IMPROVING PSYCHOLOGICAL AND PSYCHIATRIC ASPECTS OF PALLIATIVE CARE: THE NATIONAL CONSENSUS PROJECT AND THE NATIONAL QUALITY FORUM PREFERRED PRACTICES FOR PALLIATIVE AND HOSPICE CARE
IMPROVING PSYCHOLOGICAL AND PSYCHIATRIC ASPECTS OF PALLIATIVE CARE: THE NATIONAL CONSENSUS PROJECT AND THE NATIONAL QUALITY FORUM PREFERRED PRACTICES FOR PALLIATIVE AND HOSPICE CARE
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DOI：
10.2190/om.57.4.a
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发表时间：
2008-01-01
影响因子：
2
通讯作者：
Dahlin, Constance M.
中科院分区：
文献类型：
--
作者：
Hultman, Todd;Reder, Elizabeth A. Keene;Dahlin, Constance M.
随着末期病人进入疾病的最后阶段，精神症状和对疾病的心理反应会给病人和家人带来整体痛苦。直到最近，还没有制定国家接受的准则或做法来支持对这类痛苦的评估和管理。2007年，国家质量论坛发布了《姑息和临终关怀质量国家框架和首选做法》，其中包括评估和治疗精神疾病症状、死亡前预期悲伤和心理困扰以及患者死亡后丧亲的首选做法清单。虽然可以在晚期疾病的背景下向患者和家属提供专业护理，但所有参与姑息治疗和临终护理的临床医生都有责任对有效管理这种护理的心理和精神方面有基本的了解。现有文献中的证据支持这些最佳做法。
As patients with terminal disease enter into the final stage of their illness, psychiatric symptoms and psychological responses to the disease contribute to overall suffering of both patient and family. Until recently, no nationally accepted guidelines or practices had been established to support assessment and management of this type of suffering. In 2007, the National Quality Forum published A National Framework and Preferred Practices for Palliative and Hospice Care Quality that included a list of preferred practices for assessing and treating symptoms of psychiatric illness, anticipatory grief and psychologic distress prior to death, and bereavement after the death, of the patient. While specialized care may be provided to patient and families in the context of advanced disease, all clinicians involved in palliative and end-of-life care are responsible for having a basic understanding of effectively managing psychologic and psychiatric aspects of this care. Evidence from current literature supports these best practices.