https://scholars.lib.ntu.edu.tw/handle/123456789/522971
標題: | Establishment of a renal supportive care program: Experience from a rural community hospital in Taiwan | 作者: | CHIA-TER CHAO Tsai H.-B. CHI-YUAN SHIH Hsu S.-H. Hung Y.-C. CHUN-FU LAI Ueng R.-H. DING-CHENG CHAN HWANG, JUEY-JEN Huang S.-J. |
公開日期: | 2016 | 出版社: | Elsevier B.V. | 卷: | 115 | 期: | 7 | 起(迄)頁: | 490-500 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Renal supportive care (RSC) denotes a care program dedicated for patients with acute, chronic renal failure, and end-stage renal disease (ESRD), aiming to offer maximal symptom relief and optimize patients' quality of life. The uncertainty of prognosis for patients with chronic kidney disease and ESRD, the sociocultural issues inherent to the Taiwanese society, and the void of structured and practical RSC pathway, contributes to the underrecognition and poor utilization of RSC. Taiwanese patients rarely receive information regarding RSC as part of a standardized care and are not commonly offered this option. In National Taiwan University Hospital Jinshan branch, we started a RSC subprogram, supported by the community-based palliative/hospice care main program. We focused on understanding the need and providing the choice of RSC to suitable candidates. A three-step and four-phase protocol was designed and implemented to identify appropriate patients and to enhance the applicability of the RSC. We harnessed family visit and home-based family meeting as a vehicle to understand the patients' preferences, to discover what ESRD patients and their family value most, and to introduce the option of RSC. In the current review, we described our pilot experience of establishing a RSC program in Taiwan, and discuss its potential advantage. ? 2016 Formosan Medical Association. Published by Elsevier Taiwan LLC.. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84957825137&doi=10.1016%2fj.jfma.2015.12.009&partnerID=40&md5=15c4ed943de7285b87782b79f604c4c7 https://scholars.lib.ntu.edu.tw/handle/123456789/522971 |
ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2015.12.009 | SDG/關鍵字: | adult; aged; chronic kidney disease; clinical article; community hospital; cultural factor; dialysis; end stage renal disease; family decision making; family interaction; female; health care utilization; health program; home care; hospice care; human; male; medical information; middle aged; national health insurance; palliative therapy; patient preference; pilot study; prognosis; program evaluation; program feasibility; quality of life; reimbursement; renal supportive care; Review; rural health care; social aspect; society; Taiwan; very elderly; hemodialysis; Kidney Failure, Chronic; palliative therapy; procedures; quality of life; rural population; trends; Aged; Hospice Care; Hospitals, Community; Humans; Kidney Failure, Chronic; Palliative Care; Quality of Life; Renal Dialysis; Rural Population; Taiwan |
顯示於: | 醫學系 |
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