https://scholars.lib.ntu.edu.tw/handle/123456789/521245
標題: | When and How Should Physicians Determine the Need for Palliative and Hospice Care for Patients With End-Stage Liver Disease?: An Experience in Taiwan | 作者: | PO-CHU LEE Chiao Lo Ko, Wen-Je Huang, Sheng-Jean PO-HUANG LEE |
公開日期: | 2014 | 出版社: | SAGE Publications Inc. | 卷: | 31 | 期: | 4 | 起(迄)頁: | 454-458 | 來源出版物: | American Journal of Hospice and Palliative Medicine | 摘要: | We analyzed one case of end-stage liver disease and discussed whether the palliative care should be considered for this case. The medical record of a 56-year-old woman with alcoholic liver cirrhosis admitted to our hospital due to hypovolemic shock and esophageal varices (EV) was reviewed. The EV with active bleeding were arrested by panendoscopic intervention. However, repeat surgery revealed transmural laceration over the cardia, and immediate surgery and splenectomy were needed. The patient died postoperatively in the surgical intensive care unit due to bleeding tendency and hypovolemic shock. We suggest that palliative care and/or hospice care should have been considered for this patient before the crisis developed and that physicians require education about timely palliative and hospice care for patients with end-stage nonmalignant disease. ? The Author(s) 2013. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899932182&doi=10.1177%2f1049909113495707&partnerID=40&md5=fcbbcace698c3b6ee0ab994e279f5ad9 https://scholars.lib.ntu.edu.tw/handle/123456789/521245 |
ISSN: | 1049-9091 | DOI: | 10.1177/1049909113495707 | SDG/關鍵字: | case report; complication; end stage liver disease; Esophageal and Gastric Varices; esophagoscopy; fatality; female; hospice care; human; middle aged; palliative therapy; shock; Taiwan; End Stage Liver Disease; Esophageal and Gastric Varices; Esophagoscopy; Fatal Outcome; Female; Hospice Care; Humans; Middle Aged; Palliative Care; Shock; Taiwan |
顯示於: | 醫學系 |
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