[在重症监护中为生命末期的成年人提供治疗和支持。DIVI伦理科和德国姑息医学学会的建议。[第2部分:重症监护生命末期的治疗措施和支持]。

IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Kathrin Knochel, Iris Barndt, Gunnar Duttge, Jochen Dutzmann, T Johanna Eggardt, Kristina Fuest, Stefan Meier, Andrej Michalsen, Friedemann Nauck, Martin Neukirchen, Ulrike Olgemöller, Raffael Riegel, Manuela Schallenburger, Alexander Supady, Susanne Jöbges
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引用次数: 0

摘要

重症监护病房(ICU)的生活包括成功使用维持生命的治疗和患者的死亡。在重症监护医学中,允许病人死亡通常意味着停止维持生命的措施。再加上疾病的严重程度,这对死亡过程有重大影响。临终治疗和支持的重点是减轻症状。ICU的跨专业团队的任务是预测、计划和实施姑息措施。以家庭为中心的姑息治疗方法需要为受影响者提供社会心理支持和精神护理的人力资源。实施内部行动建议可提高护理质量。培训必要的技能,以支持生命结束时的人们,是教育和持续专业发展的一个组成部分。该培训包括姑息治疗的基本知识以及关于终止维持生命措施的具体知识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Treatment and support for adults at the end of life in intensive care. A recommendation by the Ethics Section of DIVI and the German Society for Palliative Medicine. : Part 2: Therapeutic measures and support at the end of life in intensive care].

Life in an intensive care unit (ICU) involves the successful use of life-sustaining treatment and patients dying. In intensive care medicine, allowing a patient to die often means discontinuing life-sustaining measures. Together with the severity of the illness, this has a significant impact on the course of the dying process. End of life treatment and support focus on alleviating symptoms. The interprofessional team's task in the ICU is to anticipate, plan and implement palliative measures. A family-centered approach to palliative care requires providing human resources for psychosocial support and spiritual care for those affected. Implementing internal recommendations for action improves the quality of care. Training in the necessary skills to support people at the end of life is an integral component of education and ongoing professional development. This training includes basic knowledge of palliative care as well as specific knowledge about terminating life-sustaining measures.

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来源期刊
CiteScore
2.60
自引率
9.10%
发文量
93
审稿时长
6-12 weeks
期刊介绍: Medizinische Klinik – Intensivmedizin und Notfallmedizin is an internationally respected interdisciplinary journal. It is intended for physicians, nurses, respiratory and physical therapists active in intensive care and accident/emergency units, but also for internists, anesthesiologists, surgeons, neurologists, and pediatricians with special interest in intensive care medicine. Comprehensive reviews describe the most recent advances in the field of internal medicine with special focus on intensive care problems. Freely submitted original articles present important studies in this discipline and promote scientific exchange, while articles in the category Photo essay feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. In the rubric journal club well-respected experts comment on outstanding international publications. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice. The rubrics "Nursing practice" and "Physical therapy" round out the information.
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