Related Experiment Videos
[Palliative care - also in geriatrics?]
1Bergen-Rote-Kreuz-Klinik, Bergen, Norwegen. sthusebo@c2i.net
Schmerz (Berlin, Germany)
|January 26, 2002
Summary
Palliative care is crucial for elderly patients in geriatric settings, addressing symptoms like pain and anxiety. Open communication about end-of-life care is vital and often preferred over aggressive treatments.
Area of Science:
- Geriatric Medicine
- Palliative Care
- Clinical Research
Context:
- Norway's largest geriatric center initiated a national project on palliative care for the elderly in 1998.
- The center has extensive geriatric wards, rehabilitation, and a day clinic, with a palliative care unit opening soon.
Purpose:
- To develop and support appropriate palliative care for terminally ill elderly patients in Norway.
- To examine symptom management and end-of-life communication in a geriatric population.
Summary:
- A prospective study analyzed 179 deaths in elderly patients (average age 84.5) between 1998-1999.
- Common symptoms included pain, dyspnea, and anxiety; 83% received opioids, primarily morphine.
- Open communication regarding imminent death was achieved in 77% of cases, challenging the notion that families prefer maximal therapy.
Impact:
- Highlights the universal need for palliative care in geriatric clinics and nursing homes.
- Identifies a gap in current medical literature regarding palliative care integration in geriatrics.
- Emphasizes the necessity for specialized training in palliative care for healthcare professionals serving the elderly.