| Autor: |
Mikesch M; Interne Abteilung, Palliativkonsiliardienst/mobiles Palliativteam, Landesklinikum Waldviertel Zwettl, Zwettl, Austria. martin.mikesch@zwettl.lknoe.at, Reichenpfader P |
| Jazyk: |
němčina |
| Zdroj: |
Wiener medizinische Wochenschrift (1946) [Wien Med Wochenschr] 2009 Dec; Vol. 159 (23-24), pp. 599-603. |
| DOI: |
10.1007/s10354-009-0729-x |
| Abstrakt: |
This example of an 80-year-old patient with severe lung disease and respiratory failure demonstrates the difficult relationship between the patient's needs, physical symptoms, and social problems. This man decides after a prolonged and difficult in-patient treatment actively for home ventilation rather than die of respiratory failure. He opts for tracheostomy and invasive ventilation because he cannot handle non-invasive mask-ventilation sufficiently by himself. It requires professional communication and support to gain the acceptance of family and caregivers for home ventilation. A survey of existing data on end of life decision-making in end-stage lung disease is given. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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