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首页> 外文期刊>Seminars in dialysis >Quality end-of-life care in dialysis units.
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Quality end-of-life care in dialysis units.

机译：透析单位的优质生命周期护理。

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Quality end-of-life care has not been a priority in dialysis units and patients often experience prolonged dying while suffering needlessly. Advance directives (ADs) and decisions to stop dialysis have been highlighted by the medical profession as priorities in improving the quality of care, yet these are only two aspects of end-of-life care. They may not reflect patients' priorities and may not have the expected impact in improving the quality of end-of-life care. This review argues that quality end-of-life care should be a clinical priority in the care of dialysis patients; end-of-life care needs to be developed primarily from the patients' perspective; a clinical framework is required that integrates many aspects of end-of-life care; and end-of-life care should be initiated much earlier in the course of patients' illnesses than traditionally is done. By communicating more effectively and sooner with patients, their values and needs can be identified so we will be better able to plan and facilitate their end-of-life care and improve their experience of dying.
机译：在透析部门，高质量的临终关怀并不是优先考虑的事项，患者死于不必要的痛苦时往往会经历长时间的死亡。医学界已经强调了提前指示和终止透析的决定是改善护理质量的优先事项，但这只是生命终止护理的两个方面。它们可能无法反映患者的优先事项，并且可能不会对改善临终护理的质量产生预期的影响。这篇评论认为，在透析患者的护理中，高质量的临终关怀应该是临床上的优先事项。临终关怀需要主要从患者的角度发展;需要一个临床框架，该框架应综合生命周期护理的许多方面;并且应在患者患病过程中比传统上更早地开始临终关怀。通过更有效，更早地与患者沟通，可以确定他们的价值和需求，因此我们将能够更好地计划和促进他们的临终护理并改善他们的死亡经验。

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