Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2014
[The palliative patient as an emergency patient: A model for decision making in life-threatening situations using 4 case reports].
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Trzeczak S
Аннотация
BACKGROUND: Increasingly more patients reaching our hospitals as an emergency are chronically ill or are in advanced stages of infaust, e.g., malignant, diseases. On the other hand, the treatment options for malignant diseases are improving. In an emergency, a decision must be made between life-sustaining treatment (in the context of a potentially poor prognosis) versus palliation.
DEVELOPMENT OF A DECISION-MAKING MODEL: The current literature about this topic is heterogeneous. The aim of the present article is to present a method using four case reports to decide either for life-sustaining treatment or for palliation with the help of the following: (1) the prognosis of the chronic disease and (2) the association of the acute situation with the chronic disease.
CONCLUSION: This method has an advisory role and cannot be taken as a guideline. Its usefulness can only be proven in practice.
DEVELOPMENT OF A DECISION-MAKING MODEL: The current literature about this topic is heterogeneous. The aim of the present article is to present a method using four case reports to decide either for life-sustaining treatment or for palliation with the help of the following: (1) the prognosis of the chronic disease and (2) the association of the acute situation with the chronic disease.
CONCLUSION: This method has an advisory role and cannot be taken as a guideline. Its usefulness can only be proven in practice.
Предметные рубрики MeSH
Acute Kidney InjuryAgedChronic DiseaseCombined Modality TherapyComorbidityCritical CareDecision Support TechniquesEmergency Medical ServicesFemaleGranulomatosis with PolyangiitisHeart FailureHumansLife Support CareLymphatic MetastasisLymphoma, FollicularMaleNeoplasms, Unknown PrimaryPalliative CarePleural Effusion, MalignantPolyneuropathiesPrognosisRespiratory Distress SyndromeSigmoid NeoplasmsTachycardia, SupraventricularTreatment Outcome