ABC of Palliative Care

ABC of Palliative Care
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姑息治疗的基本知识

DOI:
10.7326/0003-4819-130-9-199905040-00024
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发表时间:
1999
影响因子:
39.2
通讯作者:
J. Muir
J. Muir
中科院分区:
医学1区
文献类型:
--
作者:
J. Muir

文献摘要

被引文献

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Fallon M,奥尼尔W;编. 68页。伦敦:BMJ; 1998年。27美元ISBN 072790793X。订购电话44-171-387-4499。医学领域:姑息治疗。格式:平装书。受众:医生,护士,药剂师和学生寻求在姑息治疗相关问题的概述。目的:提供姑息治疗实践的简要概述。内容有:这本短书涵盖了姑息治疗中普遍存在的症状控制问题和整个人护理的非物理方面,这是该领域的特点。它首先简要介绍了姑息治疗的原则,其次是丰富多彩的,写得很好的章节,对广泛的症状(如难以忍受的疼痛,恶心和呕吐,抑郁,呼吸困难,厌食症和恶病质,口腔和皮肤条件),以及对艾滋病毒感染者或艾滋病患者和儿童护理的特殊考虑的章节。每个症状的讨论包括诊断,病理生理学,目前的治疗标准,以及正在进行和未来的研究领域的信息。其他章节强调的重要性,如沟通技巧,关注照顾者,社区,在照顾痛苦的病人和他们的照顾者丧亲之痛等心理社会问题。亮点:特别值得注意的是优雅的概述有关问题的姑息治疗的病人与艾滋病毒疾病或艾滋病,其中强调的重要性,跨学科的护理和敏感性,潜在的挑战性的社会和文化问题的病人和照顾者。同样值得注意的是,这一章为生命最后48小时所面临的独特问题提供了实用的管理指南。关于照顾儿童问题的一章承认儿童发展的重要性以及为家庭提供支助的更大必要性。丰富的照片,插图,表格和数字包括在内。局限性:很少有参考文献引导读者进入下一个层次的调查。相关阅读:Story's Primer of Palliative Care(Univ of Texas,1996)是一本简洁的小册子,但缺乏有效的表格、彩色图片和数字。对于那些希望更详细地讨论姑息治疗中的症状或问题的人,由Doyle,Hanks和MacDonald编辑的Oxford Textbook of Palliative Medicine(Oxford Univ Pr,1998)是一本简明的参考书,并提供了详尽的参考列表。评审员:J.卡梅隆缪尔,医学博士,西北大学医学院,芝加哥,伊利诺伊州。
Fallon M, O'Neill W; eds. 68 pages. London: BMJ; 1998. $27.00. ISBN 072790793X. Order phone 44-171-387-4499. Field of medicine: Palliative care. Format: Softcover book. Audience: Physicians, nurses, pharmacists, and students seeking a general overview of pertinent issues in palliative care. Purpose: To provide a concise overview of the practice of palliative care. Content: This short book covers both the prevalent symptom control issues in palliative care and the nonphysical aspects of whole person care, which is characteristic of the field. It begins with a brief introduction to the principles of palliative care, followed by colorful, well-written chapters on the broad array of symptoms (such as difficult pain, nausea and vomiting, depression, dyspnea, anorexia and cachexia, and mouth and skin conditions) as well as chapters on special considerations in the care of persons with HIV disease or AIDS and care of children. Discussions of each symptom include information on diagnosis, pathophysiology, current standards of treatment, and areas of ongoing and future research. Other chapters emphasize the importance of such psychosocial issues as communication skills, attention to caregivers, community, and bereavement in the care of suffering patients and their caregivers. Highlights: Of particular note is the elegant overview of pertinent issues in palliative care of patients with HIV disease or AIDS, which emphasizes the importance of interdisciplinary care and sensitivity to potentially challenging social and cultural issues for both patients and caregivers. Also noteworthy is the chapter that provides practical management guidelines for the unique issues confronted in the last 48 hours of life. The chapter on issues in the care of children recognizes the importance of child development and the enhanced need to provide support for the family. Abundant photographs, illustrations, tables, and figures are included. Limitations: There are few references to direct readers to the next level of inquiry. Related reading: Story's Primer of Palliative Care (Univ of Texas, 1996) is a succinct booklet but lacks effective tables, color pictures, and figures. For those desiring more detailed discussion of a symptom or issue in palliative care, the Oxford Textbook of Palliative Medicine (Oxford Univ Pr, 1998), edited by Doyle, Hanks, and MacDonald, is encyclopedic and provides an exhaustive reference list. Reviewer: J. Cameron Muir, MD, Northwestern University Medical School, Chicago, Illinois.