Palliativversorgung in der Gefäßchirurgie

Palliative care in vascular surgery

Zusammenfassung

Hintergrund

Bei vielen Gefäßpatienten besteht eine eingeschränkte Lebenserwartung.

Fragestellung

Dieser Artikel beschäftigt sich mit der Palliativversorgung von Gefäßpatienten.

Material und Methode

Hierfür werden generelle Aspekte der Palliativversorgung sowie Grundprinzipien der Symptomkontrolle und der palliativmedizinischen Versorgungsstrukturen in Deutschland dargestellt.

Ergebnisse

Es ist notwendig, den Bedarf an palliativmedizinischer Mitbehandlung bei Gefäßpatienten regelmäßig zu überprüfen und diese ggf. schon frühzeitig in den Behandlungsverlauf zu integrieren. Dies erfolgt durch eine an den Bedürfnissen und der individuellen Lebensqualität orientierte Symptomkontrolle mit einem ganzheitlichen Blick auf den Patienten und durch die Auswahl der geeigneten palliativmedizinischen Behandlungsstruktur für die Akut- und Weiterversorgung.

Schlussfolgerungen

Um eine umfassende Betreuung von Gefäßpatienten durch den (oft lange vertrauten) primär behandelnden Arzt in allen Krankheitsstadien zu ermöglichen, sollten palliativmedizinische Ansätze in der Gefäßchirurgie gestärkt werden.

Abstract

Background

Many patients with vascular diseases have a considerably limited life expectancy.

Objective

This article deals with the palliative care of patients with vascular diseases.

Material and methods

The general aspects of palliative care and the basic principles of symptom control and of palliative care services in Germany are described in this article.

Results

It is necessary to make a continuous reassessment of the needs for palliative (co)treatment of patients with vascular diseases and, if required, of an early integration into the course of treatment. This is carried out by symptom control driven by the patient’s needs and individual quality of life with a holistic approach to the patient and by the choice of a suitable mode of further short-term and long-term palliative care services.

Conclusion

There is a serious need to strengthen palliative approaches in the treatment of patients with vascular diseases in order to enable a comprehensive healthcare in all stages of the disease, preferably by the (often long-standing) primary caregiver.

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Correspondence to Dr. D. Neuwert.

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Neuwert, D., Steinbauer, M. & Töpel, I. Palliativversorgung in der Gefäßchirurgie. Gefässchirurgie (2021). https://doi.org/10.1007/s00772-021-00774-0

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Schlüsselwörter

  • Symptomkontrolle
  • Palliative Chirurgie
  • Kritische Extremitätenischämie
  • Therapieziel
  • Lebensqualität

Keywords

  • Symptom control
  • Palliative surgery
  • Critical limb ischemia
  • Patient care planning
  • Quality of life