高齡緩和理念應用於病患照護之個案報告

Discussion on Geriatric Palliative Care: A case report

陳弘哲(Hong-Jhe Cheng) ； 潘湘如(Hsiang-Ju Pan) ； 陳如意(Ru-Yih Chen) ； 杜明勳(Ming-Shium Tu)

《安寧療護雜誌》 19卷1期 (2014/03) Pp. 76-87

https://doi.org/10.6537/TJHPC.2014.19(1).6

摘要

本文綜覽台灣目前人口老化問題與老年人口死因，指出高齡緩和醫療逐漸受到國際重視。藉由報告一位接受本院安寧療護的高齡攝護腺癌及失智症的末期病人來討論高齡癌末病人的照護問題，包括：疼痛、營養、尊嚴等議題；同時提醒國內失智症人口漸增，失智症緩和醫療應該受到重視，例如：照顧問題與醫療自主決定權。最後提出未來照顧高齡末期病人的可行目標與方法。

關鍵字

高齡緩和醫療 ； 失智症 ； 疾病末期病人

並列摘要

In this article, we overviewed current aging population issues and leading causes of death among geriatrics in Taiwan. By presenting a geriatric case with terminal prostate cancer and dementia, we discussed care problems in terminal geriatric cancer patients including pain control, nutrition support and dignity etc. We also reminded that dementia population is increasing. Palliative care for dementia patients deserves high-intensity attention, such as care problems and patient's right of self-decision. Finally, we proposed feasible suggestions on terminal care for geriatrics.

並列關鍵字

geriatric palliative care ； dementia ； terminally ill patient