Requested withdrawal of mechanical ventilation in six patients with motor neuron disease
| Autor: | Tim Williams, Thomas Doris, Ben Messer, Alison Armstrong |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Medicine (miscellaneous) Disease 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Health care Humans Medicine 030212 general & internal medicine Airway Management Motor Neuron Disease Intensive care medicine Aged Patient Care Team Mechanical ventilation Terminal Care Oncology (nursing) business.industry Medicine guidelines General Medicine Middle Aged Medical–Surgical Nursing Distress Disease Progression Quality of Life Female business Ventilator Weaning End-of-life care |
| Zdroj: | BMJ Supportive & Palliative Care. 10:10-13 |
| ISSN: | 2045-4368 2045-435X |
| DOI: | 10.1136/bmjspcare-2017-001464 |
| Popis: | ObjectivesMechanical ventilation (MV) has been shown to improve survival and quality of life in motor neuron disease (MND). However, during the progression of MND, there may come a point when MV is no longer felt appropriate. Association of Palliative Medicine Guidelines have been recently published to help clinicians withdraw MV at the request of patients with MND in a safe and compassionate manner to ensure that symptoms of distress and dyspnoea are minimised.MethodsIn this report, we discuss the palliative and ventilatory management of six ventilator-dependent patients with MND who had requested the withdrawal of MV as part of their end-of-life care.ResultsWe have withdrawn MV from six patients with MND at their request and our practice has been influenced by the Association of Palliative Medicine Guidelines.ConclusionWithdrawal of MV in MND at a patient’s request is challenging but is also a fundamental responsibility of healthcare teams. We discuss the lessons we have learnt which will influence our practice and help other teams in the future. |
| Databáze: | OpenAIRE |
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