1,721,015 research outputs found
Treatment strategies in palliative care
No full textIn nearly all patient-centred medical specialties, including anaesthesiology, intensive care medicine and emergency medicine physicians should have comprehensive knowledge of palliative care strategies. Non-cancer patients often require a different palliative care concept, compared to cancer patients. The focus of care in non-cancer patients is mostly on psychosocial needs, support in ethical decision-making and preemptive planning for likely crises or future incapacity. If the basic principles of palliative care are employed, the physical symptoms of patients in need of palliative care can usually be relieved quickly. However, in order to ensure good symptom control and efficient care in difficult times during the course of a disease, mental, social and spiritual needs of patients and their family carers must be considered. In intensive care medicine and emergency medicine, ethical decision-making is often required. For this purpose, a close collaboration with specialised palliative care services and/or use of instruments for ethical decision-making can be useful
Treatment strategies in palliative care
No full textIn nearly all patient-centred medical specialties, including anaesthesiology, intensive care medicine and emergency medicine physicians should have comprehensive knowledge of palliative care strategies. Non-cancer patients often require a different palliative care concept, compared to cancer patients. The focus of care in non-cancer patients is mostly on psychosocial needs, support in ethical decision-making and preemptive planning for likely crises or future incapacity. If the basic principles of palliative care are employed, the physical symptoms of patients in need of palliative care can usually be relieved quickly. However, in order to ensure good symptom control and efficient care in difficult times during the course of a disease, mental, social and spiritual needs of patients and their family carers must be considered. In intensive care medicine and emergency medicine, ethical decision-making is often required. For this purpose, a close collaboration with specialised palliative care services and/or use of instruments for ethical decision-making can be useful
The Physician's Role in Various Clinical Contexts
No full textThe palliative care physician accompanies patients and their families in times of great disstress and potentially difficult medico-ethical decision making. The main objective of palliative care is the alleviation of pain and distressing symptoms in patients with progressive, incurable illness. By addressing physical problems and psychosocial as well as spiritual needs, palliative care aims at improving the quality of life of patients in order to help them to spend their remaining lifetime with as much autonomy as possible and in dignity. The concept of accompaniment in palliative care involves a multiprofessional team. Important factors in this approach are time, trust, professional, ethical, communicative, social, and emotional competencies and the attitude of physicians and other professionals. The physician is given responsibility by the patient. In accepting the role as a respondent to another individual's request for help, the physician can avoid the pitfalls of the obsolete paternalistic relationship model, or of one that is either merely autonomy based or of a provider-customer nature
- …
