The business of palliative medicine--Part 3: The development of a palliative medicine program in an academic medical center.
The business of palliative medicine--Part 3: The development of a palliative medicine program in an academic medical center.
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DOI：
10.1177/104990910302000508
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发表时间：
2003-09-01
期刊：
影响因子：
--
通讯作者：
Walsh, Declan
中科院分区：
文献类型：
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作者：
Nelson, Kristine A;Walsh, Declan
姑息医学是对癌症患者的全面持续护理。大多数癌症护理资源都集中在治疗尝试上，而往往忽略了疾病及其治疗所产生的症状。对恶性肿瘤的治愈性治疗必须与缓解疼痛和症状的社会心理和精神护理相结合，并从诊断到丧亲期间对患者及其家人的支持。为了实现这一重要目标，我们必须在世界各地的癌症中心建立全面的姑息医学计划。这些计划必须包括教育、研究和患者护理，并且必须通过跨学科团队开展工作。克利夫兰诊所基金会姑息医学计划 (PMP) 由初级住院服务、咨询服务、门诊、临终关怀家庭护理和癌症家庭护理服务组成。在本文中，我们描述了该计划的结构和发展，并提出了未来的发展途径。
Palliative medicine is the total continuing care of patients with cancer. Most resources for cancer care focus on curative attempts while often ignoring the symptoms created by the disease and its treatment. Attempts at curative treatment of the malignancy must be coupled with pain and symptom relief psychosocial and spiritual care, and support for the patient and family extending from the time of diagnosis through the bereavement period. To accomplish this important goal, we must establish comprehensive palliative medicine programs in cancer centers throughout the world. These programs must include education, research, and patient care and must work through an interdisciplinary team. The Cleveland Clinic Foundation palliative medicine program (PMP) is composed of a primary inpatient service, consult service, outpatient clinic, hospice homecare, and cancer homecare services. In this article, we describe the structure and development of the program and suggest future avenues for growth.