{"id":2852,"date":"2001-09-30T20:59:00","date_gmt":"2001-10-01T03:59:00","guid":{"rendered":"https:\/\/caccc-usa.org\/?p=2852"},"modified":"2024-12-02T21:00:52","modified_gmt":"2024-12-03T05:00:52","slug":"%e6%89%be%e5%b0%8b%e6%88%91%e5%80%91%e7%9a%84%e8%b7%af-4","status":"publish","type":"post","link":"https:\/\/caccc-usa.org\/en_us\/%e6%89%be%e5%b0%8b%e6%88%91%e5%80%91%e7%9a%84%e8%b7%af-4\/","title":{"rendered":"\u627e\u5c0b\u6211\u5011\u7684\u8def 4"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\u7de9\u548c\u7642\u8b77\uff1a\u75bc\u75db\u548c\u75c7\u72c0\u63a7\u5236<br>\uff08\u4e5d\u6708\u4e09\u5341\u65e5\u661f\u671f\u65e5\u767c\u8868\uff09<br>\uff08\u7de8\u8f2f\ufe55\u9019\u662f\u5341\u4e94\u7bc7\u6709\u95dc\u4eba\u751f\u672b\u671f\u6642\u5982\u4f55\u4fdd\u6301\u5c0a\u56b4\u548c\u54c1\u8cea\u7cfb\u5217\u7684\u7b2c\u56db\u7bc7\uff09<br>\uff08\u7528\u908a\u984c\ufe55\u6b7b\u4ea1\u202d \u202c\u2013\u202d \u202c\u7de9\u548c\u7642\u6cd5\u202d &#8211; 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Beerman\u662f\u4e00\u4f4d54\u6b72\uff0c\u5f88\u7368\u7acb\u5a66\u5973\uff0c\u7f79\u60a3\u672b\u671f\u764c\u75c7\u8d85\u904e\u516d\u5e74\u4e4b\u4e45\u3002\u300c\u6211\u8981\u6211\u7684\u91ab\u751f\u91cd\u8996\u6211\u7684\u751f\u6d3b\u54c1\u8cea\uff0c\u5c0a\u91cd\u6211\u7684\u50f9\u503c\u89c0\u800c\u4e14\u9867\u616e\u5230\u6211\u7684\u5bb6\u5ead\u3002\u300d<br>\u7de9\u548c\u7642\u6cd5\u7684\u5c08\u5bb6\u9f13\u52f5\u75c5\u4eba\u8ac7\u8ad6\u4ed6\u5011\u5e0c\u671b\u7684\u6cbb\u7642\u65b9\u6cd5\uff0c\u4e26\u4e14\u5728\u4ed6\u5011\u9084\u80fd\u8868\u9054\u7684\u6642\u5019\u9810\u5148\u8a08\u5283\u4ed6\u5011\u9700\u8981\u505a\u7684\u4e00\u4e9b\u91ab\u7642\u6c7a\u5b9a\u3002Corbett\u544a\u8a34\u5979\u7684\u91ab\u751f\uff0c\u5230\u4e86\u5979\u4e0d\u80fd\u81ea\u5df1\u505a\u6c7a\u5b9a\u7684\u6642\u5019\uff0c\u5979\u7684\u5148\u751fJohn\u6703\u5e6b\u5979\u505a\u6c7a\u5b9a\u3002<br>\u7de9\u548c\u7642\u6cd5\u7684\u5c08\u5bb6\u4e5f\u5f37\u8abf\u5bb6\u5ead\u652f\u6301\u7684\u91cd\u8981\u6027\u3002\u6700\u8fd1\u4e00\u9805\u8abf\u67e5\u6307\u51fa\uff0c\u4e09\u5206\u4e4b\u4e00\u7684\u7167\u9867\u8005\u672c\u8eab\u7684\u9700\u8981\u6c92\u6709\u6eff\u8db3\uff0c\u800c\u4e14\u6709\u4e09\u5206\u4e4b\u4e00\u7684\u5bb6\u5ead\u70ba\u7167\u6599\u751f\u91cd\u75c5\u7684\u89aa\u4eba\u82b1\u6389\u4e86\u5168\u90e8\u7684\u7a4d\u84c4\u3002\u56e0\u70ba\u9019\u4e8b\u60c5\u5f71\u97ff\u5de8\u5927\uff0c\u7de9\u548c\u7642\u6cd5\u628a\u6574\u500b\u5bb6\u5ead\u7d0d\u5165\u8003\u91cf\u4e4b\u5167\u3002<br>\u7de9\u548c\u7642\u6cd5\u548c\u5b89\u5be7\u7642\u8b77\u63a1\u540c\u6a23\u7684\u539f\u5247\u3002\u5b89\u5be7\u7642\u8b77\u662f\u63d0\u4f9b\u5c45\u5bb6\u81e8\u7d42\u8b77\u7406\u3002\u5b89\u5be7\u7642\u8b77\u5728\u7f8e\u570b\u5927\u7d04\u6210\u7acb\u4e86\u4e09\u5341\u5e74\u3002\u5341\u5e74\u524d\u653f\u5e9c\u7684\u5065\u5eb7\u4fdd\u96aaMedicare\u548cMedicaid\u958b\u59cb\u652f\u4ed8\u8cbb\u7528\u3002\u548c\u7de9\u548c\u7642\u6cd5\u4e0d\u540c\u7684\u662f\uff0c\u5b89\u5be7\u7642\u8b77\u53ea\u9069\u7528\u65bc\u6c7a\u5b9a\u4e0d\u63a1\u53d6\u7a4d\u6975\u5ef6\u9577\u751f\u547d\u7684\u6cbb\u7642\uff0c\u4e14\u7d93\u91ab\u751f\u8b49\u660e\u751f\u547d\u5c11\u65bc\u516d\u500b\u6708\u7684\u75c5\u4eba\u3002\u5c0d\u5408\u683c\u7684\u75c5\u4eba\uff0c\u91ab\u8b77\u55ae\u4f4d\u6703\u63d0\u4f9b\u5c45\u5bb6\u7684\u7de9\u548c\u91ab\u7642\u3002<br>\u7167\u7406\u60f3\u60c5\u6cc1\uff0c\u7de9\u548c\u7642\u6cd5\u548c\u5b89\u5be7\u7642\u8b77\u53ef\u4ee5\u5408\u4f75\u4f7f\u7528\uff0c\u202d \u202c\u5e6b\u52a9\u75c5\u4eba\u53ca\u5bb6\u5c6c\u6e21\u904e\u751f\u75c5\u9019\u6bb5\u6b77\u7a0b\u3002<br>\u5728\u767c\u75c5\u5f8c\u4e0d\u4e45\uff0cCorbett\u5c31\u807d\u5230Jacob\u202d \u202cPerlow\u202d \u202chospice\uff0c\u9019\u662fBeth\u202d \u202cIsrael\u7de9\u548c\u91ab\u7642\u8a08\u5283\u4e0b\u7684\u4e00\u500b\u5b89\u5be7\u75c5\u9662\u3002\u5979\u77e5\u9053\uff0c\u7576\u6642\u5019\u5230\u6642\u53ef\u9078\u64c7\u9019\u9805\u670d\u52d9\u3002\u5979\u5728\u53bb\u901d\u524d\u4e09\u500b\u6708\u52a0\u5165\u4e86\u5b89\u5be7\u7167\u8b77\u3002\u5b89\u5be7\u7167\u8b77\u5c0f\u7d44\u5b9a\u671f\u4f86\u5bb6\u4e2d\u7167\u8b77\u5979\u3002\u7576\u5979\u6f38\u8da8\u8870\u5f31\u9700\u8981\u66f4\u8907\u96dc\u7684\u6cbb\u7642\u6642\uff0c\u5979\u8f49\u5165Beth Israel\u7684\u7de9\u548c\u91ab\u7642\u53ca\u5b89\u5be7\u7167\u8b77\u91ab\u9662\u3002\u4ed6\u5011\u8b93\u4ed6\u5728\u4e16\u7684\u6700\u5f8c\u4e00\u6bb5\u65e5\u5b50\u7559\u5728\u5bb6\u4e2d\u3002\u5e7e\u5929\u4e4b\u5f8c\u5728\u4e08\u592b\u7684\u966a\u4f34\u4e0b\uff0c\u5979\u5b89\u7136\u53bb\u901d\u3002\u3000<br>\u4e09\u661f\u671f\u5f8c\uff0c\u7576John Meneghello\u56de\u9867\u4ed6\u592a\u592a\u751f\u75c5\u7684\u9019\u6bb5\u6f2b\u9577\u65e5\u5b50\u6642\uff0c\u4ed6\u8aaa\uff1a\u300c\u7de9\u548c\u7642\u6cd5\u5e6b\u52a9\u6211\u5011\u8212\u89e3\u58d3\u529b\uff0c\u4f7f\u6211\u5011\u80fd\u5920\u6e21\u904e\u9019\u6bb5\u6b77\u7a0b\u3002\u300d<br><br>\u202d(\u202c\u672c\u6587\u4f5c\u8005Russell K\u202d. \u202cPortenoy\u662f\u7d10\u7d04Beth\u202d \u202cIsrael\u91ab\u7642\u4e2d\u5fc3\uff0c\u75bc\u75db\u53ca\u7de9\u548c\u7642\u8b77\u7cfb\u202d(\u202cDepartment of Pain Medicine and Palliative Care\u202d)\u202c\u7684\u91ab\u751f\u53ca\u4e3b\u4efb\uff0c\u4e5f\u662f\u7d10\u7d04Albert Einstein\u91ab\u5b78\u9662\u795e\u7d93\u79d1\u7684\u6559\u6388\u3002\u202d)\u202c<br>(\u6709\u95dc\u81e8\u7d42\u8b70\u984c\u7684\u8cc7\u6599\uff0c\u8acb\u5230 www.findingourway.net \u67e5\u8a62\u3002)<br><br>\u7de9\u548c\u7642\u6cd5\u6307\u5f15<br>\uff08\u7528\u908a\u984c\ufe55\u6b7b\u4ea1\u202d-\u202c\u7de9\u548c\u7642\u6cd5\u202d-\u202c\u75bc\u75db\uff0c\u6b7b\u4ea1\u202d-\u202c\u7de9\u548c\u7642\u6cd5\u202d-\u202c\u5e6b\u52a9\uff09<br>Russell K\u202d. \u202cPortenoy\u202d \u202c\u202d\/ \u202c\u9867\u60e0\u7fce\u202d \u202c\u8b6f\u3000\u3000<br><br>\u5982\u679c\u4f60\u767c\u73fe\u81ea\u5df1\u5f97\u5230\u5371\u53ca\u751f\u547d\u7684\u75be\u75c5\uff0c\u5728\u6cbb\u7642\u904e\u7a0b\u4e2d\u4efb\u4f55\u4e00\u500b\u968e\u6bb5\u90fd\u53ef\u8981\u6c42\u63a1\u53d6\u7de9\u548c\u7642\u6cd5\u4ee5\u5f97\u5230\u6700\u597d\u7684\u751f\u6d3b\u54c1\u8cea\u3002\u5c08\u5bb6\u5efa\u8b70\u8d8a\u65e9\u958b\u59cb\u8d8a\u597d\u3002<br>Ronald Schonwetter\u662f\u7f8e\u570b\u5b89\u5be7\u53ca\u7de9\u548c\u91ab\u7642\u5354\u6703\u7684\u4e3b\u5e2d\uff0c\u4e5f\u662f\u5357\u4f5b\u5927\u202d(\u202cUniversity of South Florida\u202d) \u202c\u91ab\u5b78\u9662\u7684\u6559\u6388\u3002\u4ed6\u8aaa\u7de9\u548c\u7642\u6cd5\u4e26\u4e0d\u9700\u8981\u4fdd\u7559\u5230\u751f\u547d\u6700\u5f8c\u5e7e\u500b\u661f\u671f\u6216\u5e7e\u500b\u6708\u624d\u63a1\u7528\u3002<br>\u4f60\u7684\u91ab\u751f\u53ef\u4ee5\u63d0\u4f9b\u7de9\u548c\u7642\u6cd5\u3002\u6709\u6642\u5019\u4ed6\u4e5f\u53ef\u80fd\u4ecb\u7d39\u4f60\u53bb\u770b\u91ab\u9662\u7684\u5c08\u5bb6\u6216\u7de9\u548c\u6cbb\u7642\u5c0f\u7d44\u3002\u5f88\u591a\u91ab\u9662\u90fd\u63d0\u4f9b\u9019\u9805\u670d\u52d9\u3002<br>\u8a18\u4f4f\uff0c\u8981\u6c42\u63a1\u53d6\u7de9\u548c\u6cbb\u7642\u4e26\u4e0d\u8868\u793a\u4f60\u5df2\u7d93\u653e\u68c4\u5ef6\u9577\u751f\u547d\u7684\u52aa\u529b\u3002\u9019\u53ea\u662f\u8868\u793a\u4f60\u4e86\u89e3\uff0c\u4f60\u5728\u5fc3\u9748\u3001\u5fc3\u7406\u3001\u793e\u6703\u3001\u53ca\u7cbe\u795e\u4e0a\u7684\u9700\u8981\uff0c\u548c\u6cbb\u7642\u4f60\u7684\u75be\u75c5\u662f\u540c\u6a23\u7684\u91cd\u8981\u3002<br>\u9019\u88e1\u9084\u6709\u5e7e\u9ede\u5176\u4ed6\u6709\u7528\u7684\u53c3\u8003\uff1a<br>\u2500\u202d \u202c\u8981\u77e5\u9053\u75bc\u75db\u4e26\u4e0d\u662f\u4e0d\u53ef\u4ee5\u907f\u514d\u7684\u3002\u85e5\u7269\u6216\u5584\u5de7\u7684\u6cbb\u7642\u6cd5\u5e7e\u4e4e\u53ef\u4ee5\u5b8c\u5168\u63a7\u5236\u4f4f\u75bc\u75db\u3002<br>\u2500\u202d \u202c\u8981\u4e86\u89e3\u5f37\u6548\u6b62\u75db\u85e5\u5c0d\u591a\u6578\u75c5\u4eba\u4f86\u8aaa\u662f\u6700\u597d\u7684\u6b62\u75db\u65b9\u6cd5\u3002\u4e0d\u8981\u5bb3\u6015\u4f7f\u7528\u6b64\u985e\u6216\u5176\u4ed6\u5f37\u6548\u7684\u85e5\u7269\uff1b\u82e5\u9069\u7576\u4f7f\u7528\uff0c\u9019\u4e9b\u85e5\u7269\u5f88\u5b89\u5168\uff0c\u5f88\u5c11\u6703\u8b93\u4eba\u4e0a\u766e\uff0c\u4e26\u53ef\u4ee5\u9577\u671f\u4f7f\u7528\u3002\u4f60\u7684\u91ab\u751f\u61c9\u8a72\u5411\u4f60\u89e3\u91cb\u5b89\u5168\u3001\u6709\u6548\u7684\u4f7f\u7528\u65b9\u6cd5\u3002\u5982\u679c\u4f60\u7684\u91ab\u751f\u4e0d\u80fd\uff0c\u6216\u4e0d\u9858\u5e6b\u5fd9\uff0c\u4e0d\u9700\u8981\u9867\u5fcc\uff0c\u53ef\u8acb\u4ed6\u63a8\u85a6\u5225\u7684\u91ab\u751f\u3002<br>\u2500\u202d \u202c\u5118\u65e9\u5b89\u6392\u4e00\u4f4d\u91ab\u7642\u4ee3\u8a00\u4eba\uff0c\u9078\u4e00\u4f4d\u5bb6\u4eba\u6216\u670b\u53cb\uff0c\u76f8\u4fe1\u4ed6\u5728\u4f60\u4e0d\u80fd\u81ea\u5df1\u505a\u91ab\u7642\u6c7a\u5b9a\u6642\u53ef\u4ee5\u7167\u4f60\u7684\u610f\u601d\u5e6b\u4f60\u505a\u6c7a\u5b9a\u3002\u5728\u7dca\u6025\u60c5\u6cc1\u767c\u751f\u4e4b\u524d\uff0c\u5148\u8a0e\u8ad6\u4f60\u7684\u91ab\u7642\u9078\u64c7\u53ca\u4f60\u8981\u4ed6\u5011\u5982\u4f55\u8655\u7406\uff0c\u4f8b\u5982\u8981\u4e0d\u8981\u63a5\u4e0a\u6a5f\u5668\u7dad\u6301\u751f\u547d\u202d?\u202c<br><br>X X X<br>RESOURCES<br>Web sites\u202d:\u202c<br>\u2014\u202d \u202cAmerican Board of Hospice and Palliative Medicine\u202d, \u202c9200\u202d \u202cDaleview Court\u202d, \u202cSilver Spring\u202d, \u202cMd\u202d. \u202c20901\u202d; (\u202c301\u202d) \u202c439-8001\u202d; \u202c<a href=\"http:\/\/www.abhpm.org%22%20%5Ct%20%22link\">www.abhpm.org<\/a>\u202d \u202c<br>\u2014\u202d \u202cNational Hospice and Palliative Care\u202d \u202cOrganization\u202d, \u202c1700\u202d \u202cDiagonal Road\u202d, \u202cSuite 300\u202d, \u202cAlexandria\u202d, \u202cVa\u202d. \u202c22314\u202d; (\u202c703\u202d) \u202c243-5900\u202d; \u202c<a href=\"http:\/\/www.nho.org%22%20%5Ct%20%22link\">www.nho.org<\/a>\u202d \u202c<br>\u2014\u202d \u202cAmerican Medical Association\u202d, \u202cInstitute for Ethics\u202d, \u202cEPEC\u202d (\u202cEducation for Physicians on End of Life Care Project\u202d)\u202c\u202d, \u202c515\u202d \u202cN\u202d. \u202cState St\u202d., \u202cChicago\u202d, \u202cIll\u202d. \u202c60610\u202d; (\u202c312\u202d) \u202c464-4979\u202d; \u202c<a href=\"http:\/\/www.ama-assn.org\/\">www.ama-assn.org<\/a><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><br>\u66f8\u7c4d\uff1a<br>\u2014\u202d \u202c\u201cThe Dying Process\u202d: \u202cPatients\u2019\u202d \u202cExperiences of Palliative Care\u202d,\u202c\u201d\u202d \u202cby Julia Lawton\u202d (\u202cRoutledge\u202d, \u202c2000\u202d; $\u202c24.99\u202d).\u202c<br>\u2014\u202d \u202c\u201cLiving With Dying\u202d: \u202cA Guide for Palliative Care\u202d,\u202c\u201d\u202d \u202cby Cicely M\u202d. \u202cSaunders\u202d, \u202cMary Baines and Robert Dunlop\u202d (\u202cOxford University Press\u202d, \u202c1995\u202d; $\u202c23.95\u202d)\u202c\u202d.\u202c<br>\u2014\u202d \u202c\u201cHospice and Palliative Care\u202d,\u202c\u201d\u202d \u202cby Virginia F\u202d. \u202cSendor and Patrice M\u202d. \u202cO\u2019Connor\u202d (\u202cScarecrow Press\u202d, \u202c1997\u202d; $\u202c39.50\u202d).\u202c<br>(\u6709\u95dc\u81e8\u7d42\u8b70\u984c\u7684\u8cc7\u6599\uff0c\u8acb\u5230 www.findingourway.net \u67e5\u8a62\u3002)<br><br>\u75bc\u75db\u6307\u5f15<br>\uff08\u7528\u908a\u984c\ufe55\u6b7b\u4ea1\u202d-\u202c\u7de9\u548c\u7642\u6cd5\u202d-\u202c\u75bc\u75db\uff0c\u6b7b\u4ea1\u202d-\u202c\u7de9\u548c\u7642\u6cd5\u202d-\u202c\u5e6b\u52a9\u202d \u202c\u5168\u570b\u6027\uff0c\u751f\u6d3b\u578b\u614b\uff0c\u202d \u202c\u5065\u5eb7\uff09<br>\uff08\u4e5d\u6708\u4e09\u5341\u65e5\u661f\u671f\u65e5\u767c\u8868\uff09<br>June Dahl\u202d \u202c\u202d\/ \u202c\u9867\u60e0\u7fce\u202d \u202c\u8b6f\u3000\u3000<br><br>\u591a\u534a\u4eba\u90fd\u6703\u540c\u610f\uff0c\u7f8e\u570b\u4eba\u4e00\u60f3\u5230\u6b7b\u4ea1\u524d\u4f34\u96a8\u800c\u4f86\u7684\u75db\u82e6\u5c31\u611f\u5230\u6050\u61fc\u3002<br>\u904e\u53bb25\u5e74\u4f86\uff0c\u5728\u6cbb\u7642\u56e0\u56b4\u91cd\u75be\u75c5\u6240\u5f15\u8d77\u7684\u75bc\u75db\u5df2\u6709\u91cd\u5927\u7684\u9032\u6b65\u3002\u91ab\u7642\u55ae\u4f4d\u6aa2\u5b9a\u59d4\u54e1\u6703\u202d(\u202cJoint Commission on Accreditation of Healthcare Organizations\u202d) \u202c\u8a2d\u7acb\u7684\u65b0\u6a19\u6e96\uff0c\u8981\u6c42\u91ab\u7642\u55ae\u4f4d\u8a55\u4f30\u53ca\u8655\u7406\u75bc\u75db\u554f\u984c\u3002\u53ef\u662f\u8a31\u591a\u7684\u75bc\u75db\u9084\u6c92\u6709\u5f97\u5230\u8212\u89e3\u3002<br>\u9019\u662f\u56e0\u70ba\u91ab\u751f\u548c\u75c5\u4eba\u9084\u662f\u9867\u616e\u5230\uff0c\u6b62\u75db\u85e5\u6703\u5f15\u8d77\u6bd2\u766e\u6216\u526f\u4f5c\u7528\u3002\u53ef\u662f\u81f3\u4eca\u8a31\u8a31\u591a\u591a\u7684\u7814\u7a76\u4e26\u6c92\u6709\u767c\u73fe\uff0c\u4f7f\u7528\u5f37\u6548\u6b62\u75db\u85e5\u63a7\u5236\u75bc\u75db\u6703\u5f15\u8d77\u6bd2\u766e\u7684\u8b49\u660e\u3002<br>\u4ee5\u4e0b\u662f\u5982\u4f55\u6700\u6709\u6548\u63a7\u5236\u75bc\u75db\u7684\u65b9\u6cd5\uff1a<br>\u2500\u202d \u202c\u75c5\u4eba\u9700\u8981\u5766\u8aa0\u7684\u544a\u8a34\u5bb6\u4eba\u53ca\u7167\u6599\u8005\u4ed6\u7684\u75bc\u75db\u3002<br>\u2500\u202d \u202c\u8981\u6307\u51fa\u54ea\u88e1\u75bc\u75db\uff0c\u75db\u7684\u7a0b\u5ea6\uff0c\u662f\u4ec0\u9ebc\u6a23\u7684\u611f\u89ba\uff0c\u5c0d\u4f60\u7684\u751f\u6d3b\u9020\u6210\u4ec0\u9ebc\u6a23\u7684\u5f71\u97ff\u3002<br>\u2500\u202d \u202c\u544a\u8a34\u91ab\u751f\u6216\u8b77\u58eb\u4ec0\u9ebc\u6703\u52a0\u91cd\u6216\u6e1b\u8f15\u4f60\u7684\u75bc\u75db\uff0c\u4f60\u66fe\u7528\u904e\u4f55\u7a2e\u85e5\u7269\u6216\u5176\u4ed6\u7642\u6cd5\u4f86\u8212\u89e3\u75bc\u75db\u3002<br>\u2500\u202d \u202c\u6700\u597d\u5728\u770b\u91ab\u751f\u4e4b\u524d\u5148\u5beb\u4e0b\u4f60\u7684\u554f\u984c\uff0c\u56e0\u70ba\u770b\u91ab\u751f\u6642\u5e38\u6703\u56e0\u70ba\u7dca\u5f35\u800c\u5fd8\u6389\u4e00\u4e9b\u554f\u984c\u3002\u6700\u597d\u662f\u6709\u5bb6\u4eba\u6216\u670b\u53cb\u966a\u540c\u4f60\u53bb\u770b\u91ab\u751f\u6216\u8b77\u58eb\u3002<br>\u2500\u202d \u202c\u8a18\u4f4f\u75bc\u75db\u662f\u6709\u8fa6\u6cd5\u6e1b\u8f15\u7684\u3002\u6b62\u75db\u85e5\u662f\u4e0d\u6703\u4e0a\u766e\u7684\u3002\u4e0d\u8981\u9072\u7591\u4e0d\u544a\u8a34\u91ab\u751f\u6216\u8b77\u58eb\u4f60\u7684\u75bc\u75db\u3002<br>\u2500\u202d \u202c\u7f8e\u570b\u9632\u764c\u5354\u6703\u202d(\u202cAmerican Cancer Society\u202d)\u202c\uff0c\u7f8e\u570b\u764c\u75c7\u75bc\u75db\u806f\u76df\u202d (\u202cAmerican Alliance of Cancer\u202d \u202cPain Initiatives\u202d)\u202c\uff0c\u5168\u570b\u764c\u75c7\u5354\u6703\u764c\u75c7\u8cc7\u8a0a\u670d\u52d9\u202d(\u202cThe Cancer Information Service\u202d, \u202cNational Cancer Institute\u202d)\u202c\uff0c\u7f8e\u570b\u75bc\u75db\u57fa\u91d1\u6703\u202d(\u202cAmerican Pain Foundation\u202d) \u202c\u90fd\u6709\u63d0\u4f9b\u5370\u5237\u53ca\u7db2\u9801\u8cc7\u6599\u3002<br>\u2500\u202d \u202c\u6700\u5f8c\uff0c\u9f13\u52f5\u4f60\u7684\u6559\u6703\uff0c\u8001\u4eba\u4e2d\u5fc3\u53ca\u793e\u6703\u670d\u52d9\u55ae\u4f4d\u8d0a\u52a9\u6709\u95dc\u75bc\u75db\u8655\u7406\u53ca\u7de9\u548c\u7642\u6cd5\u7684\u8b1b\u6f14\u3002\u806f\u7d61\u7576\u5730\u7684\u91ab\u9662\u3001\u7642\u990a\u9662\u6216\u5c45\u5bb6\u8b77\u7406\u55ae\u4f4d\uff0c\u5efa\u8b70\u4ed6\u5011\u8209\u8fa6\u6709\u95dc\u751f\u547d\u672b\u671f\u7167\u6599\u8b70\u984c\u7684\u516c\u5171\u8aaa\u660e\u6703\u3002<br><br>\u202d(\u202c\u4f5c\u8005June Dahl\u662f\u5a01\u65af\u5eb7\u8f9b\u91ab\u5b78\u9662\u85e5\u5291\u5b78\u7684\u6559\u6388\u3002\u202d)\u202c\u3000<br>(\u6709\u95dc\u81e8\u7d42\u8b70\u984c\u7684\u8cc7\u6599\uff0c\u8acb\u5230 www.findingourway.net \u67e5\u8a62\u3002)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u7de9\u548c\u7642\u8b77\uff1a\u75bc\u75db\u548c\u75c7\u72c0\u63a7\u5236\uff08\u4e5d\u6708\u4e09\u5341\u65e5\u661f\u671f\u65e5\u767c\u8868\uff09\uff08\u7de8\u8f2f\ufe55\u9019\u662f\u5341\u4e94\u7bc7\u6709\u95dc\u4eba\u751f\u672b\u671f\u6642\u5982\u4f55\u4fdd\u6301\u5c0a\u56b4\u548c\u54c1\u8cea\u7cfb\u5217\u7684\u7b2c\u56db\u7bc7\uff09\uff08\u7528\u908a\u984c\ufe55\u6b7b\u4ea1\u202d \u202c\u2013\u202d \u202c\u7de9\u548c\u7642\u6cd5\u202d &#8211; \u202c\u75bc\u75db\uff0c\u202d \u202c\u6b7b\u4ea1\u202d \u202c\u2013\u202d \u202c\u7de9\u548c\u7642\u6cd5\u202d \u202c\u202d-\u202c\u202d \u202c\u5e6b\u52a9\uff09Russell K\u202d. \u202cPortenoy\u202d \u202c\u202d \u202c\u202d\/ \u202c\u9867\u60e0\u7fce\u202d \u202c\u8b6f\u3000\u3000 \u540c\u591a\u6578\u7f8e\u570b\u4eba\u4e00\u6a23\uff0cMadeleine Corbett\u548c\u4ed6\u7684\u4e08\u592bJohn Meneghello\u5c0d\u7de9\u548c\u7642\u6cd5\u202d(\u202cpalliative care\u202d)\u202c\u4e00\u7121\u6240\u77e5\u3002\u76f4\u5230\u81ea\u5df1\u5f97\u4e86\u91cd\u75c5\uff0c\u4ed6\u5011\u624d\u767c\u73fe\u9019\u500b\u540d\u8a5e\u7684\u610f\u601d\u3002 1999\u5e74\u4e5d\u6708\uff0cCorbett\u4e00\u76f4\u4e7e\u54b3\u4e0d\u505c\uff0c\u6aa2\u67e5\u7d50\u679c\u662f\u80ba\u764c\u3002\u5979\u53ea\u670956\u6b72\uff0c\u202d \u202c\u5176\u4ed6\u5065\u5eb7\u60c5\u6cc1\u826f\u597d\u3002\u5979\u6c7a\u5b9a\u52aa\u529b\u8fce\u6230\u3002\u5979\u5728\u7d10\u7d04Beth Israel\u91ab\u7642\u4e2d\u5fc3\u7684\u816b\u7624\u91ab\u751f\u7a4d\u6975\u7684\u7d66\u4ed6\u4f5c\u5316\u7642\u53ca\u653e\u5c04\u7dda\u6cbb\u7642\u3002\u5728\u8a3a\u65b7\u51fa\u75c5\u56e0\u5f8c\u4e0d\u4e45\uff0cMadeleine\u7684\u54b3\u55fd\u8b8a\u5f97\u5f88\u56b4\u91cd\uff0c\u4ed6\u7684\u91ab\u751f\u8acb\u4e86\u4e00\u4f4d\u91ab\u9662\u7684\u75bc\u75db\u53ca\u7de9\u548c\u6cbb\u7642\u90e8\u9580\u7684\u5c08\u79d1\u91ab\u5e2b\u3002\u202d 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