End-of-life care for patients with interstitial pneumonia

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  • Shishido Katsuko
    Department of Respiratory Medicine, Osaka Prefectural Hospital Organization Osaka Prefectural Medical Center for Respiratory and Allergic Diseases
  • Ishihara Hideki
    Department of Respiratory Medicine, Osaka Prefectural Hospital Organization Osaka Prefectural Medical Center for Respiratory and Allergic Diseases
  • Bando Chiaki
    Department of Respiratory Medicine, Osaka Prefectural Hospital Organization Osaka Prefectural Medical Center for Respiratory and Allergic Diseases
  • Tamura Kazuyo
    Department of Respiratory Medicine, Osaka Prefectural Hospital Organization Osaka Prefectural Medical Center for Respiratory and Allergic Diseases
  • Shishido Naohiko
    Department of Rehabilitation, Osaka Prefectural Hospital Organization Osaka Prefectural Medical Center for Respiratory and Allergic Diseases
  • Matsuoka Hiroto
    Department of Intensive Care, Osaka Prefectural Hospital Organization Osaka Prefectural Medical Center for Respiratory and Allergic Diseases
  • Morishita Hiroshi
    Department of Intensive Care, Osaka Prefectural Hospital Organization Osaka Prefectural Medical Center for Respiratory and Allergic Diseases

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Other Title
  • 間質性肺炎のターミナルケア
  • カンシツセイ ハイエン ノ ターミナルケア

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Description

間質性肺炎は予後不良であることが多く，急性増悪という特異な病態があるため，突然終末期に陥る可能性がある．しかし非癌疾患であるため患者側には予後不良の認識は薄い．終末期に無用の混乱をきたさないように病初期から医療者側と患者側が共通の認識をもつことが大切であり，終末期の呼吸管理や鎮静の方針については事前に十分話し合い，共通の認識をもてるようにすることが重要である．

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