長期照護機構之老年緩和照護需求

Geriatrics Palliative Care Needs in Long-Term Care Facilities

李欣慈(Hsin-Tzu Lee) ； 吳淑貞(Shu-Chen Wu) ； 黃川芳(Chuan-Fang Huang) ； 吳郁梅(Yu-Mei Wu) ； 鄭淑貞(Shu-Chen Cheng)

《長期照護雜誌》 17卷3期 (2013/12) Pp. 331-343

https://doi.org/10.6317/LTC.201312_17(3).0011

摘要

高科技的醫療技術，不僅延長了人們的壽命，同時也帶來了許多與慢性病照護的相關議題，如老人照護或是緩和照護。然而，目前臺灣安寧緩和醫療的服務對象以癌症患者為主，服務地點集中於醫院的安寧病房、重症單位或是社區；長期照護機構的老年人至今仍無接受任何形式的緩和照護服務。現有文獻對於緩和／安寧／生命末期照護術語的使用並不一致，極易造成困惑。因此，本文先整理長期照護機構老年人常見的健康問題與相關的症狀，接續說明緩和／安寧／生命末期照護相關定義，最後呈現影響國外長期照護機構實施緩和照護所遭遇的內、外在因素。

關鍵字

老年緩和照護 ； 安寧照護 ； 生命末期照護 ； 長照機構

並列摘要

High-tech medical technology not only extends the life span of people, but also raises many issues related to chronic disease care, such as geriatrics care or palliative care. However, currently, the subjects for whom can have palliative or hospice-palliative care in Taiwan are cancer patients, and the locations in which can offer this kind of care are the hospice wards in the hospitals or in intensive units or in communities. The elderly in long-term care facilities do not have any kind of palliative care services so far. To date, the use of a variety of terms such as palliative care, hospice care and end-of-life care is still inconsistent among literature. Therefore, first, the common health problems and symptoms among the elderly in long-term care facilities would be summarized. Secondarily, the definition of palliative care, hospice care and end-of-life care would be explained. Finally, the internal and external factors that affect the provision of palliative care in long-term care facilities would be presented in this paper.

並列關鍵字

geriatrics palliative care ； hospice care ； end-of-life care ； long-term care facilities