在安寧病房裡協助撤除維生醫療之經驗

Experiences in Assisting the Withdrawal of Life Sustaining Treatment in Palliative Care Unit

黃璽蓉(Hsi-Jung Huang) ； 陳虹錚(Hung-Cheng Chen) ； 王靜瑜(Ching-Yu Wang) ； 李純瑩(Chun-Ying Li) ； 林彥克(Yen-Ko Lin) ； 吳建誼(Chien-Yi Wu)

《安寧療護雜誌》 25卷3期 (2021/07) Pp. 269-283

https://doi.org/10.6537/TJHPC.202107_25(3).05

摘要

撤除維生醫療的需求可能會出現在任何的臨床情境裡。回顧過去關於撤除維生醫療的文獻，我們知悉撤除維生醫療的執行幾乎都是在加護病房裡，身為安寧緩和醫療專業人員，我們希望藉由分享兩位我們曾經在安寧病房裡撤除維生醫療且接續末期照護的非癌症病人之經驗，並經由文獻回顧討論關於撤除維生醫療中的三個面向：影響撤除維生醫療決策的因子、早期評估緩和醫療需求與介入以及撤除維生醫療前後的相關處置。以此為立基，期盼未來追求善終這件事能更不被地點和時間所侷限住，也更能順應著各種不一樣的臨床情境。

關鍵字

安寧療護 ； 緩和醫療 ； 撤除維生醫療

並列摘要

The decision of withdrawing life-sustaining treatment may arise in any clinical situation. As to our literature review for life-sustaining treatment, we found that most of the withdrawal of life-sustaining treatment was performed in the intensive care unit. We shared our experience of two non-cancer terminally ill patients who underwent withdrawing life-sustaining treatment in palliative care unit. According to previous studies, there were three aspects that needed to be concerned: factors influencing the decision to withdraw life-sustaining treatment, early assessment of palliative medical needs for terminally ill patients and preparations before and after withdrawal of life-sustaining treatment. Based on our clinical care experience and previous studies, we hope that the wish of peaceful dying in the future will be less constrained by place and time, and it would be more adaptable to various clinical situations.

並列關鍵字

hospice care ； palliative care ； withdrawal of life sustaining treatment

參考文獻

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