کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3806313 1245286 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Care in the last hours and days of life
ترجمه فارسی عنوان
مراقبت در ساعتهای آخر و روزهای زندگی
کلمات کلیدی
مرگ، احیا نکن شناختن مرگ، کنترل علائم
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
چکیده انگلیسی

Care in the last hours and days of life is a vital part of medical practice and has recently been highlighted in the media following concerns over the use of the Liverpool Care Pathway for the Dying Patient and the subsequent review by Baroness Neuberger. Ensuring a dignified death for patients with appropriate support for carers is a core activity of all healthcare professionals. Once it has been recognized that a patient may be dying, it is important that pain and other symptoms are managed appropriately. All medication that needs to be continued should be converted to the subcutaneous route when administration via the oral route is no longer possible. As-required medication should be prescribed for the key symptoms that occur in dying patients, such as pain, agitation, increased respiratory tract secretions, dyspnoea and nausea and vomiting. The appropriateness of ongoing investigations and interventions, including antibiotics and blood tests, should be considered. Appropriate communication with the patient and their family is key, to ensure both that the patient's psychological and spiritual needs are met and that the family is aware that the patient is dying.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Medicine - Volume 43, Issue 12, December 2015, Pages 736–739
نویسندگان
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