Palliative Care and Shared Decision Making in the Neurocritical Care Unit.
Palliative Care and Shared Decision Making in the Neurocritical Care Unit.
复制标题
DOI：
10.1212/con.0000000000001003
复制
发表时间：
2021-10-01
期刊：
影响因子：
--
通讯作者：
Creutzfeldt, Claire J
中科院分区：
文献类型：
--
作者：
Creutzfeldt, Claire J
审查目的：本文回顾了证据整合姑息治疗到护理的患者与各种类型的严重神经系统疾病，强调姑息治疗的重要性，在神经重症监护病房，并建议临床医生的工具，以提高他们的沟通技巧和决策making.Recent Findings：姑息治疗是一个整体的医疗方法，旨在减轻身体，心理，社会和精神上的痛苦。它既是一个与神经重症监护本身一样年轻的医学专业，也是所有管理严重疾病患者的临床医生的患者护理方法。神经重症监护病房的病人和他们的家人有独特的姑息治疗的需求，挑战沟通和共享decisionmaking.SUMMARY：姑息治疗，有效的沟通和共享决策需要一套核心技能，所有神经科临床医生应该掌握。
PURPOSE OF REVIEW: This article reviews the evidence on integrating palliative care into the care of patients with various types of serious neurologic illness, emphasizes the importance of palliative care in the neurocritical care unit, and suggests tools for clinicians to improve their communication skills and decision making.RECENT FINDINGS: Palliative care is a holistic approach to medical care that aims to relieve physical, psychological, social, and spiritual suffering. It is both a medical specialty as young as neurocritical care itself and an approach to patient care by all clinicians who manage patients with serious illness. Patients presenting to the neurocritical care unit and their families have unique palliative care needs that challenge communication and shared decision making.SUMMARY: Palliative care, effective communication, and shared decision making require a set of core skills that all neurology clinicians should master.