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Rabies: a significant palliative care issue

机译:狂犬病:一个重要的姑息治疗问题

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Over the past 5 years, a palliative care training programme has been developing at San Lazaro Infectious Diseases Hospital, Manila, Republic of the Philippines with the help of a consultative team from Australia and New Zealand. Early in the programme, the terrible plight of rabies patients dying with uncontrolled delirium was identified as a priority need for applying palliative care principles. There is virtually nothing in the literature on the management of dying rabies patients, especially in the context of non-industrialised countries. A management plan was initiated to establish a more effective medication regimen to control the delirium suffered. A study was devised in an attempt to document the symptoms and signs of dying rabies patients, and the effect of the new medication regimen. Many difficulties were encountered in attempting to change practice and in achieving consistency of medication supply. However, eventually, the results of observing 45 patients admitted to San Lazaro Hospital consecutively with a diagnosis of rabies were collected and are reported here. The study recorded the commonest symptoms of rabies patients seen at San Lazaro Hospital and demonstrated the effectiveness of applying basic symptom control principles on reducing their suffering.
机译:在过去的5年中,在澳大利亚和新西兰的咨询小组的帮助下,菲律宾共和国马尼拉的圣拉萨罗传染病医院正在制定姑息治疗培训计划。在该计划的早期,将狂犬病死于无法控制的ir妄的患者的困境确定为应用姑息治疗原则的优先需求。文献中几乎没有关于垂死的狂犬病患者的管理的信息,特别是在非工业化国家的情况下。启动了一项管理计划,以建立更有效的药物治疗方案来控制遭受的suffered妄。设计了一项研究,试图记录垂死的狂犬病患者的症状和体征以及新药物治疗方案的效果。在尝试改变实践和实现药物供应的一致性时遇到了许多困难。但是,最终收集了在San Lazaro医院连续收治的45例狂犬病患者的观察结果,并在此处报告。该研究记录了在San Lazaro医院看到的狂犬病患者最常见的症状,并证明了应用基本的症状控制原则来减轻其痛苦的有效性。

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