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題名:如何以家庭會議協助重症病人生命末期決策
書刊名:安寧療護
作者:黃馨葆陳皇吉蔡佩渝謝雅琪林楷煌蔡兆勳
作者(外文):Huang, Sin-baoChen, Huang-chiTsai, Pei-yuHsieh, Ya-chiLin, Kai-huangTsai, Jaw-shiun
出版日期:2014
卷期:19:3
頁次:頁268-281
主題關鍵詞:家庭會議不予撤除緩和醫療維生醫療Family conferenceWithholdWithdrawPalliative careLife-sustaining treatment
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(5) 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:5
  • 共同引用共同引用:0
  • 點閱點閱:152
在2013年1月9日《安寧緩和醫療條例》第三次修法公布施行後,在許多醫療機構均產生討論撤除維生醫療之需要。於加護病房、呼吸照顧中心和急性病房,醫療團隊也常和病人或家屬討論病人之生命末期決策。對面臨生命末期之病人而言,對於生命末期議題及照顧目標相關討論之重要性可說是與日俱增。但在臨床實務上,第一線之臨床工作者常因家屬之間有不同意見,而無法形成有效之末期醫療決策。本文認為,對重症生命末期病人之決策,家庭會議(family conference)是最有效之溝通方式。醫病雙方可藉由家庭會議釐清治療目標、化解家屬間不同意見之衝突及進行維生醫療撤除之相關討論。本文說明如何以家庭會議進行生命末期決策之相關討論。
Since the third amendment of "Hospice and Palliative Care Act" on 9 Jan 2013, the need for withdrawal of life sustaining treatment is growing in many medical institutions. In many ICUs, respiratory care centers, and acute wards, the medical professionals also have the needs to discuss end-of-life decisions with the patients or surrogates. The importance for treatment goal and end-of-life issue discussion is increasing for the terminal patients. In fact, the clinical practitioners often failed to achieve valid end-of-life decisions for the different opinions among the patient's families. This essay emphasize that family conference is the most useful care model in communicating end-of-life care issues. Family conference could be used to clarify the treatment goal, resolute the conflict among the families, and discuss withdrawal of life sustaining treatments. This article gives the principle and specific details of how to hold a family conference to succeed in shared end-of-life decision making in the intensive care patient.
期刊論文
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11.Johnson, J. R.、Engelberg, R. A.、Nielsen, E. L.、Kross, E. K.、Smith, N. L.、Hanada, J. C.、Curtis, J. R.(2014)。The association of spiritual care providers' activities with family members' satisfaction with care after a death in the ICU。Critical Care Medicine,42(9),1991-2000。  new window
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23.West, H. F.、Engelberg, R. A.、Wenrich, M. D.、Curtis, J. R.(2005)。Expressions of nonabandonment during the intensive care unit family conference。J Palliat Med,8(4),797-807。  new window
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28.Wang, L.、Piet, L.、Kenworthy, C. M.、Dy, S. M.(20140120)。Association between palliative case management and utilization of inpatient, intensive care unit, emergency department, and hospice in Medicaid beneficiaries。Am J Hosp Palliat Care。  new window
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其他
1.衛生福利部中央健康保險署。全民健康保險醫療費用支付標準修正項目表,http://www.nhi.gov.tw/Resource/bulletin/4332_1010074087A-2.pdf, 2014/12/21。  延伸查詢new window
圖書論文
1.Institute of Medicine Committee on Psychosocial Services to Cancer Patients、Families in a Community S.(2008)。The National Academies Collection: Reports funded by National Institutes of Health。Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs。Washington (DC):National Academies Press (US) National Academy of Sciences。  new window
 
 
 
 
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