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• W854520507 abstract "In recent years outpatient palliative care, even for patients in an advanced state of their disease, has gained importance. Palliative care medical emergencies account for approximately 3% of all prehospital emergency cases. Therefore, prehospital emergency physicians (EP) and paramedics are more often confronted with palliative emergencies, advance directives, and ethical end-of-life issues. In a period of six months we questioned 250 paramedics from two German regions (Gottingen and Braunschweig) and 150 EPs from three German regions (Göttingen, Braunschweig and Kaiserslautern) about their experiences in palliative medicine, palliative emergencies and about their knowledge of advance directives. For these key questions we drew up a specific questionnaire. The paramedic s response rate in the set period of time amounted to 64.8% (n = 162). Most of the interviewed paramedics (91.4%, n = 148) had been confronted with palliative emergency situations on duty. 47.6% felt uncerta!in about the correct psychosocial care of the patients. 84% of the paramedics were insecure concerning their knowledge about advance directives. 72.8% had already taken care of patients with advance directives. These advance directives had influenced their therapy decision in 42.8%. The response rate of the EPs was 69% (n = 104). Most of the interviewed EPs (89%, n = 93) had been confronted with palliative care medical emergencies and expressed uncertainties in dealing with these difficult situations, especially in the area of psychosocial care of the patients (50%). The emergency treatment of palliative patients can present a particular challenge to paramedics and EPs. Most of the interviewed paramedics and EPs felt insecure both about the psychosocial care and the assessment of legal issues in dealing with advance directives and decisions at the end of life. Therefore emergency medical training apparently needs to be improved in these fields. Further information and training are necessary to guarantee adequate patient-oriented care of palli ative patients und their relatives also in emergency situations." @default.
• W854520507 created "2016-06-24" @default.
• W854520507 creator A5088679266 @default.
• W854520507 date "2022-02-20" @default.
• W854520507 modified "2023-10-14" @default.
• W854520507 title "Palliativmedizin und Notfallmedizin: Zwei unterschiedliche medizinische Bereiche - Kenntnisse und Wünsche notfallmedizinischen Personals" @default.
• W854520507 doi "https://doi.org/10.53846/goediss-870" @default.
• W854520507 hasPublicationYear "2022" @default.
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