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Identification of the palliative patient
1. “Surprise question” 2. Wish/ need of the pt 3. clinical indicators
Cancer
Organ failure
1. Heart failure 2. COPD
3. Renal failure 4. Motor neuron
disease
5. Z v Parkinson
6. Multiple
sclerosis
Communication about pal care in team, with pt /fam
Evaluation needs and wishes patient and fam.
.
1Fysical 2. Psychological
3. Social
4. Spiritual/existential
Communication & coordination in the team
Planning
(
medical management beleid:
1.Discuss with pt wishes : aim for
treatment (prolonging life , keep functional, just comfort)
2. Consensus in team about therapeutic possibilities/limitations
months - year
Palliative
therapy
weeks - months
Palliative care
Days – weeks
Terminal care
Hours-days
Last
24h
Elderly & dementia
1. Frailty 2. Dementia 3. CVA
Prognosis
=
1 Childhood
2 Psychiatr. pt.