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老年透析病人的安寧照護

Palliative Care in Elderly Patients on Dialysis

摘要


對於老年透析病人來說,有品質有尊嚴的生活,比痛苦的延長生命更重要。因此,透析病人的安寧照護對於老年透析病人來說非常重要。即使是世界先進國家,在透析病人安寧照護上的發展也僅是在起步階段。絕大多數都是由醫師決定,極少經由共同決策討論出來。透析安寧照護團隊應當包括腎臟科醫師、病人平時看診的醫師、透析人員以及安寧照護專業人員,並透過醫病共享決策與預立醫療照護計畫,達到症狀治療,緩解病人生理及心理的不舒適。

並列摘要


For elder patients on dialysis, it is rather important to live an acceptable quality and dignity of life than to extend lifespan under torture. Therefore, withdrawal of dialysis is a critical issue in elderly patients' healthcare. Palliative care for patients on dialysis is still at the beginning stage even in developed countries. Most of the decisions were made by physicians; only very few of them were made through share decision making. The hospice team for patients on dialysis must include nephrologists, the patient's family physician, dialysis nurses, and hospice specialists, hoping to alleviate the patient's symptoms and discomfort through share decision making and advance care planning.

被引用紀錄


洪姵如(2023)。末期腎臟病患者的最後一哩路〜安寧照護彰化護理30(4),9-13。https://doi.org/10.6647/CN.202312_30(4).0003

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