Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Palliative care - also in geriatrics?
Autore:
Husebo, BS; Husebo, S;
Indirizzi:
Bergen Rote Kreuz Klin, N-5035 Bergen, Norway Bergen Rote Kreuz Klin Bergen Norway N-5035 Klin, N-5035 Bergen, Norway
Titolo Testata:
SCHMERZ
fascicolo: 5, volume: 15, anno: 2001,
pagine: 350 -
SICI:
0932-433X(200110)15:5<350:PC-AIG>2.0.ZU;2-1
Fonte:
ISI
Lingua:
GER
Soggetto:
NURSING-HOME; CHRONIC PAIN;
Keywords:
palliative care; geriatrics; pain; communication;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Husebo, BS Bergen Rote Kreuz Klin, Ellerhusensvei 35, N-5035 Bergen, Norway Bergen Rote Kreuz Klin Ellerhusensvei 35 Bergen Norway N-5035
Citazione:
B.S. Husebo e S. Husebo, "Palliative care - also in geriatrics?", SCHMERZ, 15(5), 2001, pp. 350

Abstract

Red Cross Clinic is the largest geriatric center in Norway (240 beds). Major parts of the center are: long time geriatric ward (215 beds), rehabilitation and acute ward (25 beds), day clinic (45 patients) and a teaching and research unit. A palliative care unit (10 beds) will be opened in spring 2000. In mal 1998 a national project: Palliative care for the elderly was opened at our center. The projects main goal is to develop and support proper palliative care to all severe ill and dying patients in Norway. In a prospective study we examined 179 consecutive deaths between 1998 and1999. Average age was 84.5. Major symptom problems were pain, dyspnoea,death-rattle and anxiety. In the last 24 hours 83% of the patients received opioids, 67% of the cases morphine (mean daily dosage 31.8 mg). 37% of the patients received scopolamine (mean daily dosage 0.8 mg), 12% benzodiazepinesand 3% of the patients haloperidol.152 (85%) of the deaths were expected, 27 (15%) unexpected. In 137 patients (77%) open, honest,frank communication with patient or their nearest kin regarding the imminent death was possible. In our experience it is a myth that the relatives want doctors to practise "maximal therapy. "All old patients in geriatric clinics and nursing homes need palliative care. We have found no international textbooks of geriatrics with chapters onpalliative care or textbooks on palliative care with chapters on the elderly. They need doctors and nurses who are properly trained and educated in palliative care. In most countries in Europe this training and education is not provided.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/09/20 alle ore 09:35:15