Transcription of clinical question 2015年4月27日 J Hospitalist …
1 clinical question 2015 4 27 J Hospitalist Network 69 stage4 69 1 1 2 50mg 2 1 ADL CODE 3 NSAIDs 3 5 4 clinical ques@on Q1.
2 Q2. Q3. Q4. 5 6 2010 Merit and Demerit Merit Demerit 7 2010 Q2. 8 1) 2) 2010 9 1) (1) (2) 2) 2010 10 1) 2) 3) 1) 2) 2- 3 2010 Q3.
3 Step1: Step2: Step3: Step4: 11 2010 Step1: 12 2010 13 2010 14 2010 15 2010 16 2010
4 17 2010 18 2010 19 2010 NSAIDs 20 2010 21 2010 22 2010 23 2010 24 Pallia@ve performance scale Pallia@ve prognos@c index 25 26 Pallia@ve performance scale 80 85 27 Pallia@ve Performance Index Morita
5 T. Suport Care Cancer 1999;7: 128- 133 28 Pallia@ve Performance Score Maltoni M. J Pain Symptom Manage 1999; 17: 240- 247 Step2: 29 2010 Q4. 30 2010 Step3: 31 1mg/hour 5- 120mg/day ( 20- 40mg/day) 32 10 30mg( 10mg)
6 100mL 2mg 1 2010 33 Step4: 34 2010 98% 75% Cowan JD, Walsh D.
7 Terminal seda@on in pallia@ve medicine- defini@on and review of the literature. Support Care Cancer 2001 9 403- 7 35 60% 28% Morita T, Ikenaga M, Adachi I, et al. Family experience with pallia@ve seda@on therapy for terminally ill cancer J Pain Symptom Manage 2004d 28 557- 65 36 Ventafridda 1990 Stone 1997b Fainsinger 1998a Chiu 2001 Sykes 2003 Kohara 2005 120 115 79 251 237 124 25 19 9 5 28 36 11- 17 23 19 6 7 25 31 13- 16 7 10 11 37 Take home message 1.
8 2. 3. 38
