7
通讯作者：
Adams, Catherine
中科院分区：
文献类型：
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作者：
Adams, Catherine
我们建议，姑息治疗团队的反应将发生在两个方面：第一，沟通和第二，症状管理。我们与covid - 19阳性患者家属讨论护理目标的经验凸显了一些预期和意想不到的挑战。我们描述了这些挑战以及如何进行这些对话的建议。我们还提出了一个框架，主动动员姑息治疗工作人员积极解决所有患者的护理目标，目的是减少对资源配给的需求。(C) 2020年美国临终关怀与姑息医学学会。Elsevier Inc.出版。版权所有。
We propose that the palliative care team response will occur in two ways: first, communication and second, symptom management. Our experience with discussing goals of care with the family of a COVID-positive patient highlighted some expected and unexpected challenges. We describe these challenges along with recommendations for approaching these conversations. We also propose a framework for proactively mobilizing the palliative care workforce to aggressively address goals of care in all patients, with the aim of reducing the need for rationing of resources. (C) 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.