結合安寧療護理念之居家藥事照護

Home Pharmaceutical Care with the Hospice Approach

10.6200/TCMJ.2015.12.SP.03

陳立奇(Lih-Chi Chen)；翁林仲(Lin-Chung Woung)；黃勝堅(Sheng-Jean Huang)

安寧療護 ； 緩和照顧 ； 藥事照護 ； hospice ； palliative care ； pharmaceutical care

北市醫學雜誌

12卷附冊（2015 / 06 / 30）

21 - 26

繁體中文

安寧療護肯定生命的價值，重視人性關懷，是一種以病人及家屬為中心的整體照護。結合安寧療護理念之藥事照護，除確保病人用藥符合治療目標，並重人性關懷，及以病患和家屬為中心之身心靈整體照顧，對於無法治癒重症或末期的病人，提供適當的支持照護與關懷，緩解身體的不適症狀，協助病人獲得舒適且具有尊嚴的生活，增進病人及其家屬之生活品質。本院新年度公衛計畫目標將以「居家藥事照護訪視」為業務推展重點，成立跨院區居家藥事照護服務團隊，推動結合安寧療護理念之居家藥事照護訪視服務，期盼在我們所有醫療照護團隊的合作努力下，讓所有末期病患都能活的有品質、走的有尊嚴、生死兩相安。

Hospice palliative care affirms the value of life and emphasizes on humanistic solicitude, and is a wholistic medical care that centered on the need of patient and family. Pharmaceutical care that incorporates the concept of palliative care involves a few principles, such as ensuring that drug therapies are aligned with care plan, designing a care plan tailoring to the needs of both the patient and family, and providing a wholistic care for body, mind and spirit. For patients with incurable disease or approaching the end of life, the aims of hospice pharmaceutical care are to provide appropriate support to relieve bodily discomfort, assist patients living with dignity and quality of life, and to improve the quality of life not only for the patient but also for the family. One of the main goals in the upcoming public health plan of our hospital is to promote home-visiting pharmaceutical care. In order to achieve this goal, a home-visiting pharmaceutical care team will be established and pharmaceutical care with palliative approach promoted. With the efforts of all members of the caring team, the end-of-life patients shall live with quality and leave with dignity.