Pub Date : 2004-11-01DOI: 10.1177/104990910402100605
David Kessler
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Pub Date : 2004-11-01DOI: 10.1177/104990910402100614
S. Oliver, S. Baumrucker
The ethics roundtable is a regular feature of the American Journal of Hospice & Palliative Medicine. If you have a case with interesting ethical features, please submit it to the journal by email to hospice@pnpco.com or by fax to 781-899-4900. Contributors will be credited in the journal. Cases will be edited for clarity, space, and to maintain the anonymity of the patients and staff involved.
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Pub Date : 2004-09-01DOI: 10.1080/02103702.2018.1480312
M. Grever, Karl Van Nieuwenhuyse
The American Journal of Nursing is seeking high-quality writing on a variety of topics.
《美国护理杂志》正在寻找各种主题的高质量文章。
{"title":"Call for manuscripts","authors":"M. Grever, Karl Van Nieuwenhuyse","doi":"10.1080/02103702.2018.1480312","DOIUrl":"https://doi.org/10.1080/02103702.2018.1480312","url":null,"abstract":"The American Journal of Nursing is seeking high-quality writing on a variety of topics.","PeriodicalId":7716,"journal":{"name":"American Journal of Hospice and Palliative Medicine®","volume":"1 1","pages":"398 - 398"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91526630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-09-01DOI: 10.1177/104990910402100503
The first national Clinical Practice Guidelines for Quality Palliative Care, released in April 2004, is on the Web and available for download. The guidelines were developed by experts across the field to assist the rapidly growing number of palliative care programs established in hospitals, nursing homes, hospices, and health systems deliver high-quality, state-ofthe-art care to seriously ill patients and their families. “These guidelines couldn’t be more timely, with increasing numbers of Americans who suffer from advanced, chronic illness and need the relief and support that palliative care provides,” said Charles von Gunten, MD, PhD, Medical Director at the Center for Palliative Studies in San Diego. “The new clinical practice guidelines will enable palliative care specialists and other healthcare professionals to deliver the highest quality palliative care in all settings to this rapidly expanding patient population.” Healthcare professionals delivering palliative care can use the guidelines to provide specialized care to their sickest and most complex patients, resulting in higher patient/family satisfaction with the care they receive and with the healthcare system in general. The guidelines combine the expertise of leading organizations and their members, including more than 50,000 healthcare professionals and consumers from all 50 states, and grow out of more than 20 years of research and experience into what kind of care best meets the needs of patients with advanced chronic or lifethreatening illnesses. Eight key areas are covered in detail, including the following:
2004年4月发布的第一份国家《优质姑息治疗临床实践指南》已在网上可供下载。该指南由该领域的专家制定，旨在帮助在医院、疗养院、临终关怀医院和卫生系统中建立的数量迅速增长的姑息治疗项目向重病患者及其家属提供高质量、最先进的护理。“随着越来越多的美国人患有晚期慢性疾病，需要姑息治疗提供的缓解和支持，这些指南再及时不过了，”圣地亚哥姑息治疗研究中心医学主任、医学博士查尔斯·冯·冈滕(Charles von Gunten)说。“新的临床实践指南将使姑息治疗专家和其他医疗保健专业人员能够在所有环境中为快速增长的患者群体提供最高质量的姑息治疗。”提供姑息治疗的医疗保健专业人员可以使用该指南为病情最严重和最复杂的患者提供专门护理，从而提高患者/家属对他们所接受的护理和总体医疗保健系统的满意度。该指南结合了领先组织及其成员的专业知识，包括来自所有50个州的50,000多名医疗保健专业人员和消费者，并基于20多年的研究和经验，得出了什么样的护理最能满足晚期慢性或危及生命的疾病患者的需求。详细涵盖八个关键领域，包括:
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Pub Date : 2004-03-01DOI: 10.1177/104990910402100204
A. Cintron
Growing awareness of the field, expanded fellowship opportunities, an aging population, and the lure of available full-time positions are all serving to advance palliative medicine as a viable career choice for young doctors. As early as 1991, few training programs existed in the US for medical school graduates interested in palliative medicine. Currently, however, there are 45 palliative care fellowship programs nationwide, according to the American Academy of Hospice and Palliative Medicine. Palliative medicine educators and specialists report that they are now routinely contacted by students and residents interested in exploring palliative medicine as a career. “A senior medical student recently called me to set up a one-on-one meeting. He’s interested in finding out where the field is going. Will he find jobs? How much will he get paid?” says David Weissman, MD, who coordinates the Palliative Care Center at the Medical College of Wisconsin in Milwaukee. “I’ll tell him that there are way more jobs in palliative care right now than people trained to fill them.” In the past, physicians attracted to end-of-life care were often motivated by personal experiences, but demand for such services, due in part to the aging Boomer population, has pushed the specialty into the mainstream. A fellow of Dr. Weissman’s, Chad Farmer, MD, has begun job hunting as he finishes his degree in bioethics and wraps up a two-year palliative care fellowship. “I have found that the market is wide open for anyone with fellowship training. Right now, demand is out ahead of supply,” says Farmer. Alexie Cintron, MD, is a palliative care fellow at the Dana Farber Cancer Institute in Boston. He has already completed a research fellowship in general internal medicine, which explored end-of-life issues such as the use of advance directives and patients’ decisions to enter hospice care. Says Cintron, “I actually didn’t know there were palliative care fellowships until the second year of my first fellowship in medical research. But I really did want to learn about research methodology and get into the health policy arena,” for which the internal medicine fellowship will be helpful. “The palliative care field is still growing. We haven’t put all the pieces together yet. That’s what’s so exciting—we’re making changes as we go along.” (Source: American Medical News, January 26, 2004.)
人们对这一领域的认识不断提高，奖学金机会不断扩大，人口老龄化以及可用的全职职位的诱惑，都有助于推动缓和医学成为年轻医生的可行职业选择。早在1991年，美国就很少有针对对缓和医学感兴趣的医学院毕业生的培训项目。然而，根据美国临终关怀与姑息医学学会(American Academy of Hospice and palliative Medicine)的数据，目前全国有45个姑息治疗奖学金项目。姑息医学教育工作者和专家报告说，现在经常有学生和住院医生联系他们，他们有兴趣探索姑息医学作为一种职业。“最近，一位医学院的大四学生打电话给我，想安排一次一对一的会面。他想知道这个领域的发展方向。他会找到工作吗?他会得到多少报酬?医学博士大卫·韦斯曼说，他是密尔沃基威斯康辛医学院姑息治疗中心的协调人。“我会告诉他，目前姑息治疗领域的工作岗位比受过培训的人多得多。”过去，被临终关怀所吸引的医生往往是出于个人经历，但部分由于婴儿潮一代人口的老龄化，对这类服务的需求已经将这一专业推向了主流。韦斯曼博士的同事查德•法默(Chad Farmer)医学博士在完成了生物伦理学学位并结束了为期两年的姑息治疗奖学金后，开始找工作。“我发现，这个市场对任何接受过奖学金培训的人都是敞开的。现在，需求超过了供应。医学博士Alexie Cintron是波士顿达纳法伯癌症研究所的姑息治疗研究员。他已经完成了普通内科的研究奖学金，该研究探讨了临终问题，如预先指示的使用和患者进入临终关怀的决定。Cintron说:“实际上，直到我第一个医学研究奖学金的第二年，我才知道有姑息治疗奖学金。但我确实想学习研究方法，并进入卫生政策领域，”对此内科奖学金将有所帮助。“姑息治疗领域仍在发展。我们还没有把所有的线索联系起来。这就是令人兴奋的地方——我们在不断地做出改变。(资料来源:美国医学新闻，2004年1月26日。)
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Pub Date : 2004-03-01DOI: 10.1177/104990910402100201
D. Vaillancourt
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Pub Date : 2004-03-01DOI: 10.1177/104990910402100218
L. M. Manetta
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