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首页> 外文期刊>Critical care clinics >Controversial issues in critical care for the elderly: a perspective from Canada.
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Controversial issues in critical care for the elderly: a perspective from Canada.

机译：老年人重症监护中有争议的问题：加拿大的观点。

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Age alone does not at all preclude the possibility of warranted, effective, and successful intensive care. From a medical perspective, the key issue is the reversibility or otherwise of an acute illness and where this illness sits in the trajectory of that individual's life and possible death. It makes no more sense to admit a 19-year-old let alone a 91-year-old to an intensive care unit if intensive care cannot provide what is needed. Of paramount importance in our consideration of critical care for the elderly is a determination and an understanding of the many needs--medical, emotional, social, spiritual, psychologic--that elderly people have. By exploring them with compassion and sensitivity, we can establish whether the goals of care include critical care and the associated technology, or whether alternative and more conservative approaches more closely reflect the values and preferences of an increasingly elderly population.
机译：单靠年龄根本就不能排除需要进行有保证，有效和成功的重症监护的可能性。从医学的角度来看，关键问题是急性疾病的可逆性或其他方面，而这种疾病位于该人的生命和可能死亡的轨迹中。如果重症监护病房不能提供所需的东西，那么让19岁的老人接受重症监护病房就更不用说91岁的老人了。在我们考虑为老年人提供重症监护方面，最重要的是要确定并理解老年人的许多需求，包括医疗，情感，社会，精神，心理需求。通过同情和敏感性探索它们，我们可以确定护理的目标是否包括重症监护和相关技术，或者替代性和更保守的方法是否更紧密地反映了老年人口的价值和偏好。

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