Kunz Roland
Abteilung für Geriatrie und Palliative Care, Spital Affoltern a. Albis.
Ther Umsch. 2012 Feb;69(2):115-9. doi: 10.1024/0040-5930/a000262.
Palliative care and geriatrics share many ideas and concepts: both intend to imporve quality of life, both focus on more than the physical domain, and both work in a multiprofessional team. More and more the elderly person attracts notice by palliative care. In multimorbid geriatric patients intentions to cure and to care go alongside sometimes over years in a fragile equilibrium and with uncertain prognosis. Therefore principals of palliative care and geriatrics meet at its best in these patients: improving function plays a major role in any symptom management; how to deal with cognitively impaired patients can be learned from geriatrics; various approaches from curative, palliative and rehabilitative often go hand in hand; decision making is a permanent and sophisticated task in all patients due to prognosis and multimorbidity.
两者都旨在提高生活质量，都关注不仅仅是身体方面，并且都在多专业团队中工作。越来越多的老年人受到姑息治疗的关注。在患有多种疾病的老年患者中，治愈和护理的意图有时会在多年里处于脆弱的平衡状态，且预后不确定。因此，姑息治疗和老年医学的原则在这些患者身上得到了最佳体现：改善功能在任何症状管理中都起着重要作用；如何应对认知受损患者可以从老年医学中学到；治愈性、姑息性和康复性的各种方法往往相辅相成；由于预后和多种疾病，决策对所有患者来说都是一项持续且复杂的任务。
