紧急情况在支持性护理和姑息性护理中的处理，第二版

English | 2024 | ISBN: 0192898337 | 337 pages | True PDF | 6.65 MB

Fully revised according to up-to-date clinical guidance, this second edition provides a practical, accessible guide to emergency situations encountered in the practice of supportive and palliative care. Designed for rapid use, it addresses the immediate clinical challenges while more definitive measures are being put in place. Structured around frequently encountered symptoms, the book is split into two sections. The first section explores how patients with life-limiting illnesses such as cancer, AIDS, and end-stage organ failure normally present, and looks at the reversibility of their condition. The second section provides a detailed approach to specific clinical conditions, and is for use once the clinical diagnosis has been reached on the basis of the presenting symptoms. An improved order to the table of contents for this edition matches clinical practice. Guiding the decision-making process is an understanding of where the patient is on their disease trajectory. The book uses three categories (terminal, deteriorating, and stable), which consider how the patient's needs are changing as their disease progresses. A brand new chapter 'Care at the end of life' outlines good clinical care for the last hours days of life when the diagnosis of dying has been actively made. The book provides trainees in palliative medicine, nurses, family doctors, and other allied health professionals with a pocket guide to the emergency care of people requiring supportive and palliative care, and it complements and cross-refers to the Oxford Handbook of Palliative Care.

根据最新的临床指导进行全面修订，本书第二版提供了一种实用且易于理解的支持性和姑息性护理中遇到的紧急情况指南。设计用于快速使用，它在更为确定性的措施被实施之前解决了即时的临床挑战。书籍围绕常见的症状进行结构化，分为两部分。第一部分探讨了诸如癌症、艾滋病和终末期器官衰竭等致命疾病患者通常如何呈现，并考察其可逆性。第二部分提供了一种详细的方法来处理特定的临床状况，在基于现症症状的基础上诊断出临床条件后使用。此版书籍对目录的重新排序匹配了临床实践。指导决策过程的理解是患者的疾病轨迹处于何地。该书使用三种类别（终末期、恶化和稳定），考虑着随着疾病的进展，患者的需求正在如何变化。新增加的一个章节“临终关怀”概述了病人被积极诊断为死亡后的最后几小时到几天内的良好临床护理。本书为姑息性医学实习生、护士、家庭医生及其他相关卫生专业人员提供了一本口袋指南，用于处理需要支持性和姑息性护理的人们的紧急情况，并与其《牛津姑息治疗手册》相辅相成并交叉参考。

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