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首页> 外文期刊>BMJ: British medical journal >Why is talking about dying such a challenge? Much more needs to be done to encourage the conversation
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Why is talking about dying such a challenge? Much more needs to be done to encourage the conversation

机译：为什么要谈论死亡这样的挑战？ 需要做更多的事情来鼓励对话

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Most patients and doctors still struggle to deal with the challenges posed by deteriorating health and thinking about dying. How and where people die depends not only on their disease but on their circumstances, options, choices, expectations, values, and beliefs. Open, early discussions about what matters when people are dying are vital if we are to act on the growing list of policies, good practice guidance, and recommendations.A recent survey of 2055 British adults found that about half knew about their partner's end of life wishes. Just 6% had written down their own preferences. A parallel study found some improvement in the proportion of GPs who had initiated a conversation with patients about end of life care (75% in 2014 v 65% in 2012).1 A Scottish primary care study found that patients with cancer or other advanced illnesses were being identified for a palliative care approach only in the last weeks of life. Fewer than one in five patients with organ failure, dementia, or frailty were on practice palliative care registers when they died.
机译：大多数患者和医生仍在努力应对恶化和死亡的思考所带来的挑战。人们如何和何处死亡不仅取决于他们的疾病，还取决于他们的情况，选择，选择，期望，价值观和信念。如果我们要在日益增长的政策清单，良好的练习指导和建议清单上采取行动，就对人们死亡何时重要的事情进行公开讨论至关重要。对2055名英国成年人的最新调查发现，大约一半的人知道他们的伴侣的生命终结愿望。只有6％的人写下了自己的喜好。一项平行的研究发现，与患者有关生命终结的对话的GP的比例有所改善（2014年为75％，2012年为65％）。1一项苏格兰初级保健研究发现，患有癌症或其他晚期疾病的患者仅在生命的最后几周才被确定为姑息治疗方法。在死亡时，五分之一的器官衰竭，痴呆或脆弱患者在实践姑息治疗记录中。

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