Therapiezieländerung und Palliativmedizin beim schweren Schlaganfall [Changes in therapy aims and palliative treatment for severe stroke].

Détails

ID Serval
serval:BIB_A1210851E0AD
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Therapiezieländerung und Palliativmedizin beim schweren Schlaganfall [Changes in therapy aims and palliative treatment for severe stroke].
Périodique
Nervenarzt
Auteur(s)
Wormland B., Nacimiento W., Papadopoulos R., Spyrou M., Borasio G.D.
ISSN
0028-2804 (Print)
ISSN-L
0028-2804
Statut éditorial
Publié
Date de publication
2008
Volume
79
Numéro
4
Pages
437-443
Langue
allemand
Notes
Publication types: Case Reports ; English Abstract ; Journal Article ; ReviewPublication Status: ppublish
Résumé
Recent years have seen considerable advances in acute stroke treatment. Patients who survive the acute phase following major stroke often retain severe limitations of motor, cognitive, and communicative functions. In such patients whose death is imminent, curative therapies should be avoided. Instead, the goal of any therapy should shift to palliative treatment and concentrate on reducing causes of suffering. Palliative methodologies and concepts are already well established in neurology, e.g. for amytrophic lateral sclerosis. Particularly those stroke patients who remain stable for a long period with massive neurological deficits require interdisciplinary palliative care that goes beyond mere reduction of symptoms and seeks a response to possible complications and the question of maintaining life-preserving measures. Not only medical indications but also the expressed or presumed will of the patient must be included in such considerations. This article describes and elucidates basic questions of palliative medicine and symptomatic palliative treatment concepts for stroke patients.
Mots-clé
Disability Evaluation, Ethics, Medical, Humans, Life Support Care/ethics, Male, Medical Futility/ethics, Middle Aged, Palliative Care/ethics, Palliative Care/methods, Patient Care Team/ethics, Patient Transfer/ethics, Patient Transfer/methods, Professional-Family Relations/ethics, Stroke/diagnosis, Stroke/therapy
Pubmed
Web of science
Création de la notice
14/01/2014 11:16
Dernière modification de la notice
20/08/2019 16:07
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