Update in palliative medicine and end-of-life care

被引:11
作者
Abrahm, JL [1 ]
机构
[1] Dana Farber Canc Inst, Pain & Palliat Care Program, Boston, MA 02115 USA
来源
ANNUAL REVIEW OF MEDICINE | 2003年 / 54卷
关键词
communication; pain; depression; delirium; bereavement;
D O I
10.1146/annurev.med.54.101601.152218
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Palliative medicine includes clinical palliative care, education, and research that focus on the quality of life of patients with advanced disease and their families. The domain of palliative medicine is the relief of suffering: physical, psychological, social, and spiritual. Palliative medicine and care for patients at the end of life and their families include the following key components: compassionate communication; exploration of patient and family values and goals of care; expert attention to relief of suffering; management of pain, depression, delirium, and other symptoms; awareness of the manifestations of grief, and sensitivity to the concerns of bereaved survivors.
引用
收藏
页码:53 / 72
页数:20
相关论文
共 92 条
[61]   COMFORT CARE FOR TERMINALLY ILL PATIENTS - THE APPROPRIATE USE OF NUTRITION AND HYDRATION [J].
MCCANN, RM ;
HALL, WJ ;
GROTHJUNCKER, A .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 272 (16) :1263-1266
[62]   The effects of home nursing care for patients during terminal illness on the bereaved's psychological distress [J].
McCorkle, R ;
Robinson, L ;
Nuamah, I ;
Lev, E ;
Benoliel, JQ .
NURSING RESEARCH, 1998, 47 (01) :2-10
[63]  
McCorkle R, 2001, Cancer Control, V8, P36
[64]   Unsealed source therapy of painful bone metastases: An update [J].
McEwan, AJB .
SEMINARS IN NUCLEAR MEDICINE, 1997, 27 (02) :165-182
[65]   Autonomy reconsidered [J].
Meier, DE ;
Morrison, RS .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (14) :1087-1089
[66]   Seven legal barriers to end-of-life care - Myths, realities, and grains of truth [J].
Meisel, A ;
Snyder, L ;
Quill, T .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 284 (19) :2495-2501
[67]   CAREGIVING AND THE EXPERIENCE OF SUBJECTIVE AND OBJECTIVE BURDEN [J].
MONTGOMERY, RJV ;
GONYEA, JG ;
HOOYMAN, NR .
FAMILY RELATIONS, 1985, 34 (01) :19-26
[68]  
Patt RB, 1998, ONCOLOGY-NY, V12, P1035
[69]  
Pereira J, 1997, J PHARM CARE PAIN SY, V5, P3
[70]  
PORTENOY RK, 1997, OXFORD TXB PALLIATIV, P361