Ch¨m sãc gi¶m nhÑ cho bÖnh
nh©n HIV/AIDS
VCHAP
Vietnam CDC Harvard Medical
School AIDS Partnership
2
Ch¨m sãc gi¶m nhÑ lµ g×?
““Ch¨m sãc gi¶m nhÑ lµ ch¨m sãc toµn diÖn, tÝch
cùc nh÷ng bÖnh nh©n m¾c c¸c bÖnh kh«ng thÓ
®iÒu trÞ khái.
KiÓm so¸t c¸c c¬n ®au vµ c¸c triÖu chøng kh¸c,
kiÓm so¸t c¸c vÊn ®Ò vÒ t©m lý, x· héi vµ tinh
thÇn cã ý nghÜa hÕt søc quan träng.”
WHO, 1990
3
c¸c níc ®ang ph¸t triÓn, giai ®o¹n ở
nhiÔm trïng HIV thêng kh«ng ®îc chÈn
®o¸n cho ®Õn khi bÖnh nh©n ®· ë vµo
giai ®o¹n AIDS.
V× thÕ, nªn b¾t ®Çu ch¨m s ãc gi¶m nhÑ
vµo lóc chÈn ®o¸n nhiÔm HIV
4
Môc tiªu cña ch¨m sãc gi¶m nhÑ
•Gi¶m thiÓu sù khæ ¶i cña bÖnh nh©n, gåm ®au vµ
c¸c triÖu chøng khã chÞu kh¸c
•C¶i thiÖn tèi ®a chÊt lIîng cuéc sèng
•Duy tr× sù tho¶i m¸i vµ phÈm gi¸ cña bÖnh nh©n
•Gióp bÖnh nh©n sèng tÝch cùc nhÊt cã thÓ ®Iîc cho
®Õn khi chÕt
•§¸p øng c¸c nhu cÇu vÒ t©m lý vµ tinh thÇn cña
bÖnh nh©n
5
Môc tiªu cña ch¨m sãc gi¶m nhÑ (tiÕp)
•Kh«ng thóc ®Èy hoÆc tr× ho·n c¸i chÕt
•Hç trî cho gia ®×nh vµ ngIêi th©n cña bÖnh nh©n khi
bÖnh nh©n bÞ èm
•ChuÈn bÞ cho ngIêi sèng chung víi HIV/AIDS vµ gia
®×nh hä vÒ c¸i chÕt, nh÷ng ®iÒu g× cã thÓ x¶y ra
vµ c¸ch hç trî tèt nhÊt cho ngIêi th©n ®ang ®Õn gÇn
c¸i chÕt
•An ñi gia ®×nh ngIêi bÖnh sau khi bÖnh nh©n tö
vong
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