Palliation
Palliation (from lat. Palliatio "cloak", from lat. Pallium "cloak", palliare " wrapped with a cloak", "conceal") generally refers to a medical or nursing measure whose primary goal is not to restore normal body function, but rather The best possible adaptation to the given physiological and psychological conditions is without acting against the underlying defect or the underlying disease itself. The boundaries can be blurred due to different considerations and objectives.
Palliation in Medicine
Palliative medicine includes soothing treatments for the incurably (very) seriously ill (e.g. in oncology ). According to the definitions of the World Health Organization and the German Society for Palliative Medicine , palliative medicine is limited to "the active, holistic treatment of patients with a progressive (advancing), far advanced disease and a limited life expectancy at the time when the disease is no longer curative Treatment appeals and the management of pain, other illnesses, psychological, social and spiritual problems has the highest priority ”. The primary objective is to maintain or increase quality of life in the final stage of the disease.
Palliative therapy is the best possible care of curative no (no longer) treatable diseases or congenital or acquired physical defects. For example, surgical intervention can reduce limitations associated with an uncorrectable congenital malformation, even if the malformation itself is not eliminated. The primary objective is often to improve the quality of life, but not always to extend life expectancy. The goals of the treatment must be determined individually and weighed against any disadvantages.
Palliative operations are directed “against unpleasant or life-threatening symptoms, complications or the consequences of illness ( symptomatic therapy ), not against the cause of the illness. The underlying disease is not eliminated by the operation. "
Irreversible palliation (e.g. through surgery) is also known as definitive palliation .
Palliation in Nursing
Palliative care as an accompanying nursing offer for the seriously ill and their social environment is a sub-area of palliative care .
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- ↑ 1560 first used in today's sense (as a symptom-relieving form of cura palliativa ) by Pieter van Foreest. Michael Stolberg : The History of Palliative Medicine. Medical care for the dying from 1500 until today. Mabuse, Frankfurt am Main 2011, p. 32 f. and 51 f.
- ↑ Michael Stolberg (2011), p. 39 f.
- ↑ a b Definitions of the German Society for Palliative Medicine - German Society for Palliative Medicine ( Memento from January 23, 2005 in the Internet Archive )
- ↑ Definition on 'kinderkardiochirurgie.de' ( Memento from October 26, 2007 in the Internet Archive )
- ↑ What can be achieved? About the goals of the treatment onkologie-partner.de, see section "Palliative Therapy".
- ↑ Theophanis Karavias: Surgery for the exam: safely through the oral-practical exam; with numerous case studies, taking into account the new medical trial regulations; with 8 tables . Schattauer Verlag, Stuttgart 2003, ISBN 3-7945-2196-X , Chapter: 3.2.2 Operations with palliative goals, p. 16 ( limited preview in Google Book search).
- ^ Ernst W. Keck: Pediatric cardiology. P. 225
- ^ Clinical pediatric cardiology , Gebhard Schumacher, John Hess, Konrad Bühlmeyer; Analysis of autopsy cases with congenital vitium , Katy Rinne