What is the profile of palliative care in Germany. Results of a representative survey

Der Schmerz
Lukas RadbruchDieter Schulenberg

Abstract

Since 1996 a working group of palliative care physicians has been developing a core documentation for palliative facilities. The data on a total of 1304 patients were collected in 2001. Treatment in palliative care units was provided for 531 patients until their death (Pat-V), 604 patients could be discharged home, and 169 patients were transferred to other facilities (Pat-E). Infusion therapy, physical therapy, positioning and mobilization, together with counseling and social services were initiated in more than 30% of the patients, while specific measures such as ascites or pleura puncture were instituted in less than 10%. Chemotherapy, radiotherapy, immunotherapy, urinary catheter, physical therapy, mobilization, positioning, psychotherapy, and social services were documented more frequently in the Pat-E group than in the Pat-V group. Chemotherapy was started in only 35 patients and radiotherapy in only 31 patients while they were in the palliative care unit. Parenteral nutrition, infusion therapy, wound management, and counseling were documented more frequently in the Pat-V group. Advanced directives were available for 9,9% of the patients omission or discontinuation of therapies was documented for 28,1%. Specific indicatio...Continue Reading

Citations

Oct 31, 2006·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·T Schindler
Sep 19, 2009·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Christoph OstgatheUNKNOWN Hospice and Palliative Care Evaluation (HOPE) Working Group in Germany
Sep 25, 2015·The American Journal of Hospice & Palliative Care·Maria HeckelMartin Weber
Feb 22, 2011·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Jan GaertnerRaymond Voltz

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