ABSTRACT
Caring of very sick and dying people at home during their last phase in life presents a maximum challenge for patients, their family, relatives and the palliative care team. Dying stages occur differently in each patient and the palliative care team must react accordingly. Despite all monitoring and sufficient treatment for the patient, symptoms can create a highly stressful situation. After careful consideration in these cases, a palliative sedation can be considered. Guidelines of German and European societies describe indications, as well as the implementation. A highly complex casuistics demonstrates possibilities and limits of palliative sedation
Subject(s)
Conscious Sedation/methods , Palliative Care/methods , Terminal Care/methods , Aged , Analgesia, Patient-Controlled/methods , Carcinoma, Non-Small-Cell Lung/psychology , Carcinoma, Non-Small-Cell Lung/therapy , Caregivers/psychology , Grief , Guideline Adherence , Home Care Services, Hospital-Based , Humans , Lung Neoplasms/psychology , Lung Neoplasms/therapy , Male , Neoplasms/psychology , Neoplasms/therapy , Patient Care Team , Personal AutonomyABSTRACT
Life-threatening illness and the dying of a person presents a complex and particularly burdensome challenge for the person affected as well as for their relatives. This also applies to the professionals involved in caring and supporting the terminally ill patient. For this reason, palliative care has become a pioneer of a networked multi-professional and multi-perspective thinking and acting. In hardly any other medical field so many different professional groups and specialized disciplines work together in such an intensive manner. The rapid supply of drugs is an essential part of the specialized outpatient palliative care concept (SAPV). This cooperation is exemplified in this article.
