In den vergangenen Jahren hat die Zahl intensivmedizinischer Behandlungen am Lebensende
in beachtlichem Umfang zugenommen. Mittlerweise hat etwa jeder 4. Patient, der im
Krankenhaus stirbt, zuvor eine Intensivtherapie erhalten [1]. Diese Tatsache macht deutlich, wie wichtig eine Vorsorgeplanung aus intensivmedizinischer
Sicht ist, um den Therapiewünschen am Lebensende möglichst zu entsprechen.
Abstract
In recent years, the number of intensive care treatments has increased significantly.
About every fourth patient who dies in hospital receives intensive care. Structured
prevention planning is important in order to implement the patient’s wishes in situations
of serious illness in which patients cannot express their wishes themselves. However,
the implementation in practice can be problematic since intensive care situations
are complex and rarely correspond to the concrete pre-arranged situations. Communication
of the prognosis and the prognostic uncertainty is therefore crucial in order to determine
the presumed will of the patient, especially in the context of the process of weighing
up the benefits and burdens of intensive care therapies. Hospital treatment can be
the reason for targeted preventive planning and avoid unnecessary intensive care treatment
during the same stay. Documentation templates can help to record the results of preventive
care planning clearly and comprehensibly in the medical file.
Schlüsselwörter
Vorsorgeplanung - Intensivmedizin - Therapieentscheidung - prognostische Unsicherheit
- Prognose
Keywords
retirement planning - intensive care - therapy decision - prognostic uncertainty -
forecast
