K Afshar1, K Geiger1, G Müller-Mundt1, J Bleidorn1, N Schneider2. 1. Institut für Allgemeinmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, Hannover, Deutschland. 2. Institut für Allgemeinmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, Hannover, Deutschland. Schneider.Nils@MH-Hannover.de.
Abstract
BACKGROUND: Most patients in the last phase of life can be treated in the context of generalist palliative care, especially by general practitioners. In contrast to specialized palliative care, non-cancer patients predominate in this setting. OBJECTIVE: The aim of this article is to review the literature and elaborate current topics for non-cancer patients at the end of life in primary palliative care. MATERIAL AND METHODS: A literature search was carried out in the databases PubMed and Scopus from 2008 to 2013 followed by a qualitative content analysis according to the PRISMA statement. RESULTS: A total of 127 articles could be included in the qualitative content analysis and the final review whereby four core topics were identified: (1) specific target groups (e.g. elderly patients, patients with advanced heart failure and pain), (2) collaboration of general practitioners with other physicians and health professions, (3) qualifications in palliative care and (4) provision of primary palliative care. Most articles found were related to the fourth topic and the subtopic of barriers and facilitators of palliative care. Insufficient coordination of the persons involved was a barrier often discussed. Advanced care planning including concrete aspects of palliative care at an early stage can be beneficial for both patients and professionals. CONCLUSION: The current literature search elucidates the importance of optimizing the processes and structures in providing palliative care and the discussion of end of life issues at an early stage in general practice. Therefore, a structured identification of palliative care needs identified by appropriate assessment instruments is crucial.
BACKGROUND: Most patients in the last phase of life can be treated in the context of generalist palliative care, especially by general practitioners. In contrast to specialized palliative care, non-cancerpatients predominate in this setting. OBJECTIVE: The aim of this article is to review the literature and elaborate current topics for non-cancerpatients at the end of life in primary palliative care. MATERIAL AND METHODS: A literature search was carried out in the databases PubMed and Scopus from 2008 to 2013 followed by a qualitative content analysis according to the PRISMA statement. RESULTS: A total of 127 articles could be included in the qualitative content analysis and the final review whereby four core topics were identified: (1) specific target groups (e.g. elderly patients, patients with advanced heart failure and pain), (2) collaboration of general practitioners with other physicians and health professions, (3) qualifications in palliative care and (4) provision of primary palliative care. Most articles found were related to the fourth topic and the subtopic of barriers and facilitators of palliative care. Insufficient coordination of the persons involved was a barrier often discussed. Advanced care planning including concrete aspects of palliative care at an early stage can be beneficial for both patients and professionals. CONCLUSION: The current literature search elucidates the importance of optimizing the processes and structures in providing palliative care and the discussion of end of life issues at an early stage in general practice. Therefore, a structured identification of palliative care needs identified by appropriate assessment instruments is crucial.
Entities:
Keywords:
End of life care; Family practice; General practice; Palliative care; Treatment
Authors: Jürgen In der Schmitten; Katharina Lex; Christine Mellert; Sonja Rothärmel; Karl Wegscheider; Georg Marckmann Journal: Dtsch Arztebl Int Date: 2014-01-24 Impact factor: 5.594
Authors: Katharina van Baal; Sophie Schrader; Nils Schneider; Birgitt Wiese; Jona Theodor Stahmeyer; Sveja Eberhard; Siegfried Geyer; Stephanie Stiel; Kambiz Afshar Journal: BMC Palliat Care Date: 2020-12-08 Impact factor: 3.234
Authors: Katharina van Baal; Birgitt Wiese; Gabriele Müller-Mundt; Stephanie Stiel; Nils Schneider; Kambiz Afshar Journal: BMC Prim Care Date: 2022-04-20
Authors: Alina Kasdorf; Gloria Dust; Stefanie Hamacher; Nicolas Schippel; Christian Rietz; Raymond Voltz; Julia Strupp Journal: Support Care Cancer Date: 2022-02-21 Impact factor: 3.359
Authors: Gabriella Marx; Tina Mallon; Nadine Janis Pohontsch; Franziska Schade; Judith Dams; Manuel Zimansky; Thomas Asendorf; Silke Böttcher; Christiane A Mueller; Michael Freitag; Eva Hummers; Hendrik van den Bussche; Ingmar Schäfer; Hans-Helmut König; Stephanie Stiel; Nils Schneider; Friedemann Nauck; Tim Friede; Martin Scherer Journal: BMJ Open Date: 2022-07-25 Impact factor: 3.006
Authors: Jeanette Ziehm; Erik Farin; Jonas Schäfer; Kathrin Woitha; Gerhild Becker; Stefan Köberich Journal: BMC Health Serv Res Date: 2016-08-08 Impact factor: 2.655