Palliation, end-of-life care and burns; concepts, decision-making and communication – A narrative review

作者：Daan den Hollander, René Albertyn, Julia Ambler · 发表于：African Journal of Emergency Medicine · 年份：2020 · DOI：10.1016/j.afjem.2020.01.003 · 被引用次数：13 · 研究领域：Burn Injury Management and Outcomes、Palliative Care and End-of-Life Issues、Family and Patient Care in Intensive Care Units

Palliative care is the turn from cure as the priority of care to symptom relief and comfort care. Although very little is published in the burn literature on palliative care, guidelines can be gleaned from the general literature on palliative care, particularly for acute surgical and critical care patients. Palliative care may be started because of futility, on request of the patient, or because of limited resources. The SPIKES acronym is a useful guide to avoid errors in communication with terminal patients and their relatives.