Symptom Control at the End of Life

被引:6
作者
Kreher, Margaret [1 ]
机构
[1] Penn State MS Hershey Med Ctr, Palliat Care, Ctr Excellence Palliat Med, Dept Med, Mail Code H106,POB 850,500 Univ Dr, Hershey, PA 17033 USA
关键词
End of life; Communication; Symptoms; Evidence; Primary palliative care; SPECIALIST PALLIATIVE CARE; ADVANCED CANCER; DOUBLE-BLIND; CONTROLLED-TRIAL; HEART-DISEASE; LUNG-CANCER; PHASE-III; PAIN; MANAGEMENT; FATIGUE;
D O I
10.1016/j.mcna.2016.04.020
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Symptom control at the end of life is an identified ongoing gap in end-of-life care. Increased demand for high-quality symptom control; limited supply of specialty trained clinicians; lack of consistent high-quality evidence-based interventions; and education deficits among clinicians, patients, and families in end-of-life processes contribute to this gap. High-value end-of-life care is centered on high-quality communication about goals of care. This article reviews primary palliative care concepts of communication and symptom control to provide a framework for primary care physicians to use in the care of patients at the end of life.
引用
收藏
页码:1111 / +
页数:13
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