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Zeitschrift für Palliativmedizin 2014; 15(06): 266-275
DOI: 10.1055/s-0034-1387411
CME-Fortbildung
© Georg Thieme Verlag KG Stuttgart · New York

Palliativmedizin in der Geriatrie

Geriatric Palliative Medicine
H. Frohnhofen
1   Kliniken Essen Mitte, Knappschaftskrankenhaus, Akademisches Lehrkrankenhaus der Universität Essen-Duisburg, Essen
2   Department Humanmedizin, Fakultät für Gesundheit, Universität Witten-Herdecke, Witten
,
T. Pianta
3   Klinik für Geriatrie, St. Marien-Hospital, Akademisches Lehrkrankenhaus der Universität zu Köln
,
G. Röhrig
3   Klinik für Geriatrie, St. Marien-Hospital, Akademisches Lehrkrankenhaus der Universität zu Köln
4   Klinikum der Universität zu Köln
,
R. J. Schulz
3   Klinik für Geriatrie, St. Marien-Hospital, Akademisches Lehrkrankenhaus der Universität zu Köln
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
27. November 2014 (online)

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Zusammenfassung

Die Geriatrie konzentriert sich auf die Ressourcennutzung älterer Patienten zur Wiederherstellung der Alltagstauglichkeit und Selbstständigkeit sowie auf die Symptombehandlung, während die Palliativmedizin sich auf die Symptomlinderung, den Erhalt und die Steigerung der Lebensqualität am Lebensende erkrankter Patienten jeden Alters fokussiert.

Die palliative Geriatrie stellt sich nun der Herausforderung, in der Therapie die Ressourcen der älteren Patienten zu nutzen und andererseits eine frühe Integration der palliativen Versorgung zu gewährleisten, um die persönlichen Ziele und Bedürfnisse des Einzelnen wahrzunehmen und bis zum Lebensende zu verfolgen. Dies gelingt nur im Prozess, im stetigen Austausch und Diskurs mit dem Patienten, den Angehörigen und dem gesamten Behandlungsteam.

Es ist die Aufgabe der palliativen Geriatrie, die Patienten und ihr Umfeld zu begleiten und den Prozess zu erkennen, wann die Ressourcen erschöpfen und die Fokussierung auf Symptomlinderung bis zur Sterbebegleitung beginnt.

Abstract

While geriatric medicine focuses on elderly patients resources for leading them back into everyday life, palliative care concentrates on the control of symptoms during patients’ terminal and dying phase.

Palliative geriatric medicine is the challenging intersection area between the two fields by using the elderly patient’s resources and initiating early palliative care with respect to individual needs and desires regarding end of life. To overcome this challenge constant communication is needed between medical staff, patients and relatives.

The leading aim of palliative geriatric medicine is to recognize when a patient’s exhaustion of resources demands a switch from geriatric to palliative care.

Schlüsselwörter

Palliativmedizin - Demenz - künstliche Ernährung - Multimorbidität

Keywords

palliative care - geriatrics - dementia - clinical nutrition - multimorbidity
 

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