摘要
患者在临终过程中常常面临极大的身心困扰,安宁疗护为疾病终末期患者提供身体、心理、精神等方面的照护,帮助患者控制疼痛和缓解不适症状,提高生命质量。镇痛镇静是安宁疗护的首要任务,在治疗时应对患者疼痛状况进行鉴别、评估和分类管理,连续监测用药过程,及时调整药物种类和剂量。提前告知用药风险、满足患方需求能够有效避免医患矛盾。
Patients are often faced with great physical and mental distress during the end of life. The hospice care provides endstage patients with physical,psychological,and spiritual care,helping patients to control pain and relieve discomfort and improve quality of life. Analgesia and sedation are the most important tasks for hospice care. During the treatment,the patient's pain status should be identified,evaluated and classified management. The medication process should be continuously monitored and the types and doses of drugs should be adjusted in time. Advising the use of drugs in advance and meeting the needs of the patients can effectively avoid contradictions between doctors and patients.
作者
周宁
姜姗
ZHOU Ning;JIANG Shan(Department of Pain,No.454 Hospital of the People's Liberation Army,Nanjing 210002, China)
出处
《医学与哲学(B)》
2018年第4期18-20,共3页
Medicine & Philosophy(B)
关键词
安宁疗护
临终患者
疼痛管理
医患沟通
风险防范
hospice care
end-of--life patient
pain management
doctor-patient communication
risk prevention