老人末期照顾新进展.ppt

生命末期社區照護之團隊 台大醫院雲林分院 社區及家庭醫學部 彭仁奎 醫師 Comparison of Increasing Aged Proportion in Various Countries 97年台灣死因統計 惡性腫瘤 27.3% 心臟疾病 11.1% 腦血管疾病 7.5% 肺炎 6.1% 糖尿病 5.6% 事故傷害 5% 慢性下呼吸道疾病 3.8% 慢性肝病及肝硬化 3.5% 自殺 2.9% 腎炎、腎徵候群及腎性病變 2.8% 敗血症 2.5% 高血壓性疾病 2.5% 衰老/老邁 1.1% 生命末期的功能衰退 安寧緩和醫療的定義 WHO definition (1990) The active total care of those patients whose disease is not responsive to curative therapy. Control of pain, and of other symptoms, and of psychological and spiritual problems, is paramount. The goal of palliative care is achievement of the best quality of