医疗保健专业人员必须与患者和家属沟通。他们必须在临终药物治疗中做出明智、现实和适当的决定

Evidence Based Journals Pub Date : 2019-11-12 DOI:10.1136/ebnurs-2019-103179

Amanda J Lee

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摘要

评述:Morin L, Wastesson JW, Laroche ML，等。有多少老年人在临终前接受了临床疗效有问题的药物?一项队列研究。中华医学杂志2019;33:1080-90。doi: 10.1177 / 0269216319854013。需要使用多种药物(综合用药)来管理复杂的疾病过程。在生命的尽头，“治疗”的重点从延长生存时间转变为症状管理，因此，治疗的目的也发生了变化，需要不同的药物治疗。

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Healthcare professionals must communicate with patients and relatives. They must enable informed, realistic and appropriate decisions in end-of-life pharmacotherapy

Commentary on: Morin L, Wastesson JW, Laroche ML, et al . How many older adults receive drugs of questionable clinical benefit near the end of life? A cohort study. Palliat Med 2019;33:1080–90. doi: 10.1177/0269216319854013. Use of a variety of drugs (polypharmacy) is required to manage complex disease processes. At the end of life, the focus of ‘treatment’ changes from extending survival to symptom management—therefore, aims of treatments change, requiring different pharmaceutical …

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