Palliativmedizin bei fortgeschrittenen internistischen Erkrankungen – State of the Art

Palliativmedizin wurde in den letzten Jahren ein fester Bestandteil des deutschen Gesundheitswesens. Traditionell werden vor allem Patienten mit Tumorerkrankungen palliativmedizinisch betreut. Patienten mit weit fortgeschrittenen Lungen-, Herz- und Nierenversagen haben vergleichbare Symptombelastung und Palliativbedürfnisse, aber unterschiedliche Krankheitsverläufe, die durch intermittierende Verschlechterungen charakterisiert sind. Palliativmedizinische Versorgungskonzepte müssen entsprechend angepasst werden, und eine enge Kooperation der einzelnen Fachdisziplinen ist nötig.

Over the last years, palliative care became part of the German health care system. Traditionally, most patients under palliative care suffered from a malignancy. Patients with advanced lung, heart or kidney failure have similar symptom burden and palliative care needs as oncological patients towards the end of life but different disease trajectories which are characterized by intermittent deteriorations. Palliative care concepts need to be adapted for these patients and close cooperation with other disciplines is necessary.

Key words

palliative care - COPD - heart failure - chronic kidney disease - trajectories

• Literatur

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