Meaning and practice of palliative care for hospitalized older adults with life limiting illnesses.
Meaning and practice of palliative care for hospitalized older adults with life limiting illnesses.
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DOI：
10.4061/2011/406164
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发表时间：
2011-04-13
影响因子：
4.7
通讯作者：
Metzger M
中科院分区：
文献类型：
--
作者：
Powers BA;Norton SA;Schmitt MH;Quill TE;Metzger M
Objective.为了说明姑息治疗（PC）和临终关怀（EOL）服务的区别和交叉点，通过以病例为中心的数据，在一个为期四年的民族志研究急性护理医院姑息治疗咨询服务的老年人照顾的例子。方法.定性叙述和主题分析。结果四个实践范例（EOL过渡，预后的不确定性，出院计划，和病人/家庭的价值观和偏好）的描述和识别的基础结构和沟通模式的PC咨询服务，他们共同的。结论.与其他研究人员的报告一致，研究数据支持需要超越将PC等同于临终关怀或EOL护理，以及EOL是死亡前一段明确的时间的概念。如果专业医疗保健提供者认为PC服务仅限于协助和帮助患者和家庭为死亡做好准备，他们就错过了为面临生命限制疾病的老年人提供重要护理的机会。
Objective. To illustrate distinctions and intersections of palliative care (PC) and end-of-life (EOL) services through examples from case-centered data of older adults cared for during a four-year ethnographic study of an acute care hospital palliative care consultation service. Methods. Qualitative narrative and thematic analysis. Results. Description of four practice paradigms (EOL transitions, prognostic uncertainty, discharge planning, and patient/family values and preferences) and identification of the underlying structure and communication patterns of PC consultation services common to them. Conclusions. Consistent with reports by other researchers, study data support the need to move beyond equating PC with hospice or EOL care and the notion that EOL is a well-demarcated period of time before death. If professional health care providers assume that PC services are limited to assisting with and helping patients and families prepare for dying, they miss opportunities to provide care considered important to older individuals confronting life-limiting illnesses.