中东癌症联合会--为癌症患者提供姑息治疗服务。

Pub Date : 2023-04-01 DOI:10.5152/FNJN.2023.23041
Michael Silbermann
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引用次数: 0

摘要

当患者被诊断出患有癌症时,他们失去了已经习惯的生活方式,在应对新的复杂病情时面临着困难。在癌症晚期的情况下,病人在决定治疗方式的优先顺序、决策和计划方面失去了积极主动的能力。此外,这些病人还失去了选择的能力,无法同意某种治疗模式、由谁治疗以及在哪里治疗。因此,这类决定只能由家属和治疗小组共同做出。只有当正式的姑息关怀照护者以及在较小程度上非正式的姑息关怀照护者都能接触到由当地经验丰富的姑息关怀专家和国际发起的课程(包括正面课程和远程课程)所开展的持续性教育活动和培训时,这种情况才有可能发生。本文提供了在国家层面制定有效战略所需的建议,以制定适当的方法,使政府机构和非政府组织能够在每个国家推动建立从初级到三级的姑息关怀服务。上述建议的基础是通过应用姑息关怀原则所获得的经验。
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Middle East Cancer Consortium-Development of Palliative Care Services for Cancer Patients.

When patients are diagnosed with cancer, they lose the mode of living they have been accustomed to and face difficulties in coping with the new complexed medical condition. In the case of advanced stages of cancer, patients lose the ability to take an active role in decisions related to priority in treatment modality, decision-making, and planning. In addition, these patients lose the ability of choice-to agree to a certain mode of treatment, who will treat them, and where. Thus, these kinds of decisions are between family members and the treating team. This can happen only when both the formal caregivers and to lesser degree the informal partners are exposed to ongoing educational activities and training by both local experienced palliative care experts and international initiated courses (both frontal and remote). This article provides recommendations needed for an effective strategy at national levels to develop appropriate ways, whereby governmental agencies and non-governmental organizations can promote the establishment of palliative care services at all levels from primary to tertiary in each individual country. The basis for the above will rely on the experience that was gained through the application of palliative care principles.

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