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Arzneimittelforschung 2011; 61(11): 651-653
DOI: 10.1055/s-0031-1300575
PMS-Symposium Innovative Therapies in Palliative Care
Editio Cantor Verlag Aulendorf (Germany)

Psychosoziale Begleitung in Palliative Care: neue Perspektiven

Maria Wasner
1   Interdisziplinäres Zentrum für Palliativmedizin, Klinikum Großhadern, Ludwig-Maximilians-Universität München, und Katholische Stiftungsfachhochschule München
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Publikationsverlauf

Publikationsdatum:
06. Februar 2012 (online)

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Palliative Care ist die ganzheitliche Begleitung von Patienten mit einer progredienten, weit fortgeschrittenen Erkrankung und von ihren Familien. Nicht die Verlängerung der Überlebenszeit um jeden Preis ist das Ziel, sondern die Verbesserung oder der Erhalt der Lebensqualität dieser Menschen (World Health Organization 2002). Neben der Symptomkontrolle braucht es auch eine kompetente spirituelle und psychosoziale Begleitung, um diesem Anspruch gerecht zu werden. Psychosoziale Begleitung umfasst dabei „... alle Bereiche, die zum psychischen, emotionalen und sozialen Wohlbefinden des Patienten und seiner Familie beitragen, inklusive Fragen des Selbstwertgefühls und der Selbstwahrnehmung, Krankheitsverarbeitung und -bewältigung, Kommunikation, sozialer und finanzieller Belange und Beziehungen zu anderen. “ (National Council for Hospice and Specialist Palliative Care Services 1997).

 

  • Literatur

  • 1 Arnold EM, Artin KA, Griffith D et al. Unmet needs at the end of life: perceptions of hospice social workers. J Soc Work End Life Palliat Care. 2006; 2: 61-83
    CrossrefPubMedGoogle Scholar
  • 2 Ben-Sira Z, Szyf M. Status inequality in the social worker-nurse collaboration in hospitals. Soc Sci Med. 1992; 34: 365-74
    CrossrefPubMedGoogle Scholar
  • 3 Fegg MJ, Wasner M, Borasio GD. Personal values and individual quality of life in palliative care patients. J Pain Symptom Manage. 2005; 30: 154-9
    CrossrefPubMedGoogle Scholar
  • 4 Furman L, Fry S. Clerics and social workers: collaborators or competitors?. Arete. 2000; 24: 30-39
    PubMedGoogle Scholar
  • 5 Gauthier A, Vignola A, Calvo A, Cavallo E, Moglia C, Sellitti L, Mutani R, Chiò A. A longitudinal study on quality of life and depression in ALS patient-caregiver couples. Neurology. 2007; 68: 923-6
    CrossrefPubMedGoogle Scholar
  • 6 Hauser JM, Kramer BJ. Family caregivers in palliative care. Clin Geriatr Med. 2004; 20: 671-88
    CrossrefPubMedGoogle Scholar
  • 7 Hinton J. Which patients with terminal cancer are admitted from home care?. Palliat Med. 1994; 8: 197-210
    CrossrefPubMedGoogle Scholar
  • 8 Hudson PL, Aranda S, Kristjanson LJ. Meeting the supportive needs of family caregivers in palliative care: challenges for health professionals. J Palliat Med. 2004; 7: 19-25
    CrossrefPubMedGoogle Scholar
  • 9 Kaub-Wittemer D, Steinbuchel N, Wasner M, Laier-Groeneveld G, Borasio GD. Quality of life and psychosocial issues in ventilated patients with amyotrophic lateral sclerosis and their caregivers. J Pain Symptom Manage. 2003; 26: 890-6
    CrossrefPubMedGoogle Scholar
  • 10 Kulys R, Davis MA. Nurses and social workers: rivals in the provision of social services?. Health Soc Work. 1987; 12: 101-12
    PubMedGoogle Scholar
  • 11 Mustfa N, Walsh E, Bryant V, Lyall RA, Addington-Hall J, Goldstein LH, Donaldson N, Polkey MI, Moxsam J, Leigh PN. The effect of noninvasive ventilation on ALS patients and their caregivers. Neurology. 2006; 66: 1211-7
    CrossrefPubMedGoogle Scholar
  • 12 National Council for Hospice and Specialist Palliative Care Services. Feeling Better: Psychosocial Care in Specialist Palliative Care. Occasional paper 13; 1997.
    PubMed
  • 13 Neudert C, Oliver D, Wasner M, Borasio GD. The course of the terminal phase in patients with amyotrophic lateral sclerosis. J Neurol. 2001; 248: 612-6
    CrossrefPubMedGoogle Scholar
  • 14 Payne S, Smith P, Dean S. Identifying the concerns of informal carers in palliative care. Palliat Med. 1999; 13: 37-44
    CrossrefPubMedGoogle Scholar
  • 15 Reese DJ, Sontag M. Successful interprofessional collaboration on the hospice team. Health Soc Work. 2001; 26: 167-75
    CrossrefPubMedGoogle Scholar
  • 16 Rehse B, Pukrop R. Effects of psychosocial interventions on quality of life in adult cancer patients: meta analysis of 37 published controlled outcome studies. Patient Educ Couns. 2003; 50: 179-86
    CrossrefPubMedGoogle Scholar
  • 17 Smith N. Managing family problems in advanced disease – a flow diagram. Palliat Med. 1993; 7: 47-58
    CrossrefPubMedGoogle Scholar
  • 18 Taylor-Brown S, Walsh-Burke K, Altilio T, Blacker S, Christ G. Best practices in social work: end of life caregiving. SSLHC Best Practices Series. Chicago: AHA Press; 2001
    Google Scholar
  • 19 Walker MS, Ristvedt SL, Haughey BH. Patient care in multi-disciplinary cancer clinics: does attention to psychosocial needs predict patient satisfaction?. Psychooncology. 2003; 12: 291-300
    CrossrefPubMedGoogle Scholar
  • 20 World Health Organization. WHO definition of palliative care; 2002. www.who.int/cancer/palliative/deflnition/en/print/html (Abgerufen am 16.09.2011).
    PubMed