Palliative care 2016

Iden%fica%on of the pallia%ve pa%ent 1. “Surprise ques-on” 2. Wish/ need of the pt 3. clinical indicators

Organ failure

Cancer

Elderly & demen%a 1. Frailty 2. Demen-a 3. CVA

1. Heart failure 2. COPD 3. Renal failure 4. Motor neuron disease 5. Z v Parkinson 6. Mul-ple sclerosis

1 Childhood 2 Psychiatr. pt.

Communica%on about pal care in team, with pt /fam Evalua%on needs and wishes pa%ent and fam. . 1Fysical 2. Psychological 3. Social 4. Spiritual/existen-al

Communica%on & coordina%on in the team Planning ( medical management beleid: 1.Discuss with pt wishes : aim for treatment (prolonging life , keep func-onal, just comfort) 2. Consensus in team about therapeu-c possibili-es/limita-ons months - year Palliative therapy weeks - months Palliative care Days – weeks Terminal care Hours-days Last 24h

Prognosis =