Einstellungen zur Patientenbetreuung in der letzten Lebensphase Eine Umfrage bei neurologischen Chefärzten [Attitudes towards patient care at the end of life. A survey of directors of neurological departments].

Details

Serval ID
serval:BIB_73E6B91F6D6E
Type
Article: article from journal or magazin.
Collection
Publications
Title
Einstellungen zur Patientenbetreuung in der letzten Lebensphase Eine Umfrage bei neurologischen Chefärzten [Attitudes towards patient care at the end of life. A survey of directors of neurological departments].
Journal
Nervenarzt
Author(s)
Borasio G.D., Weltermann B., Voltz R., Reichmann H., Zierz S.
ISSN
0028-2804 (Print)
ISSN-L
0028-2804
Publication state
Published
Issued date
2004
Volume
75
Number
12
Pages
1187-1193
Language
german
Notes
Publication types: English Abstract ; Journal ArticlePublication Status: ppublish
Abstract
In view of the increasing importance of palliative medicine and end-of-life care of neurological patients, a survey from the American Academy of Neurology was translated in a validated fashion and sent to all medical directors of neurological departments in Germany. The topics of the survey comprised-based on clinical scenarios-the withdrawal or withholding of life-sustaining measures, physician-assisted suicide (PAS) and euthanasia, advance directives and health care proxies, principles of palliative care, and ethical and legal questions in end-of-life care. Of 411 directors of departments, 152 participated in the survey. Almost all respondents support a patient's right to refuse life-sustaining treatment. Thirty-two percent think it is illegal to administer analgesics in doses that risk respiratory depression. Forty-five percent believe that treating terminal dyspnea with morphine is the same as euthanasia. Despite the fact that 88% of the respondents regard advance directives as helpful, only an average of 4% of their patients have completed one. About one third of the respondents have been confronted with a request by patients for PAS or euthanasia. Thirty-five percent believe that PAS should be made explicitly legal for terminally ill patients. Forty-six percent of the respondents believe that their training in end-of-life care was insufficient, and 91% express interest in education programs on palliative care.
Keywords
Attitude of Health Personnel, Attitude to Death, Data Collection, Germany/epidemiology, Hospital Departments/statistics & numerical data, Leadership, Neurology/statistics & numerical data, Terminal Care/statistics & numerical data, Terminally Ill/statistics & numerical data
Pubmed
Web of science
Create date
13/01/2014 18:28
Last modification date
03/03/2018 18:20
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