Indications, timing and initiation of mobile specialized palliative care and the role of the general practitioner
Authors:
Z. Potyšová
Authors‘ workplace:
Vedoucí: MUDr. Lucie Patočková
; Mobilní hospic Centrum domácí péče, Beroun
Published in:
Prakt. Lék. 2022; 102(6): 275-278
Category:
Of different specialties
Overview
More than three quarters of the population of the Czech Republic wish to die at home. In fact, most of deceased people die in medical facilities. Terminal hospitalizations may occur due to complex symptoms requiring frequent medical interventions that cannot be provided in the routine of visiting care by a general practitioner. Care for terminally ill patients with severe symptoms in their homes is provided by mobile hospices, i.e. mobile specialized palliative care (MSPC) teams. Therefore, the development and expansion of MSPP appears to be a very relevant topic. The article is mainly focused on the indication, timing and initiation of the MSPC. GPs have a key role in these processes in a number of ways. For various reasons, MSPC is often involved late, when patients benefit only partially from it and their quality of life is significantly deteriorated. The case studies point out the possible differences in what can be offered to a patient at the end of life during a short and a longer period use of MSPC services.
Keywords:
general practitioner – mobile specialized palliative care (MSPP) – expertise 926
Sources
1. Závadová I. Péče o nevyléčitelně nemocné a umírající v domácím prostředí. Čas. Lék. čes. 2018; 157: 9–12.
2. Umírání.cz. Nejnovější data o postojích veřejnosti a zdravotníků k umírání a smrti [online]. Dostupné z: www.umirani.cz/data [cit. 2022-12-01].
3. Davis MP, Temel JS, Balboni T, Glare P. A review of the trials which examine early integration of outpatient and home palliative care for patients with serious illnesses. Ann Palliat Med 2015; 4(3): 99–121.
4. Kala M. Může být krátkodobý pobyt v hospici přínosný? Prakt. Lék. 2017; 97(1): 36–37.
5. Miller SC, Weitzen S, Kinzbrunner B. Factors associated with the high prevalence of short hospice stays. J Palliat Med 2003; 6(5): 725–736.
6. Jordan RI, Allsop MJ, ElMokhallalati Y, et al. Duration of palliative care before death in international routine practice: a systematic review and meta-analysis. BMC Med 2020;18: 368 [online]. Dostupné z: https://bmcmedicine.biomedcentral. com/articles/10.1186/s12916-020-01829-x [cit. 2022-12-01].
7. Švancara J, Sláma O, Kabelka L, a kol. Národní datová základna paliativní péče. Časové trendy (2004–2015). Dostupné z: www. paliativnidata.cz/browser/web/mortalitni-data/casove-trendy [cit. 2022-12-01].
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2022 Issue 6
Most read in this issue
- Homenursing care after a strokefrom the perspectiveofpatients
- Indications, timing and initiation of mobile specialized palliative care and the role of the general practitioner
- The multidisciplinary team in primary care – cooperation between an occupational therapist and a general practitioner
- Possibilities of using a standardized questionnaire to detect hearing loss