解决痴呆症患者临终关怀的决策问题

Kerry Jones, G. Birchely, L. Clare, R. Huxtable, T. Walter, J. Dixon
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引用次数: 0

摘要

痴呆症影响着全球约3600万人,预计到2030年,痴呆症患者人数将增至6600万[1]。痴呆症被公认为公共卫生的优先事项,迫切需要世界卫生组织的关注[2]。尽管最近采取了国家和国际政策举措,但痴呆症患者仍在继续接受侵入性治疗,如人工营养和水合作用,以及临终时护理不足[3]。在我们对痴呆症患者的决策和高级护理规划的范围审查中,我们概述了痴呆症患者、他们的家人和卫生专业人员在讨论一个复杂而敏感的问题时面临的一些决策挑战。
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Addressing Decision Making on End of Life Care for People with Dementia
Dementia affects approximately 36 million people worldwide and the number living with dementia is expected to increase to 66 million by 2030 [1]. Dementia is recognised as a public health priority which urgently needs attention by the World Health Organisation [2]. Despite recent national and international policy initiatives, people with dementia continue to receive invasive treatment such as artificial nutrition and hydration and inadequate care towards the end of their lives [3]. In our scoping review of decision making and advanced care planning for people with dementia, we outline some of the challenges of decision making that people with people with dementia, their families and health professionals face in talking about a complex and sensitive issue.
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