[后大流行时代长期护理机构的临终关怀缓和护理沟通:护士的角色]。

Q3 Nursing Journal of Nursing Pub Date : 2023-04-01 DOI:10.6224/JN.202304_70(2).03
Hung-Lan Wu
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引用次数: 0

摘要

COVID-19的高传染性、严重程度和死亡率导致该疾病在大流行期间对人们的生活造成毁灭性影响。相关的严格感染控制和限制影响了如何与客户讨论姑息治疗和临终关怀,以及家庭成员如何处理他们的悲伤。然而,研究发现,医疗保健提供者提供简明准确的信息有助于缓解COVID-19大流行期间的焦虑和恐惧。在大流行后时代,护士应积极促进、支持、倡导和协调与长期护理机构居民的姑息治疗沟通。因此,本文介绍并建议了理解、尊重、计划、表达、行动、关怀和教育(U-R-PEACE)沟通策略。姑息治疗沟通应尽早由护士开始。此外,护士可以通过了解住院医师及其家属的期望和偏好,鼓励他们与医生讨论他们的护理计划,并尊重他们的决定,来帮助住院医师优化他们的生与死质量。通过采用以个人/家庭为中心的整体护理方法,也可以促进实现善终和减轻痛苦的护理目标。
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[Hospice Palliative Care Communications in Long-Term Care Facilities in the Post-Pandemic Era: The Role of Nurses].

The high infectivity, severity, and mortality of COVID-19 led to the devastating impact this disease has had on people's lives during the pandemic. The related strict infection controls and restrictions affected how palliative and end-of-life care could be discussed with clients and how family members could deal with their grief afterward. However, the provision of concise and accurate information by healthcare providers was found to help ease anxiety and fear during the COVID-19 pandemic. In the post-pandemic era, nurses should actively facilitate, support, advocate for, and coordinate palliative care communications with long-term care facility residents. Thus, the Understanding, Respect, Planning, Expression, Act, Care, and Education (U-R-PEACE) communication strategy is introduced and suggested in this article for this purpose. Palliative care communications should be commenced by nurses as early as possible. Moreover, nurses may help residents optimize their quality of life and death by understanding their and their family members' expectations and preferences, encouraging them to discuss their care plan with doctors, and respecting their decisions. The care goals of achieving a good death and relief of suffering may also be promoted through care that is delivered using a holistic, person/family-centered care approach.

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来源期刊
Journal of Nursing
Journal of Nursing Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
14
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