Symptom Management in Palliative Care and End of Life Care

被引:18
作者
Bookbinder, Marilyn [1 ]
McHugh, Marlene E. [2 ,3 ]
机构
[1] Beth Israel Deaconess Med Ctr, Dept Pain Med & Palliat Care, New York, NY 10003 USA
[2] Montefiore Med Ctr, Palliat Care Serv, Bronx, NY 10467 USA
[3] Columbia Univ, Sch Nursing, New York, NY 10032 USA
关键词
Symptom management; Dyspnea; Constipation; Fatigue; Pain; Delirium; OBSTRUCTIVE PULMONARY-DISEASE; ADVANCED CANCER; ABDOMINAL MASSAGE; MEDICAL INJURIES; ASSESSMENT SCALE; PAIN MANAGEMENT; OXYGEN-THERAPY; RATING-SCALE; DELIRIUM; FATIGUE;
D O I
10.1016/j.cnur.2010.04.002
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
There is a need for generalist- and specialist-level palliative care clinicians proficient in symptom management and care coordination. Major factors contributing to this need include changed disease processes and trajectories, improved medical techniques and diagnostic testing, successful screening for chronic conditions, and drugs that often prolong life. The rapid progressive illnesses and deaths that plagued the first half of the twentieth century have been replaced in the twenty-first century by increased survival rates. Conditions that require ongoing medical care beyond a year define the current chronic illness population. Long years of survival are often accompanied by a reduced quality of life that requires more medical and nursing care and longer home care. This article reviews the management of selected symptoms in palliative and end of life care.
引用
收藏
页码:271 / +
页数:58
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