作者: Kateřina Rusinová , Michal Kouba , Ondřej Kopecký , Iva Macová
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摘要: While terminal palliative care focuses primarily on the management of symptoms immediate dying, early provides an opportunity for patient and his loved ones to understand trajectory illness, receive support coping with diagnosis, increase quality decision-making match patients values preferences. The emphasis is realistic expectations outcome treatment timely anticipation further disease course. paper overview evidence supportive interventions, comparing different trigger mechanisms intervention presents content team. establishment integration consultative team in tertiary hospital described. An illustrative report describes goals conversation its impact advance planning. Palliative widely accepted recommended standard high seriously ill patients. In Czech Republic, it necessary extend availability hospitalized acute setting.