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Medientyp:
E-Book;
Hochschulschrift
Titel:
Palliative Sedierung
:
eine prospektive beobachtende Querschnittsstudie zum Vergleich zwischen einer Palliativstation, einem Hospiz und einem ambulanten Pflegedienst
Hochschulschrift:
Dissertation, Universitätsmedizin der Universität Greifswald, 2022
Anmerkungen:
Literaturverzeichnis: Seite 79-86
Beschreibung:
Palliative Sedierung
Palliative sedation (PS) is used when severe symptoms at the end of life cannot otherwise be relieved and is becoming increasingly important in palliative care. Little is known about patient education and the implementation of PS in Germany. The aim of this study was to collect data on the preparation and process of PS in the palliative care unit and in the hospice of University Medical Center Greifswald as well as in the context of specialized outpatient palliative care (SAPV) over a period of one year in an observational prospective cross-sectional study. For this purpose, uniform information and documentation forms were introduced in the individual institutions. During the survey period, 1124 patients were treated. Overall, 5.25% (n=59) of patients received PS. Differences in frequency between institutions were noted (palliative care unit: 7.65%; hospice: 1.85%; SAPV: 4.59%). Sedated patients in the palliative care unit were significantly younger than non-sedated patients (65.6 vs. 71.1 years) and were significantly more likely to be living in a stable partnership. The most commonly cited indication for PS was agitation, followed by anxiety, delirium, and lack of quality of life. Often it was the wish of the patient and his relatives to start PS. When it came to questions about the start of PS, depth, and medication, the patient was significantly less likely to be involved in the decision-making process than his or her relatives. On average, PS lasted approximately four ...