Perioperative palliative care: the role of multidisciplinary consult team in perioperative period and intensive care setting
Authors:
Kateřina Rusinová; Markéta Červenková; Zuzana Čepelíková; Ondřej Kopecký
Authors‘ workplace:
Centrum podpůrné a paliativní péče, Klinika anesteziologie, resuscitace a intenzivní medicíny 1. LF UK a VFN v Praze
Published in:
Čas. Lék. čes. 2018; 157: 30-33
Category:
Review Article
Overview
Palliative care is an important constituent of widely accepted quality care standard in seriously ill patients. The needs of these patients in perioperative setting or in intensive care are considerable for attending teams. Principal issues discussed include excellent communication skills during decision making before a high-risk surgery, and risk-benefit weighting in order to respect patients’ values and preferences. This article, based on examples of interventions in both perioperative care and in intensive care units, aims to demonstrate a complex integrated palliative approach.
Keywords:
palliative care, perioperative care, intensive care, autonomy, advance directives
Sources
1. Center to Advance Palliative Care. Dostupné na: www.capc.org
2. Campbell TC, Carey EC, Jackson VA et al. Discussing prognosis: balancing hope and realism. Cancer J Sudbury Mass 2010; 16: 461–466.
3. Nelson JE, Mathews KS, Weissman DE et al. Integration if palliative care in the context of rapid response: a report from the Improving Palliative Care in the ICU advisory board. Chest 2015; 147: 560–569.
4. Matějek J. Dříve projevená přání pacientů: výhody a rizika. Galén, Praha, 2012.
Doporučení představenstva ČLK č. 1/2010 k postupu při rozhodování o změně léčby intenzivní na léčbu paliativní u pacientů v terminálním stavu, kteří nejsou schopni vyjádřit svou vůli. Dostupné na: www.lkcr.cz/doc/cms_library/dop-1-2010-31.pdf
5. Grimaldo DA, Wiener-Kronish JP, Jurson T et al. A randomized, controlled trial of advanced care planning discussions during preoperative evaluations. Anesthesiology 2001; 95: 43–50.
6. El-Jawahri A, LeBlanc T, VanDusen H et al. Effect of inpatient palliative care on quality of life 2 weeks after hematopoietic stem cell transplantation: a randomized clinical trial. JAMA 2016; 316: 2094–2103.
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
Journal of Czech Physicians
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