Amadori K, Steiner T
Klinik für Altersmedizin, varisano Klinikum Frankfurt Höchst, Gotenstraße 6-8, 65929, Frankfurt am Main, Deutschland.
Klinik für Neurologie, varisano Klinikum Frankfurt Höchst, Frankfurt am Main, Deutschland.
Anaesthesiologie. 2024 Nov;73(11):781-790. doi: 10.1007/s00101-024-01476-4.
Palliative medicine represents the holistic multiprofessional treatment of severely and incurably ill people and their relatives, addressing their complex physical, psychological, social and spiritual needs. The central therapeutic goals are the quality of life and alleviation of suffering. In the course of many neurological diseases, high symptom burden, long and variable trajectories and unfavorable prognosis at times create a need for palliative care even at an early stage, which is currently still inadequately met. This can be countered by qualified neuropalliative care. In addition to intensifying interdisciplinary collaboration, this requires neurologists to have core competencies in palliative care. These include a team-oriented attitude, communication skills, expertise in symptom control and knowledge of biomedical ethics including palliative options at the end of life.
姑息医学代表了对重症和绝症患者及其亲属的全面多专业治疗，满足他们复杂的身体、心理、社会和精神需求。核心治疗目标是提高生活质量和减轻痛苦。在许多神经系统疾病的病程中，高症状负担、漫长且多变的病程以及有时不利的预后，即使在疾病早期也会产生对姑息治疗的需求，而目前这一需求仍未得到充分满足。合格的神经姑息治疗可以应对这一情况。除了加强跨学科合作外，这还要求神经科医生具备姑息治疗的核心能力。这些能力包括团队导向的态度、沟通技巧、症状控制方面的专业知识以及生物医学伦理学知识，包括临终时的姑息选择。
