目前已知高齡伴隨有多種慢性疾病者,為新冠肺炎重症和因病致死的高危險族群,然而目前在資源匱乏的情況下,如何分流照護此族群是一大考驗Drs. Roland 和 Markusb 建議在此情況下,是否讓此高危險族群接受住院治療,應和本人及家屬開誠布公的溝通,尊重本人意願為優先;另外,遠距安寧緩和照護團隊在必要時應與安養中心保持聯繫,予以適當治療,相關SOP請參考附表。

(財團法人國家衛生研究院 莊淑鈞博士摘要整理)

Background: While the whole population is at risk from infection with the coronavirus (SARS-CoV-2), older people – often frail and subject to multimorbidity – are at highest risk for severe and fatal disease. Experience from Italy shows a median age at death of 79 years for men and 82 for women [1]. Severe illness with an uncertain outcome and end-of-life situations call for good palliative care for the patients concerned. The Association for Geriatric Palliative Medicine (FGPG) promotes the integration of a palliative care approach and skills into the care of elderly and very elderly people – both in the inpatient setting and at home. The current pandemic and the publication of the SAMS Guidelines “COVID-19 pandemic: triage for intensive-care treatment under resource scarcity” [2] have prompted the FGPG to prepare these recommendations for practice.

Author:Roland Kunz, Markus Minder
原文連結:https://smw.ch/article/doi/smw.2020.20235