THERAPEUTISCHE UMSCHAU最新文献_第6页

[Gout - clinical presentation]. [痛风--临床表现]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-09-01 DOI: 10.23785/TU.2024.05.002

Andreas Krebs

引用次数: 0

[Dyspnea in patients in palliative situations - the invisible symptom]. [姑息治疗患者的呼吸困难--看不见的症状]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-08-01 DOI: 10.23785/TU.2024.04.008

Sandra Eckstein

{"title":"[Dyspnea in patients in palliative situations - the invisible symptom].","authors":"Sandra Eckstein","doi":"10.23785/TU.2024.04.008","DOIUrl":"https://doi.org/10.23785/TU.2024.04.008","url":null,"abstract":"Introduction: Dyspnea is a common and distressing symptom in patients with advanced malignant and non-malignant diseases. It is a subjective experience that can only be described by the patients themselves and can be associated with a massive reduction in quality of life, including social isolation and wish to hasten death. Often there is an affective component such as anxiety or panic. Objective parameters do not necessarily correlate with the subjective experience. Health professionals often underestimate and inadequately treat the burden of dyspnea. The introduction of the concept of chronic breathlessness syndrome or acute-on-chronic-breathlessness aims to illustrate the nature of the condition and facilitate the identification and access to appropriate treatment. The management of dyspnea is complex, and for effective treatment, a combination of general, non-pharmacological, and pharmacological measures is usually advisable. Opioids should be offered to patients with incurable cancer and refractory dyspnea for symptom relief. They can be supplemented with benzodiazepines in cases of concomitant anxiety. The administration of oxygen is only indicated in cases of hypoxemia. Key measures include education, self-management skills acquisition and advance care planning for emergency situations.","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"81 4","pages":"145-150"},"PeriodicalIF":0.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074223","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}

引用次数: 0

[Oral mucosa problems in palliative care]. [姑息治疗中的口腔黏膜问题]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-08-01 DOI: 10.23785/TU.2024.04.005

Petra Vayne-Bossert

引用次数: 0

[The challenge of nutrition in palliative care: Eating and drinking - beneficial even at the end of life?] [姑息关怀中的营养挑战：进食和饮水--即使在生命末期也有益？］

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-08-01 DOI: 10.23785/TU.2024.04.007

Silke Walter, Christine Zobrist

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引用次数: 0

[Characteristics of palliative care in the elderly]. [老年人姑息治疗的特点]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-08-01 DOI: 10.23785/TU.2024.04.002

Roland Kunz

{"title":"[Characteristics of palliative care in the elderly].","authors":"Roland Kunz","doi":"10.23785/TU.2024.04.002","DOIUrl":"https://doi.org/10.23785/TU.2024.04.002","url":null,"abstract":"Introduction: Palliative care for elderly, mostly multimorbid people is an integrative concept that is included at an early stage of illness in addition to curative and rehabilitative treatments. Goals of treatment and in the rest of life are regularly discussed during the course in order to set individual priorities and to plan or question clarifications, treatments and nursing measures. The prognosis, the patient's wishes and values, the possible benefits and burdens of an intervention play a central role in the decision-making process. Advance care planning makes it easier to make decisions at a later stage, especially in the case of dementia, which increasingly impairs the ability to make judgments. Older people suffer not only from destressing symptoms such as pain, but also from functional limitations that affect their quality of life. In addition to symptom-alleviating interventions, rehabilitative measures are also part of the palliative concept. In pain treatment, age-adapted adjustments to the medication are to be considered and the multidimensionality of the pain experience must be taken into account. In the case of cognitive impairment, appropriate observation tools help to identify possible pain. In the context of dementia, palliative treatment of neuropsychiatric symptoms should be considered if the patient suffers from them.","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"81 4","pages":"107-114"},"PeriodicalIF":0.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074222","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}

引用次数: 0

[Speaking and deciding with a serious illness]. [患重病时的发言和决定]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-08-01 DOI: 10.23785/TU.2024.04.006

Klaus Bally

引用次数: 0

[Pain therapy in palliative care]. [姑息治疗中的疼痛疗法]。

IF 0.2

THERAPEUTISCHE UMSCHAU Pub Date : 2024-08-01 DOI: 10.23785/TU.2024.04.004

Mirjam Buschor-Bichsel, Andrea Berendes, Katelijne De Nys

引用次数: 0

Palliative Care – eine Herausforderung auch für die medizinische Grundversorgung. 姑息关怀--也是初级医疗保健面临的挑战。