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題名:急診醫護人員提供末期照護之相關議題
書刊名:安寧療護
作者:謝伶瑜翁秀霞呂幸蓉
作者(外文):Hsieh, Ling-yuWeng, Hsiu-hsiaLu, Shin-jun
出版日期:2011
卷期:16:1
頁次:頁74-81
主題關鍵詞:急診醫療末期照護緩和醫療Emergency careEnd of life carePalliative medicine
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:23
  • 點閱點閱:29
急診是照護急性疾病、創傷或提供持續性醫療得以讓病人病況穩定的單位。因此,即使是照護瀕死病人,仍總是被要求盡力提供維生治療,可見緩和醫療在急診並不被重視。因急診醫護人員普遍認為在急診單位提供末期照護有實際面的困難,且醫護人員自身常缺乏末期照護相關資訊,如疼痛控制訓練不足、不知如何與病人或家屬溝通、及對預立醫囑及法規知識不了解等。因此,為能提供給末期病人量身訂做的照護服務,安寧療護是每一位急診醫護人員必修的學分,除具備相關知識、重視病人需求外,更應透過醫病之間良好的溝通及增加預立醫囑利用率,最終讓末期病人獲得平靜死亡的經驗。
Emergency care is focused on the treatment of acute illnesses, injuries or the stabilization of patients for ongoing treatment. Even the dying patient arrives in the emergency room, emergency staffs are requested to provide life-saving care. It is perceived that palliative care is not incorporated into the emergency medical treatment due to most emergency staffs think that providing palliative care in the emergency room have many practical difficulties and they are also lack of end of life care training on pain management, communication skills and legal issues related to advance directives. However, in order to have individualized treatment plan to meet the patient’s goal, all emergency staffs must have basic knowledge in palliative medicine, valuing patient needs, enhancing physician-patient communication and increasing the utility of advance directives for ensuring that individuals at the end of life experience a peaceful death.
期刊論文
1.賴允亮(20100900)。面對絕症的醫學--臺灣安寧緩和醫療。醫療品質雜誌,4(5),13-16。new window  延伸查詢new window
2.Brown, Barbara A.(2003)。The history of advance directives: a literature review。Journal of Gerontological Nursing,29(9),4-14。  new window
3.Maxfield, C. L.、Pohl, J. M.、Colling, K.(2003)。Advance directives: A guide for patient discussions。The Nurse Practitioner,28(5),38-47。  new window
4.邱泰源(20010700)。癌末患者之緩和醫療。臺灣醫學,5(4),444-448。  延伸查詢new window
5.方慧芬、張慧玉、林佳靜(20090200)。末期病人面臨預立醫囑、生前預囑之現況及與生命自決之倫理議題。護理雜誌,56(1),17-22。new window  延伸查詢new window
6.鄭夙芬、劉雪娥、方震中、萬國華(20100300)。影響急診醫護人員對安寧緩和醫療條例認知及不施行心肺復甦術態度之因素。臺灣醫學,14(2),124-132。  延伸查詢new window
7.Smith, A. K.、Fisher, J.、Schonberg, M. A.(2009)。Am I doing the right thing? Provider perspectives on improving palliative care in the emergency department。Annals of Emergency Medicine,54(1),86-93。  new window
8.Crossno, R. J.(2004)。Academi Dying in the emergency department: What emergency physicians should know about palliative medicine。Topics in Emergency Medicine,26(1),19-28。  new window
9.Black, K.(2007)。Health care professionals' death attitudes, experiences, and advance directive communication behavior。Death Studies,31(6),563-572。  new window
10.Dunn, K. S.、Otten, C.、Stephens, E.(2005)。Nursing experience and the care of dying patients。Oncology Nursing Forum,32(1),97-103。  new window
11.Clarke, R.(2008)。Improving end-of-life care in emergency departments。Emergency Nurse,16(7),34-37。  new window
12.Jezewski, M. A.、Feng, J. Y.(2007)。Emergency nurses' knowledge, attitudes, and experiential survey on advance directives。Applied Nursing Research,20(3),132-139。  new window
13.Jones, S.、Jones, B.(2007)。Advance directives and implications for emergency departments。British Journal of Nursin,16(4),220-223。  new window
14.McClain, K.、Perkins, P.、Mass, A.、Calif, F.(2002)。Terminally ill patients in the emergency department: A practical overview of end-of-life issues。Journal of Emergency Nursing,28(6),515-522。  new window
15.黃安年、陳多慕、梁百安、曾慶暉、儲寧瑋(2003)。瀕死病患之疼痛治療。安寧療護雜誌,8(3),288-298。  延伸查詢new window
16.Jezewski, M. A.、Meeker, M. A.、Robillard, I.(2005)。What is needed to assist patients with advance directives from the perspective of emergency nurses。Journal of Emergency Nursing,31(2),150-155。  new window
其他
1.安寧照顧協會。安寧緩和醫療條例,http://www.tho.org.tw/xms, 2011/01/01。  延伸查詢new window
 
 
 
 
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