Review article: a model of palliative care for heart failure.
Review article: a model of palliative care for heart failure.
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DOI：
10.1177/1049909109333935
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发表时间：
2009-10
期刊：
影响因子：
--
通讯作者：
Fenstermacher K
中科院分区：
文献类型：
--
作者：
Hupcey JE;Penrod J;Fenstermacher K
心力衰竭疾病的发展轨迹既复杂又不可预测，这使得为心力衰竭患者提供姑息治疗服务成为一项挑战。因此，虽然需要服务，但往往很少提供基本医疗管理以外的服务。姑息治疗的传统模式通常基于姑息治疗，姑息治疗被认为是最适合具有可预测疾病/死亡轨迹的患者（如晚期癌症）的护理提供系统。这种基于预测晚期疾病病程的模型并不适合心力衰竭的轨迹。在本文中，我们提出了一种新的姑息治疗模式，概念化姑息治疗作为一种哲学的照顾，包括心力衰竭的不可预测的性质。
The heart failure illness trajectory is both complex and unpredictable, which makes providing palliative care services to patients with heart failure a challenge. As a result, although services are needed, few tend to be offered beyond basic medical management. The traditional model of palliative care is typically based on palliative care being considered a system of care delivery most appropriate for patients with a predictable illness/death trajectory, such a terminal cancer. This type of model, which is based on the ability to predict the course of a terminal disease, does not fit the heart failure trajectory. In this paper, we propose a new model of palliative care that conceptualizes palliative care as a philosophy of care that encompasses the unpredictable nature of heart failure.
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