Stationäre Schmerzkonsile einer universitären Schmerzambulanz

Lassen, C.L.; Sommer, Monika; Meyer, Nicole; Klier, Tobias; Graf, Bernhard M.; Pawlik, Michael; Wiese, C.H.R.

doi:10.1007/s00482-012-1181-1

Cited by 6 publications

(2 citation statements)

References 12 publications

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“…acute and/or chronic; cancer and/or non-cancer related), which resulted in various possible acute, chronic, or cancer pain phenomena. Such multiple causes of pain were also found in other settings, for instance, in patients seen by a specialised pain consultation service of a university hospital [18,19]. Pre-existing chronic pain is a risk factor for both increased acute and chronic post-operative pain [20,21].…”

Section: Discussionmentioning

confidence: 87%

Characteristics of a palliative care consultation service with a focus on pain in a German university hospital

et al. 2014

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BackgroundA minority of patients with incurable and advanced disease receive specialised palliative care. Specialised palliative care services that complement the care of difficult and complex cases ought to be integrated with services that deliver general care for most patients. A typical setting in which this integrative concept takes place is the hospital setting, where patients suffering from incurable and advanced disease are treated in many different departments.The aim of the study is to investigate the profile and spectrum of a palliative care consultation service (PCCS) at a German university hospital with special reference to pain therapy.MethodsWe retrospectively analysed the PCCS documentation of three years.ResultsMost patients were referred from non-surgical departments, 72% were inpatients, and 28% were outpatients. 98% of the patients suffered from cancer. Counselling in pain therapy was one of the key aspects of the consultation: For 76% of all consulted patients, modifications of the analgesic regimen were recommended, which involved opioids in 96%. Recommendations on breakthrough-pain medication were made for 70% of the patients; this was an opioid in most cases (68%). The most commonly used opioid was morphine. For 17% of the patients, additional diagnostic procedures were recommended. Besides pain management palliative care consultation implied a wide range of recommendations and services: In addition to organising home care infrastructure, palliative care services supported patients and their families in understanding the life-limiting diseases. They also coordinated physical therapy and social and legal advice.ConclusionThis survey clearly shows that for a consultation service to support patients with incurable or advanced disease, a multi-disciplinary approach is necessary to meet the complex requirements of a needs-adapted palliative care in inpatient or outpatient settings. Timely integration of palliative expertise may support symptom control and may give the required advice to patients, their carers, and their families.

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Section: Discussionmentioning

confidence: 87%

Characteristics of a palliative care consultation service with a focus on pain in a German university hospital

et al. 2014

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“…So zeigen bisherige Veröffentlichungen, dass traditionelle Konsilärzte nur selten mehr als einmal pro Konsilanforderung zum Patienten gehen 29 32 . Hier nun gibt es auch für die Schmerztherapie dieselben Zahlen von weniger als zwei Patientenkontakten pro Konsil 15 – 17 . Dies ist für eine Beurteilung der empfohlenen Medikation unzureichend.…”

Section: Ergebnisseunclassified

Keine Interdisziplinarität ohne Interprofessionalität in der Schmerztherapie

Brinkers¹,

Pfau²,

Voigt³

et al. 2022

intensiv

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Am Beispiel der Psychiatrie zeigt sich eindrucksvoll, dass ein Missverhältnis zwischen der niedrigen Zahl von Konsilen und der drei- bis 15-fach höheren Zahl an Patienten mit psychischen Störungen in einem Allgemeinkrankenhaus besteht. Das gleiche Problem besteht auch in der Schmerztherapie. Die Auflösung dieses Missverhältnisses könnte zu einer besseren Patientenversorgung in den verschiedensten Bereichen der klinischen Medizin beitragen. Ein Arbeitsmodell aus der Schmerztherapie zeigt mögliche Wege auf.

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Rolle der Anästhesiologie in der schmerzmedizinischen und palliativmedizinischen Versorgung in deutschen Krankenhäusern

et al. 2017

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In German hospitals, the departments of anesthesiology make a significant contribution to the provision of both pain medicine and palliative care services. Nevertheless, the respective structures of care are often incomplete or even lacking. There were shortcomings in terms of organization and qualification of the team in pain medicine services (e.g. no doctor with special qualifications in pain management or no psychologist). Palliative care services are more often organized as independent departments than as pain medicine services. Engagement of the anesthesiology department in palliative care is linked to a broader scope of the services provided, which might reflect the capacity of many anesthesiologists to work in an interdisciplinary manner and across interfaces.

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Stationäre Schmerzkonsile einer universitären Schmerzambulanz

Abstract: Many different pain states are seen in an inpatient pain consultation service. The recommendations given are implemented in most cases especially concerning the medication.

Cited by 6 publications

References 12 publications

Characteristics of a palliative care consultation service with a focus on pain in a German university hospital

Characteristics of a palliative care consultation service with a focus on pain in a German university hospital

Keine Interdisziplinarität ohne Interprofessionalität in der Schmerztherapie

Rolle der Anästhesiologie in der schmerzmedizinischen und palliativmedizinischen Versorgung in deutschen Krankenhäusern

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