頁籤選單縮合
題 名 | 居家安寧中西藥事照護服務=Pharmaceutical Care for Palliative Patients in the Community with both Chinese and Western Medications |
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作 者 | 吳宗修; 鄧筱叡; 陳如慧; 林映州; 陳立奇; | 書刊名 | 藥學雜誌 |
卷 期 | 32:4=129 2016.12[民105.12] |
頁 次 | 頁138-144 |
分類號 | 419.77 |
關鍵詞 | 中西醫藥事照護; 末期病人; 副作用; 生活品質; 傳統藥膳; |
語 文 | 中文(Chinese) |
中文摘要 | 安寧療護藥事服務從醫院走入社區,對於居家末期安寧病人之中西藥整合治療, 尤其需要專業藥師介入及支持。本文藉由中西醫安寧療護及藥事照護團隊訪視一位肺 癌末期病人,探討中西藥事照護服務對於末期病人能夠給予的協助。在居家安寧照護 的過程中可以發現,尋求中醫治療的末期病人,往往對於西醫藥物有較多疑慮;或是 希望從中醫尋求抗癌的可能,因此在面對末期病人,具有中西醫藥背景的藥師就顯得 更加的重要。於居家訪視時也發現,除了面對病人西藥用藥指導外,利用臺灣傳統藥 膳來緩解末期癌症病人因止痛藥所造成的副作用,幫助病人支持其精神生活,改善生 活品質。本文藉此病例的照護經驗,評估末期病人個人化的中西藥物治療目標,透過 指導其家屬親手完成藥膳之製作,建立傳統藥膳應用於末期癌症病人之全人藥事照護 模式。 |
英文摘要 | The focus of providing palliative care has shifted from the hospital into the community.In order to provide a community-based comprehensive palliative care combining both Chinese and Western medicine, the involvement of a pharmacist is essential. This case report of an end-stage lung cancer patient receiving palliative care through home visits explored the possibility of a novel approach to palliative care with combined care from both Chinese and Western medicines. The terminally ill patient in the case report expressed some reservation for the conventional western medication and hoped for a possible cure with the addition of Chinese medicine. To address these concerns regarding medication treatments, the involvement of a pharmacist with knowledge in both Chinese and Western medicine became imperative. During home visits, the visiting pharmacists were able to provide medication counseling on the conventional western medication. In addition, a traditional Taiwanese dietary therapy (developed on the basis of the Chinese medicine) was recommended to the patient to alleviate the side effects of pain medications and helped to improve the quality of life for the patient. The valuable experience gained in this case study may assist the future care team in setting personalized treatment goal with a palliative patient on both Chinese and Western medications. By educating patient’s family in preparing dietary therapy for the patient, a new practice model of applying dietary therapy as a part of the wholistic pharmaceutical care for palliative patients was developed. |
本系統中英文摘要資訊取自各篇刊載內容。