Literature DB >> 28776066

[Management of an elderly patient in the emergency room at the end of life : A medical ethics challenge].

G Michels1,2, R Nies3, S Ortmann3, R Pfister3, F Salomon4,5.   

Abstract

A 94-year-old patient with cardiogenic shock due to myocardial infarction was admitted via the emergency room. A coronary angiography and intensive care were requested. The need for care due to dementia was known. After case discussion in the interdisciplinary and multiprofessional treatment team, the decision for a palliative care concept in the form of symptom control was made in the emergency room, taking into account the patient's medical history, the current situation, and the presumed patient consent. The integration of medical ethics aspects and palliative medicine into "geriatric emergency medicine" will present a challenge in the future.

Entities:  

Keywords:  Emergency medicine; Geriatrics; Medical ethics; Palliative care; Shared decision making

Mesh：

Year:  2017        PMID： 28776066     DOI： 10.1007/s00063-017-0329-2

Source DB:  PubMed          Journal:  Med Klin Intensivmed Notfmed        ISSN： 2193-6218            Impact factor:   0.840


  9 in total

Review 1.  The elderly in the emergency department: a critical review of problems and solutions.

Authors:  F Salvi; V Morichi; A Grilli; R Giorgi; G De Tommaso; P Dessì-Fulgheri
Journal:  Intern Emerg Med       Date:  2007-11-28       Impact factor: 3.397

2.  [The elderly patient--who is that?].

Authors:  C C Sieber
Journal:  Internist (Berl)       Date:  2007-11       Impact factor: 0.743

3.  [Palliative emergencies in geriatric patients].

Authors:  Christoph Wiese; Karl Peter Ittner; Christoph L Lassen
Journal:  MMW Fortschr Med       Date:  2016-11

Review 4.  [Documentation of decisions to withhold or withdraw life-sustaining therapies : Recommendation of the Ethics Section of the German Interdisciplinary Association of Critical Care and Emergency Medicine (DIVI) in collaboration with the Ethics Section of the German Society for Medical Intensive Care and Emergency Medicine (DGIIN)].

Authors:  G Neitzke; B Böll; H Burchardi; K Dannenberg; G Duttge; R Erchinger; P Gretenkort; C Hartog; K Knochel; M Liebig; A Michalsen; G Michels; M Mohr; F Nauck; P Radke; F Salomon; H Stopfkuchen; U Janssens
Journal:  Med Klin Intensivmed Notfmed       Date:  2017-09       Impact factor: 0.840

5.  [Therapy goal modification and therapy limit in intensive care medicine].

Authors:  U Janssens; H Burchardi; G Duttge; R Erchinger; P Gretenkort; M Mohr; F Nauck; S Rothärmel; F Salomon; P Schmucker; A Simon; H Stopfkuchen; A Valentin; N Weller; G Neltzke
Journal:  Med Klin Intensivmed Notfmed       Date:  2013-02       Impact factor: 0.840

6.  [Limits of the meaningfulness of intensive care medicine : Position paper of the Ethics Section of DIVI].

Authors:  G Neitzke; H Burchardi; G Duttge; C Hartog; R Erchinger; P Gretenkort; A Michalsen; M Mohr; F Nauck; F Salomon; H Stopfkuchen; N Weiler; U Janssens
Journal:  Med Klin Intensivmed Notfmed       Date:  2016-09       Impact factor: 0.840

Review 7.  Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions.

Authors:  Faranak Aminzadeh; William Burd Dalziel
Journal:  Ann Emerg Med       Date:  2002-03       Impact factor: 5.721

8.  [The palliative patient as an emergency patient: A model for decision making in life-threatening situations using 4 case reports].

Authors:  S Trzeczak
Journal:  Med Klin Intensivmed Notfmed       Date:  2014-09-18       Impact factor: 0.840

9.  Recent trends in chronic disease, impairment and disability among older adults in the United States.

Authors:  William W Hung; Joseph S Ross; Kenneth S Boockvar; Albert L Siu
Journal:  BMC Geriatr       Date:  2011-08-18       Impact factor: 3.921
  9 in total

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