Z Palliativmed最新文献

{"title":"Präklinische palliative Notfälle – Besonderheiten bei der therapeutischen Entscheidung1","authors":"C. Wiese, K. Ittner, B. Graf, C. Lassen","doi":"10.1055/s-0031-1298954","DOIUrl":"https://doi.org/10.1055/s-0031-1298954","url":null,"abstract":"Seit einigen Jahren findet in Deutschland eine Anderung der Indikationen fur Notarzteinsatze statt. Aus diesem Grund lasst sich die ursprungliche Intention des organisierten Rettungswesens in Deutschland, primar Verkehrsunfallpatienten zu versorgen, nicht mehr alleine aufrechterhalten. Vielmehr werden uberwiegend Patienten mit internistisch / neurologischen Krankheiten notfallmedizinisch betreut. Die demografische Veranderung der Bevolkerungsstruktur wird in Zukunft zu einer vermehrten notfallmedizinischen Inanspruchnahme durch altere und z. T. multimorbide Patienten fuhren. Durch den gesetzlichen Anspruch und den erfreulichen Ausbau der ambulanten Palliativversorgung werden zunehmend Patienten mit inkurablen Erkrankungen bis zum Lebensende in hauslicher Umgebung betreut (gemas §§ 37b und 132d SGB V). Aus diesem Grund werden auch Notarzte ofter mit Palliativpatienten und Patienten am Lebensende konfrontiert (aktuell ca. 3 % aller Notarzteinsatze in Deutschland). Im Folgenden sollen daher aus notfallmedizinischer Sicht die sog. „palliativen Notfalle“ (Definition: Notfallsituationen bei Patienten mit inkurablen Erkrankungen im palliativen Krankheitsstadium), deren mogliche Besonderheiten sowie notfallmedizinische therapeutische Entscheidungsfindungen dargestellt, erlautert und diskutiert werden. In Germany, the scope of different emergency situations for emergency medical services has changed over the last years. The original intention of the German emergency medicine system was to treat patients injured in traffic accidents. This has switched to a care of patients with mostly medical and / or neurological problems. The demographic change in the population has led to an increased number of elderly and multimorbidly patients. Additionally the home-care of patients with incurable diseases is gaining in importance. Since 2007 patients can demand a palliative-care support at home by German law. These patients are likely to get in contact with prehospital emergency physicians during their illness (3 % of all prehospital emergency physician patient contacts are with palliative patients). In this article, the so-called „palliative emergencies“ (defined as emergency situations in patients with an incurable disease in a palliative stage) with their special features along with emergency treatment will be explained and discussed.","PeriodicalId":116857,"journal":{"name":"Z Palliativmed","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126056656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Einstellungen von Studierenden unterschiedlicher Studienfächer zu Entscheidungen am Lebensende – eine Pilotstudie an einer Universität in Deutschland","authors":"Autoren S. Stiel, K. Daemberg, M. Matejek, T. Pianta, R. Voltz, C. Ostgathe, Palliativmedizinische Abteilung, A. Klinik, Universitätsklinikum Erlangen, Zentrum für Palliativmedizin, Uniklinik Köln, ●. Tötung, ●. Palliativmedizin, ●. Studierende, Dr. Stephanie Stiel","doi":"10.1055/s-0031-1276930","DOIUrl":"https://doi.org/10.1055/s-0031-1276930","url":null,"abstract":"Einleitung Methode Ergebnisse Schlussfolgerung Introduction Methods Results Conclusions","PeriodicalId":116857,"journal":{"name":"Z Palliativmed","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128824713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Standards und Richtlinien für Hospiz- und Palliativversorgung in Europa: Teil 11","authors":"L. Radbruch, S. Payne, null EAPC-Vorstand","doi":"10.1055/s-0031-1276909","DOIUrl":"https://doi.org/10.1055/s-0031-1276909","url":null,"abstract":"Institute 1 Klinik für Palliativmedizin, Universitätsklinikum Bonn und Zentrum Palliativmedizin, Malteser Krankenhaus Bonn/Rhein-Sieg 2 European Association for Palliative Care (EAPC) President und der EAPC-Vorstand (Michaela Bercovitch, Augusto Caraceni, Tine De Vlieger, Pam Firth, Katalin Hegedus, Maria Nabal, André Rhebergen, Esther Schmidlin, Per Sjøgren, Carol Tishelman, Chantal Wood, and Honorary Director Franco De Conno)","PeriodicalId":116857,"journal":{"name":"Z Palliativmed","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131172255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bedarfsanalyse für Fortbildungen zum Umgang mit Tod und Trauer bei Kindern und Jugendlichen","authors":"M. Pestinger, D. Schartmann-Unrath, S. Stiel, T. Pastrana, L. Radbruch, F. Elsner","doi":"10.1055/s-0031-1276894","DOIUrl":"https://doi.org/10.1055/s-0031-1276894","url":null,"abstract":"Hintergrund Methode Ergebnisse Schlussfolgerungen Background Method Results Conclusions","PeriodicalId":116857,"journal":{"name":"Z Palliativmed","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129147135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Europäische Empfehlungen zur Palliativversorgung und Hospizarbeit und ihre Umsetzung in Deutschland","authors":"L. Radbruch, C. Bausewein, S. Simon, W. Sipp, W. Wodarg, S. Jünger","doi":"10.1055/s-0030-1266142","DOIUrl":"https://doi.org/10.1055/s-0030-1266142","url":null,"abstract":"! The European Association for Palliative Care has initiated the Budapest Commitments in the year 2007. The Charta for Care of Severely Ill and Dying Patients in Germany is the German contribution to the Budapest Commitments. This paper presents the international dimension of the Charta. In comparison with the recommendations of the Council of Europe Germany lacks political input and strategies for palliative and hospice care. Access to palliative care is restricted mostly to cancer patients, whereas other patient groups find it much harder to find access. In the Martin Moreno Report to the European Parliament Germany was ranked 8th in comparison with other European countries, with a particular positive evaluation of the dynamics of the development.","PeriodicalId":116857,"journal":{"name":"Z Palliativmed","volume":"131 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114684910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arzneimittelinteraktionen","authors":"C. Remi, C. Bausewein","doi":"10.1055/s-0031-1276844","DOIUrl":"https://doi.org/10.1055/s-0031-1276844","url":null,"abstract":"! In palliative medicine, it is daily routine to combine various drugs. The risk of drug interactions which can affect drug safety and treatment success rises with every additional drug. Individual patient factors play a similar role as do different time contexts. Knowledge about pharmacokinetic and pharmacodynamic characteristics of various substances is helpful to estimate the risk of interactions. Not every theoretical interaction is relevant for clinical practice. It is important to have a basic awareness for interactions in order to plan drug therapy appropriately and to be able to react adequately to new symptoms.","PeriodicalId":116857,"journal":{"name":"Z Palliativmed","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116399361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Formen der Finanzierung von Palliativversorgung im Krankenhaus","authors":"B. O. M. Vnr, Dr. med. Oliver, Maier, BO Maier, Formen der Finanzierung, Z. Palliativmed","doi":"10.1055/s-0030-1266078","DOIUrl":"https://doi.org/10.1055/s-0030-1266078","url":null,"abstract":"konzep-tionellen","PeriodicalId":116857,"journal":{"name":"Z Palliativmed","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132567235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Schwere CYP2D6-assoziierte Medikamentennebenwirkungen bei Palliativpatienten – eine kasuistische Annäherung","authors":"A. Eichhorn, J. Barth","doi":"10.1055/s-0030-1266061","DOIUrl":"https://doi.org/10.1055/s-0030-1266061","url":null,"abstract":"Onkologische Patienten in der Palliativsituation leiden häufig an einer Vielzahl von Symptomen, die der Grunderkrankung bzw. deren Therapie zuzuordnen und als solche (ohne Therapie) irreversibel sind. Sie sollen im Rahmen eines palliativmedizinischen Konzeptes lebensqualitätsorientiert behandelt werden. Gelegentlich können aber auch bei diesen Patienten schwerwiegende Symptome auftreten, die medikamentös induziert sind und durch entsprechende Anpassung der Medikation ohne weitere Therapie zu einer kompletten Rückläufigkeit gebracht werden können. Die Schwierigkeit besteht darin, vor dem Hintergrund der komplexen Erkrankungssituation derartige Situationen früh genug zu erkennen. Dies kann – wie das folgende Fallbeispiel zeigt – maßgeblich die Lebensqualität in den voraussichtlich letzten Lebensmonaten dieser Patienten beeinflussen.","PeriodicalId":116857,"journal":{"name":"Z Palliativmed","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131256331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Organisation und Qualität der ärztlichen Versorgung in den Hospizen in NRW vor Einführung der Spezialisierten Ambulanten Palliativversorgung (SAPV)","authors":"A. Nauck, S. John, C. Ostgathe, E. Klaschik, beide Autoren haben zu gleichenTeilen zu der Arbeit beig Institute, Abteilung Palliativmedizin, Universitäts-Kuratorium Göttingen, A. Anästhesiologie, St. Josef Palliativmedizin, Hospital Troisdorf, ●. Qualitätssicherung, P. D. F. Nauck, D. Abteilung, Zentrum Palliativ-medizin, Anaesthesio-logie","doi":"10.1055/s-0030-1266076","DOIUrl":"https://doi.org/10.1055/s-0030-1266076","url":null,"abstract":"palliativmedi-Abstract","PeriodicalId":116857,"journal":{"name":"Z Palliativmed","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115043427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ambulante Palliativversorgung in Deutschland – in HOPE dokumentierte Erfahrungen","authors":"G. Lindena, A. Wellmann, C. Ostgathe, L. Radbruch, F. Nauck, null und die Koordinationsgruppe Hope","doi":"10.1055/s-0030-1265953","DOIUrl":"https://doi.org/10.1055/s-0030-1265953","url":null,"abstract":"Einleitung Methoden Ergebnisse Folgerungen Introduction Method Result Conclusion","PeriodicalId":116857,"journal":{"name":"Z Palliativmed","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126125327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}