The role of palliative care in acute care setting
Autor: | Ondřej Kopecký, Kateřina Rusinová, Michal Kouba, Iva Macová |
---|---|
Rok vydání: | 2019 |
Předmět: |
Advance care planning
medicine.medical_specialty Coping (psychology) Palliative care media_common.quotation_subject Decision Making Quality care Disease course Advance Care Planning 03 medical and health sciences 0302 clinical medicine Nursing Acute care Internal Medicine Humans Medicine Conversation 030212 general & internal medicine Czech Republic media_common Terminal Care business.industry Palliative Care Supportive interventions 030220 oncology & carcinogenesis Cardiology and Cardiovascular Medicine business |
Zdroj: | Vnitřní lékařství. 65:449-455 |
ISSN: | 1801-7592 0042-773X |
DOI: | 10.36290/vnl.2019.079 |
Popis: | While terminal palliative care focuses primarily on the management of symptoms of immediate dying, early palliative care provides an opportunity for the patient and his loved ones to understand the trajectory of the illness, to receive support for coping with the diagnosis, increase the quality of decision-making to match the patients values and preferences. The emphasis is on realistic expectations of the outcome of treatment and timely anticipation of further disease course. The paper focuses on an overview of the evidence of palliative and supportive interventions, comparing the different trigger mechanisms for palliative intervention and presents the content of the intervention of the palliative team. The establishment and integration of the consultative palliative team in the tertiary hospital is described. An illustrative care report describes the goals of care conversation and its impact on advance care planning. Palliative care is widely accepted and recommended standard of high quality care for seriously ill patients. In the Czech Republic, it is necessary to extend its availability for patients hospitalized in acute care setting. |
Databáze: | OpenAIRE |
Externí odkaz: |