SOP – Atemnot bei erwachsenen Palliativpatienten

Rosenbruch, Johannes; Eschbach, C.; Viehrig, Marén; Ostgathe, Christoph; Bausewein, Claudia

doi:10.1007/s00761-017-0214-x

Cited by 10 publications

(9 citation statements)

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“…In assessing the importance and practical implementation, i.e. the actual application in clinical practice, individual SOPs, such as "Palliative Sedation" [15], "Acute state of confusion" [13] and "Respiratory distress of an adult palliative patient" [17] prove to be particularly significant for the participants. This is evidenced by the fact that these SOPs have already been implemented in the departments or that concrete implementation plans exist.…”

Section: Discussionmentioning

confidence: 99%

“…The developed SOPs were each revised by the authors and then a review was conducted by two representatives from two other CCCs [5]. This resulted in 14 consistent SOPs [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] in palliative medicine (see Table 1) were developed within the working group for palliative medicine in the CCC network and published in 2017 [2]. The manuscript reports on a survey conducted to explore the usefulness and adoption of the SOPs published.…”

Section: Introductionmentioning

confidence: 99%

“…The SOPs are not specifically addressed to health care professionals working in specialized palliative care, but also to those working in general palliative care in and outside the CCC network. The SOPs have been published as a series in the journal "Der Onkologe" in 2017 [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] and are freely available on the website of the CCC network [22]. The extent of the implementation of SOPs with a focus on "symptoms", "treatment pathways" and "interventions and processes" in the clinical routine of CCCs one year after publication was unclear.…”

Section: Introductionmentioning

confidence: 99%

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Standard Operating Procedures (SOPs) for Palliative Care in German Comprehensive Cancer Centers - an evaluation of the implementation status

et al. 2020

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Background: The working group for palliative medicine within the Comprehensive Cancer Center (CCC) network funded by the German Cancer Aid in Germany has developed and published 14 Standard Operating Procedures (SOPs) for palliative care in CCCs. This study analyzed to what extent these SOPs have been implemented in the clinical routine in the CCC network one year after their publication. Methods: An online-based survey on the implementation status, limitations in daily practice and further themes was conducted between April and July 2018. In total, 125 health professionals in specialized palliative care from all 16 CCC locations were invited to participate. The data were analyzed descriptively using SPSS. Results: The response rate was 52.8%. More than half of the respondents (57.6%) knew about the free availability of SOPs on the CCC network website. The extent to which each SOP was being used actively in practice by the survey respondents ranged from a low of 22.7% (for the "Fatigue" SOP) to a highest of 48.5% (for the "Palliative Sedation" and "Respiratory Distress" SOPs). The respondents became aware of the SOP through recommendations from colleagues, team meetings or from the head of the department. The SOPs "Respiratory distress of an adult palliative patient" and "Palliative sedation" were perceived as the most practically oriented and understandable. Barriers to use SOPs were mainly limited time resources and lack of knowledge of existence and availability. Conclusions: In practice, better knowledge about the SOPs and at the same time increased use can be achieved through systematic training or discussion of SOPs in regular team meetings. There is a need to take measures to optimize the implementation in clinical practice.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Standard Operating Procedures (SOPs) for Palliative Care in German Comprehensive Cancer Centers - an evaluation of the implementation status

et al. 2020

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“…Eine von deutschen Experten erarbeitete SOP zur Behandlung der Atemnot bei erwachsenen Palliativpatienten im klinischen Setting ist kostenfrei im Internet verfügbar [ 32 ].…”

Section: Behandlungsstrategien In Der Palliativmedizinunclassified

Integration der Palliativmedizin in die Akutmedizin

Nauck

Jaspers

2021

Med Klin Intensivmed Notfmed

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Palliativmedizin richtet sich an Patienten mit inkurablen onkologischen und nichtonkologischen Erkrankungen sowie deren Angehörige mit dem Ziel, die Lebensqualität zu erhalten oder zu verbessern. Zur Integration der Palliativmedizin in die Akutmedizin wird die Palliative-Care-Fort- bzw. Weiterbildungen einiger ärztlicher und pflegerischer Mitarbeiter empfohlen. Für die Ermittlung und Umsetzung des bisher unzureichend erhobenen palliativmedizinischen Behandlungsbedarfs in Notfallsituationen sollten geeignete Screeningtools und „standard operating procedures“ implementiert werden. Für die Palliativversorgung können die zur Verfügung stehenden spezialisierten palliativmedizinischen Dienste zur Beratung und/oder Mitbehandlung hinzugezogen werden. Symptomkontrolle, Versorgung maligner Wunden, schwierige ethische Entscheidungsfindungen und Kommunikationsschwierigkeiten mit Patienten, deren rechtlichen Stellvertretern oder Angehörigen sind Aufgabenbereiche palliativmedizinischer Experten.

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“…The overarching aims of the expert group are to assess palliative care in the individual centers, to develop common research projects, and to establish a common data basis. In addition, the Working Group has developed and continuously adapts standard operating procedures for palliative care [10][11][12][13][14][15][16][17][18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Implementation of Best Practice Recommendations for Palliative Care in German Comprehensive Cancer Centers

Gahr

Lödel

Berendt³

et al. 2019

The Oncologist

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Background From 2014 to 2017, the Palliative Medicine Working Group developed and published best practice recommendations for the integration of palliative care in Comprehensive Cancer Centers (CCCs) in Germany. To evaluate the implementation level of these recommendations in the CCCs an online survey was performed. Based on the results of this study, strategic tandem partnerships between CCCs should be built in order to foster further local development. Materials and Methods Directors of all CCCs were contacted by e‐mail between December 2017 and February 2018. At the time of the survey, 15 CCCs were funded by the German Cancer Aid. The level of implementation of the recommendations in individual CCCs was established using a transtheoretical model. Results Between December 2017 and February 2018, all 15 contacted directors or their representatives of the CCCs took part in the survey. More than two thirds of the CCCs have a palliative service as well as a day clinic and palliative outpatient clinic. Regional networking and the provision of a palliative care unit were approved by all CCCs. Conclusion The publication of best practice recommendations was a milestone for the integration of palliative care in the CCCs. The majority of the German CCCs already fulfill essential organizational and structural requirements. There is a particular need for optimization in the provision of a basic qualification for general palliative care and emergency admission personnel. Implications for Practice In 2017, the Palliative Medicine Working Group in the network of the German Comprehensive Cancer Centers (CCCs) published the best practice recommendations it had developed for the integration of palliative medicine in CCCs in Germany. In order to evaluate the level of implementation of the recommendations, an online survey of the CCC directors was established. The majority of German CCCs fulfil elementary organizational and structural requirements. However, there is still room for improvement in the provision of a basic qualification for general palliative care and emergency admission personnel.

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SOP – Atemnot bei erwachsenen Palliativpatienten

Cited by 10 publications

References 1 publication

Standard Operating Procedures (SOPs) for Palliative Care in German Comprehensive Cancer Centers - an evaluation of the implementation status

Standard Operating Procedures (SOPs) for Palliative Care in German Comprehensive Cancer Centers - an evaluation of the implementation status

Integration der Palliativmedizin in die Akutmedizin

Implementation of Best Practice Recommendations for Palliative Care in German Comprehensive Cancer Centers

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