Letter to the Editor

Carol G. Kelley

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Letter to the Editor

机译：给编辑的信

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We read with interest the recent article by Koesel (March 2008) which discussed the positive outcomes of effective communication and symptom management by a palliative care advanced practice nurse (APN) for chronically critically ill (CCI) patients. While Ms Koesel raised several very important issues related to providing care to CCI patients at end of life, we have also noted in our work the very important role that the APN can play in providing communication and support for the caregivers of CCI patients. While the patient in Ms Koesel's article was cognitively intact, we have found that up to 40% of CCI patients are cognitively impaired during their hospital course,1 thus increasing the responsibilities placed upon their caregivers to not only provide support but also play an active role in decision making. We have

机译：我们感兴趣地阅读了Koesel的最新文章（2008年3月），该文章讨论了姑息治疗高级执业护士（APN）对慢性重症（CCI）患者进行有效沟通和症状管理的积极成果。尽管Koesel女士提出了一些与在生命周期结束时为CCI患者提供护理有关的非常重要的问题，但我们在工作中也注意到APN在为CCI患者的护理人员提供沟通和支持方面可以发挥非常重要的作用。尽管Koesel女士的文章中的患者在认知上完好无损，但我们发现多达40％的CCI患者在住院过程中出现了认知障碍1，因此增加了护理人员的责任，不仅要提供支持，还应发挥积极作用在决策中。我们有

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《Journal of hospice and palliative nursing: JHPN : the official journal of the Hospice and Palliative Nurses Association》 |2009年第3期|共1页
作者
Carol G. Kelley;
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中图分类护理学;
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机译：致编辑的信M.-L对“致编辑的信”的评论。您和C.-M. Shu（《热分析与色度学杂志》，2010年； 100：367-369）是对M. Malow和K.-D的“致编辑的信”的回应。 Wehrstedt（热分析与量热杂志，2009； 98：885-886）
2. Letter to the Editor Letters to the Editor should be submitted online to www.editorialmanager.com/amsurg [J] . Alireza Hamidian Jahromi, Richard Wigle, Asser M. Youssef The American surgeon. . 2011,第12期

机译：致编辑的信致编辑的信应在线提交至www.editorialmanager.com/amsurg
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机译：关于DE Roth给编辑的信以及V Bhatia等人写给编辑的信的编者注。
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6. Letter to the Editors: Concerning Divergent clinical outcomes of alpha-glucosidase enzyme replacement therapy in two siblings with infantile-onset Pompe disease treated in the symptomatic or pre-symptomatic state by Takashi et al. and Letter to the Editors by Ortolano et al. [O] . Anne Schänzer, Kerstin Giese, Lara Viergutz, 2017

机译：致编辑的信：Takashi等人有关α-葡萄糖苷酶替代疗法在有症状或症状前状态下接受治疗的两个婴儿发作的庞贝病兄弟姐妹中的不同临床结果。和Ortolano等人写给编辑的信。
7. Letter to the Editors: Concerning “Divergent clinical outcomes of alpha-glucosidase enzyme replacement therapy in two siblings with infantile-onset Pompe disease treated in the symptomatic or pre-symptomatic state” by Takashi et al. and Letter to the Editors by Ortolano et al. [O] . Anne Schänzer, Kerstin Giese, Lara Viergutz, 2017

机译：致编辑的信：关于“在症状性或症状前状态下治疗的婴儿期发作的pompe病的两个兄弟姐妹中α-葡萄糖苷酶替代治疗的不同临床结果”，Takashi等人。和Ortolano等人给编辑的信。

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