Abstract:
BACKGROUND:The aim of palliative care is to help people with a progressive, probably fatal disease to achieve the highest possible quality of life. Any treatment is radically oriented towards the needs of the affected persons and their relatives. Although nursing institutions for seniors are the second most frequent place of death in Germany, residents in nursing homes do not yet reliably experience the hospice accompaniment and palliative care, which they need. OBJECTIVE:In a research project the cooperation between a nursing home for seniors and an outpatient hospice service was investigated. This article pursues the question how the cooperation with an outpatient hospice service can contribute to change the hospice philosophy and palliative competence in a nursing home for seniors. MATERIAL AND METHODS:A total of 23 guided interviews were carried out with residents, relatives and employees of a nursing home. The interviews were analyzed based on the method of qualitative content analysis according to Mayring. RESULTS:The cooperation with an outpatient hospice service can help to improve the confrontation with dying and death in nursing homes. It can make an important contribution to increase the perception of the personnel and to develop a hospice philosophy CONCLUSION: For a successful cooperation the roles and responsibilities of the persons involved in the care and accompaniment must be clarified. Residents need support to actively participate in the discussion and present their own wishes and expectations. ZUSAMMENFASSUNG:HINTERGRUND: Menschen vor dem Hintergrund einer progredienten, wahrscheinlich tödlich verlaufenden Erkrankung zu größtmöglicher Lebensqualität zu verhelfen, ist das Ziel von Palliative Care. Der Einsatz der Maßnahmen orientiert sich dabei radikal an den Bedürfnissen der Betroffenen und ihrer Angehörigen. Obwohl Altenpflegeeinrichtungen in Deutschland bereits der zweithäufigste Sterbeort sind, erfahren Bewohner*innen hier noch nicht verlässlich die hospizliche Begleitung und palliative Versorgung, wie sie diese benötigen. ZIEL DER ARBEIT:In einem Forschungsprojekt wurde die Kooperation zwischen einer Altenpflegeeinrichtung und einem ambulanten Hospizdienst untersucht. Dieser Beitrag geht der Frage nach, wie die Kooperation mit dem ambulanten Hospizdienst und die damit einhergehende Begleitung dazu beitragen können, Hospizkultur und palliative Kompetenz in einer Altenpflegeeinrichtung positiv zu verändern. MATERIAL UND METHODEN:Es wurden 23 leitfadengestützte Interviews mit Bewohnern/Bewohnerinnen, Angehörigen und Mitarbeitenden der Altenpflegeeinrichtung geführt. Die Auswertung erfolgte mittels qualitativer Inhaltsanalyse nach Mayring. ERGEBNISSE:Die Kooperation mit dem ambulanten Hospizdienst kann einen wichtigen Beitrag zur Enttabuisierung von Sterben und Tod in der Einrichtung leisten. Sie kann dabei helfen, das Bewusstsein der Mitarbeitenden zu erhöhen und eine hospizliche Haltung zu entwickeln. SCHLUSSFOLGERUNG:Für eine gelingende Kooperation müssen die Rollen der an der Versorgung und Begleitung beteiligten Personen geklärt werden. Bewohner*innen sollten dabei unterstützt werden, ihre eigenen Vorstellungen einzubringen.
journal_name
Z Gerontol Geriatrjournal_title
Zeitschrift fur Gerontologie und Geriatrieauthors
Frewer-Graumann S,Teichmüller AKdoi
10.1007/s00391-020-01803-5subject
Has Abstractpub_date
2021-02-01 00:00:00pages
13-19issue
1eissn
0948-6704issn
1435-1269pii
10.1007/s00391-020-01803-5journal_volume
54pub_type
杂志文章,评审abstract::Due to the excellent efficacy of antiretroviral treatment increasingly more people with human immunodeficiency virus (HIV) infections survive to old age. The national and international definition of older people with HIV infections comprises those aged 50 years and older. Practitioners caring for these patients have t...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-019-01669-2
更新日期:2020-03-01 00:00:00
abstract::In the following article, two of the increasingly important public health scientific disciplines of care for the elderly are compared under systematic aspects - gerontopsychiatry and nursing science - with the aim of determining the similarities and differences of both disciplines. There follows a discussion of social...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-004-0247-9
更新日期:2004-08-01 00:00:00
abstract:BACKGROUND:Research on nonformal education often focuses on participation within employment. Participation of workers decreases with age; however, recent studies show an increase in participation in nonformal education of older workers. It remains, however, unclear if this trend spills over to retirement. OBJECTIVE:In...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-017-1247-x
更新日期:2018-12-01 00:00:00
abstract::The aging immune system, so-called immunosenescence, is well documented as the cause of increased infection rates and severe, often complicated course of infections in the elderly with increased morbidity and mortality rates. Furthermore, it can lead to decreased efficacy of vaccination. The administration of more imm...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-013-0532-6
更新日期:2013-10-01 00:00:00
abstract::Further education in practical, clinical and scientific-theoretical gerontology is of great importance either for the global care of the elderly or to increase the knowledge concerning the problems of aging. In this paper we try to evaluate critically activities referring to this, to furthermore develop in internation...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:
更新日期:1997-03-01 00:00:00
abstract::Methicillin-resistant S. aureus (MRSA) has become an important cause of severe infection in hospitalized patients all over the world. In Germany a significant increase of nosocomial infections due to MRSA has occurred during the last 10 years. Especially elderly patients with chronic illnesses are at increased risk of...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章,评审
doi:10.1007/s003910070033
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:Even though the effects of cultural activities on active and positive ageing have been extensively examined, spatial aspects have hardly been considered by research in this field. OBJECTIVES:Instead of understanding active ageing as a result of cultural education, this article focuses on practices of (activ...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章,评审
doi:10.1007/s00391-020-01751-0
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:In all, 39 % of people living in Swiss nursing homes suffer from dementia. Detailed data about type and course of symptoms displayed by these patients in their terminal phase are lacking. METHODS:This descriptive, retrospective study analysed 65 nursing documents from deceased people with dementia in four n...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-014-0668-z
更新日期:2015-02-01 00:00:00
abstract::This paper reports a qualitative study in which the aim was to examine older peoples' beliefs and risk perceptions regarding the use of innovative health technologies in end-of-life care and to relate these beliefs to their ideas about 'natural death'. Pictures, story boards and media extracts were used during intervi...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-003-0166-1
更新日期:2003-10-01 00:00:00
abstract::Composition of staff and therapeutic offers of day-hospitals principally are identical with those of geriatric hospitals. But there are peculiarities in their working: They offer a well balanced combination of somato-, physio-, psycho- and sociotherapy which individually must be planned, perpetually controlled and if ...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
abstract:BACKGROUND:There is ongoing controversy whether patients show better functional outcomes when care is provided in acute geriatric (AG) or internal medicine (IM) departments. OBJECTIVE:This study compared the recovery of acutely ill patients concerning activities of daily living (ADL) and instrumental activities of dai...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-019-01570-y
更新日期:2020-08-01 00:00:00
abstract::The global shift in demographics towards aging populations is leading to a commensurate increase in age-related disease and frailty. It is essential to optimise health services to meet current needs and prepare for anticipated future demands. This paper explores issues impacting on people living with cognitive impairm...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-017-1224-4
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Activities of daily living (ADL), such as walking, often involve the added complexity of walking while doing other activities (i.e. dual task walking). A complex walking task may require a greater motor and mental capacity, resulting in decrements in gait performance not seen for simple walking tasks. AIM:T...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-015-0866-3
更新日期:2015-12-01 00:00:00
abstract::Elderly patients often suffer from postoperative cognitive deficits (POCD) after serious surgical operations. The reasons for this are not well understood. We investigated the influence of the invasiveness of the operation and the duration of the operation as well as the patient's preoperative physical status on measu...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-004-0212-7
更新日期:2004-12-01 00:00:00
abstract::The first chapter gives a brief overview of dominant perspectives on reminiscence and life review in aging research since the 60s. The scepticism of most age researchers against personal history as a dominant concern of the aged in the late 60s was replaced by a more optimistic view which corresponded with a new Zeitg...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:
更新日期:1997-09-01 00:00:00
abstract::The existence of a so-called "vitauct process" is discussed by means of the glucocorticoid-induced stimulation of tyrosine aminotransferase activity. Own experiments show that the highest possible stimulation of the enzyme by cortisol and stress in the liver of old Wistar rats is not lower than in young-adult animals....
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract::For a period of 3 consecutive years, all fall events were prospectively recorded in geriatric hospital in-patients by using a standardized protocol. The incidence was 9.1 fall events/1000 hospital days in 5946 patients, and 41.0/1000 hospital days in 1015 patients (17.0%) who actually had falls. The fall rate varied b...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-004-0204-7
更新日期:2004-02-01 00:00:00
abstract::Due to the combined effects of a persistent low birth rate, the forthcoming retirement of the "baby-boom generation" and an increasing life expectancy, the German system of "social security" will face severe challenges in the coming decades. The foreseeable doubling of the ratio between pensioners and employees by 205...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-003-0136-7
更新日期:2003-04-01 00:00:00
abstract::Scabies is a frequent ectoparasitosis the prevalence of which also seems to increase in older patients. Correct and timely diagnosis of scabies in older age is hampered by atypical clinical manifestations, the potential lack of pruritus and a variety of differential diagnoses. Scabies crustosa, a highly contagious sub...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章,评审
doi:10.1007/s00391-019-01650-z
更新日期:2019-12-01 00:00:00
abstract::The proportion of older prisoners increases with demographic change. The situation in prison and the release from prison are related with particular risks especially for elderly people. Systematically evaluated experiences and findings of the specific needs and requirements of elderly prisoners are rare. The Institute...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-013-0487-7
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Although internet usage among older adults is steadily increasing, there is still a digital divide between generations. Younger internet users seem to be more open towards new media. Recent studies showed the negative influence of computer anxiety on internet usage. It is not known how older adults deal with...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-014-0838-z
更新日期:2015-12-01 00:00:00
abstract::The aim of the present study was to describe the course and outcome of rehabilitation using a national recommended assessment program (AGAST). In our study 162 patients with stroke were included. Nearly all patients had improvement of activities of daily living (Barthel Index) and mobility (Tinetti Gait and Balance Sc...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s003910050105
更新日期:1999-06-01 00:00:00
abstract::During the past decades, the number of hip fractures has been increasing steadily. Perioperative thromboprophylaxis has become a routine aspect in the care of geriatric hip fracture patients. In addition, a large proportion of these patients are already anticoagulated because of internistic comorbidities before they s...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章,评审
doi:10.1007/s00391-013-0595-4
更新日期:2014-02-01 00:00:00
abstract::The Northern Germany Nursing Research Network (Pflegeforschungsverbund Nord) has dedicated itself to developing management instruments intended to optimize the nursing process. It is coordinated by the administrative office of the Institute of Public Health and Nursing Research (Institut für Public Health und Pflegefo...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-006-0382-6
更新日期:2006-06-01 00:00:00
abstract::This contribution deals with the question of how existing health care systems can be sufficiently and adequately adapted to ageing patients in general, and to patients with special needs for nursing care and assistance. Simultaneously, it advocates explicit consideration of the dimensions of social inequality and heal...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-009-0070-4
更新日期:2009-12-01 00:00:00
abstract::Since 2018, following a revision of the German Social Code Book V (SGB V), it has been possible for psychiatric hospitals to provide inpatient outreach treatment in the domestic environment of psychiatric patients. Special structural features and documentation requirements must be observed. In addition to a member of ...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章,评审
doi:10.1007/s00391-020-01823-1
更新日期:2020-12-01 00:00:00
abstract::The present investigation aimed to assess the health-related QoL (HRQoL) of elderly people living in two settings: (i) rural community and (ii) homes for the elderly in a district of South India. The data are drawn from elderly (>60 years of age) sampled from both settings. The short form 36-item health survey (SF-36)...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-009-0077-x
更新日期:2010-08-01 00:00:00
abstract::The mortality in elderly patients over the age of 80 years with peptic ulcers in the case of complications, such as bleeding and perforation is higher than in the general population. Duodenal ulcers are associated with Helicobacter pylori infections in 90% of cases and in 70% of gastric ulcers. The treatment of elderl...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章,评审
doi:10.1007/s00391-017-1190-x
更新日期:2017-02-01 00:00:00
abstract::After a pilot study in 2010 in segregated wards for patients with dementia in nursing homes (DWB) and in community-based living communities for older people with dementia (DWG), major differences in the proportion of mentally stressed employees were found (DWB: 57%, DWG: 26%) as well as in the proportion of employees ...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章,评审
doi:10.1007/s00391-020-01709-2
更新日期:2020-10-01 00:00:00
abstract:AIM OF THE STUDY:Analysis of differences between oncologic and non-oncologic patients in the first German hospital-based special care unit for palliative geriatrics. METHODS:Systematic analysis of patients' records according to a standardized protocol. RESULTS:A total of 217 patients from a hospital-based special car...
journal_title:Zeitschrift fur Gerontologie und Geriatrie
pub_type: 杂志文章
doi:10.1007/s00391-010-0148-z
更新日期:2010-12-01 00:00:00