Palliative versus intensive care from the perspective of the medical rescue service
Authors:
Jiří Knor 1,2,3; Ladislav Kabelka 4,5; Jaroslav Pekara 3; Marek Slabý 6; Ladislav Dušek 7
Authors place of work:
ZZS Pardubického kraje
1; 3. lékařská fakulta UK v Praze
2; Vysoká škola zdravotnická, Praha
3; Domácí hospic sv. Zdislavy Oblastní charity Třebíč
4; Lékařská fakulta MU v Brně
5; ZZS Jihočeského kraje
6; Ústav zdravotnických informací a statistiky ČR
7
Published in the journal:
Čas. Lék. čes. 2024; 163: 143-147
Category:
Review Articles
Summary
According to surveys conducted over the last 10 years, more than 80 % of our population want to live with their loved ones at the end of life. With the ageing of the population and the success of medicine in the early stages of terminal illness, the trajectory and needs at the end of life are gradually changing. The need for health care support is increasing, and for most patients this means the need for 24/7 availability of health care, in this context in the home environment of the terminally ill patient. The question of how palliative care should be organised in an appropriate, meaningful and effective way, the role of specialised health care teams (mobile specialised palliative care), the role of general practitioners, and if, when and how the medical rescue service should/could/should effectively intervene in care, is becoming increasingly urgent. The article combines the experiences and views of an emergency physician and a doctor specialising in geriatrics and palliative medicine.
Keywords:
palliative care, medical rescue service, mobile specialized palliative care, cardiac arrest, cardiopulmonary resuscitation
Zdroje
- Kabelka L, Chvílová Weberová M a kol. Syndrom křehkosti. Grada, Praha, 2022.
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- Vybrané ukazatele ZZS ČR. Asociace zdravotnických záchranných služeb ČR (AZZS), 2024. Dostupné na: www.azzs.cz/dokumenty/zdravotnicke-zachranne-sluzby-v-cr-v-cislech/vybrane-ukazatele-zzs-cr
- Zákon č. 374/2011 Sb., o zdravotnické záchranné službě.
- Kabelka L. Building specialized palliative care for the Czech Republic: a fifteen-year leadership journey in a developing country. J Palliat Med 2020; 23: 607–610.
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- Matějovská Kubešová H a kol. Akutní stavy v geriatrii. Galén, Praha, 2009.
- Gräsner JT, Wnent J, Herlitz J et al. Survival after out-of-hospital cardiac arrest in Europe – results of the EuReCa TWO study. Resuscitation 2020; 148: 218–226.
- Knor J, Seblova J, Skulec R et al. The presence of gasping predicts long-term survival in out-of-hospital cardiac arrest patients. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2018; 162: 32–35.
- Škulec R, Šín R, Knor J et al. Epidemiologie mimonemocniční náhlé zástavy oběhu v České republice – národní výsledky studie EuReCa ONE. Anesteziologie a intenzivní medicína 2017; 28: 176–182.
- Knor J, Cukrová A, Pekara J. Prognóza KPR u seniorů. Urgentní medicína 2022; 24: 29.
- Šeblová J, Matějek J a kol. Etika urgentní medicíny z pohledu každodenní praxe. Grada, Praha, 2023.
Štítky
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 HygienistČlánok vyšiel v časopise
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