Perioperative care of palliative patients by the anesthetist. Medical, psychosocial and ethical challenges

Lassen, C. L. and Abel, R. and Eichler, L. and Zausig, Y. A. and Graf, B. M. and Wiese, C. H. R. (2013) Perioperative care of palliative patients by the anesthetist. Medical, psychosocial and ethical challenges. ANAESTHESIST, 62 (8). pp. 597-607. ISSN 0003-2417, 1432-055X

Full text not available from this repository. (Request a copy)

Abstract

Anesthetists will encounter palliative patients in the daily routine as palliative patients undergo operations and interventions as well, depending on the state of the disease. The first challenge for anesthetists will be to recognize the patient as being palliative. In the course of further treatment it will be necessary to address the specific problems of this patient group. Medical problems are optimized symptom control and the patient's pre-existing medication. In the psychosocial domain, good communication skills are expected of anesthetists, especially during the preoperative interview. Ethical conflicts exist with the decision-making process for surgery and the handling of perioperative do-not-resuscitate orders. This article addresses these areas of conflict and the aim is to enable anesthetists to provide the best possible perioperative care to this vulnerable patient group with the goal to maintain quality of life and keep postoperative recovery as short as possible.

Item Type: Article
Uncontrolled Keywords: QUALITY-OF-LIFE; CANCER-PATIENTS; RISK-FACTORS; PSYCHOLOGICAL DISTRESS; PAIN MANAGEMENT; ANESTHESIA; DELIRIUM; ANXIETY; PREVALENCE; DISEASE; Anesthesia; Operating room; Resuscitation orders; Quality of life; Communication
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Anästhesiologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 03 Apr 2020 13:04
Last Modified: 03 Apr 2020 13:04
URI: https://pred.uni-regensburg.de/id/eprint/16283

Actions (login required)

View Item View Item