|Title:||Palliative Care in Elderly with End-Stage Renal Disease under Dialysis=安 寧緩和醫療於末期腎病透析老年病人之應用||Authors:||CHEN, SHU-YA
|Keywords:||安寧緩和療護;末期腎病;透析;生命末期;palliative care;end-stage renal disease;dialysis;end-of-life||Issue Date:||2011||Journal Issue:||n.3||Start page/Pages:||311-319||Source:||臺灣醫學,v.15||Abstract:||
There are increasing evidences that palliative care can improve the quality-of-life of patients with end-stage disease. However, there is still no development of palliative care guideline for patients with end- stage renal disease under dialysis in Taiwan. In clinical practice, the elderly under dialysis especially suffer from multiple-organ failure and near the end-of-life. The article integrates literature reviews and clinical experiences to explore the needs of palliative care in the elderly with end-stage renal disease under dialysis. The content includes managing end- stage symptoms, promoting the community-based palliative care, attending the early dialogue among healthcare providers, patients and family about treatment, offering efforts to respect the patients' autonomy in communications, and increasing motivation in completing advanced care planning based on the trust relationship between medical team and patients. For enhancing the care quality of end-of- life toward a peaceful death, we suggest the establishment of caring guidelines on dialysis withdrawal in the future, which may contribute to the promotion of palliative care in patients with end-stage renal disease under dialysis .
|Appears in Collections:||護理學系所|
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