Palliative care 2017

Identification of the palliative patient 1. “Surprise question” 2. Wish/ need of the pt 3. clinical indicators

Organ failure 1. Heart failure 2. COPD 3. Renal failure 4. Motor neuron disease 5. Z v Parkinson 6. Multiple sclerosis

Cancer

Elderly & dementia 1. Frailty 2. Dementia 3. CVA

1 Childhood 2 Psychiatr. pt.

Communication about pal care in team, with pt /fam

Evaluation needs and wishes patient and fam. . 1Fysical 2. Psychological 3. Social 4. Spiritual/existential

Communication & coordination in the team

Planning ( medical management beleid: 1.Discuss with pt wishes : aim for treatment (prolonging life , keep functional, just comfort) 2. Consensus in team about therapeutic possibilities/limitations months - year weeks - months Hours-days Days – weeks

Prognosis =

Palliative therapy

Palliative care

Terminal care

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