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Bedeutung der demographischen Entwicklung für die Notfallmedizin

Demographic shift and implications for emergency departments

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Zusammenfassung

Hintergrund

Der demographische Wandel führt zu einer Zunahme von geriatrischen Patienten mit all ihren Besonderheiten in der präklinischen und innerklinischen Notfallversorgung. Dadurch verändern sich zunehmend die Ansprüche an die Struktur und das Management von Krankenhäusern sowohl in der Notaufnahme als auch in der stationären Versorgung.

Methoden

Recherche und Analyse aktueller Literatur.

Ergebnisse und Schlussfolgerung

Dieser Entwicklung gerecht zu werden und hierbei eine optimale Versorgung zu gewährleisten, stellt eine große Herausforderung an alle in der Notfallversorgung Tätigen dar. Neben der akuten medizinischen Problematik mit Wertung der medizinischen Diagnose spielen in der Gruppe der geriatrischen Patienten auch psychische und soziale Aspekte eine wichtige Rolle im Patientenmanagement. Es ist zwingend erforderlich, neben dem geriatrisch geschulten Arzt, im Idealfall dem Geriater, auch speziell ausgebildete Pflegekräfte in der Notaufnahme vorzuhalten, um den häufig komplexen Problemstellungen gerecht zu werden.

Abstract

Background

Demographic shift is leading to an increasing number of geriatric patients with all their associated characteristics in preclinical and emergency departments (ED). Thus, this increasingly changes the demands on structural requirements and management in hospitals, both in EDs and inhouse.

Method

Research and analysis of the current literature.

Results and conclusions

To cope with the growing responsibility and to provide optimal treatment is a major challenge for emergency staff. In addition to acute medical problems and diagnosis, psychosocial aspects play an important role in managing geriatric patients. It is imperative that a physician trained in geriatrics, being in the ideal case a geriatrician, as well as a specialized nurse be available in order to be able to adequately treat the often complex problems of these patients.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. H.J. Heppner, R. Wiesner, S. Schuster, U. Thiem, M. Christ und K. Singler geben an, dass kein Interessenkonflikt besteht.

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Authors and Affiliations

  1. Lehrstuhl für Geriatrie, Universität Witten/Herdecke, Witten, Deutschland

    H.J. Heppner

  2. Klinik für Geriatrie und geriatrische Tagesklinik, HELIOS Klinikum Schwelm GmbH, Lehrstuhl Geriatrie Universität Witten/Herdecke, Dr.-Moeller-Straße 15, 58332, Schwelm, Deutschland

    H.J. Heppner

  3. Medizinische Klinik-Interdisziplinäre Notaufnahme, HELIOS Klinikum Schwelm GmbH, Schwelm, Deutschland

    R. Wiesner

  4. Fakultät für Gesundheit und Pflege, Evangelische Hochschule Nürnberg, Nürnberg, Deutschland

    S. Schuster

  5. Klinik für Geriatrie und geriatrische Frührehabilitation, Marienhospital Herne, Universität Bochum, Herne, Deutschland

    U. Thiem

  6. Klinik für Geriatrie, Notfall- und Internistische Intensivmedizin, Klinikum Nürnberg, Nürnberg, Deutschland

    M. Christ

  7. Klinik für Geriatrie, Zentrum für Altersmedizin, Klinikum Nürnberg, Nürnberg, Deutschland

    K. Singler

  8. Institut für Biomedizin des Alterns, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Deutschland

    K. Singler

Authors
  1. H.J. Heppner
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  2. R. Wiesner
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  3. S. Schuster
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  4. U. Thiem
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  5. M. Christ
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  6. K. Singler
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Correspondence to H.J. Heppner.

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Heppner, H., Wiesner, R., Schuster, S. et al. Bedeutung der demographischen Entwicklung für die Notfallmedizin. Notfall Rettungsmed 17, 494–499 (2014). https://doi.org/10.1007/s10049-013-1751-5

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  • DOI: https://doi.org/10.1007/s10049-013-1751-5

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