Palliative Care Und Hospiz

Die AutorInnen befassen sich mit dem Hospiz als einer Versorgungsform, in der sich überlebende Begleiter und sterbende Patienten begegnen und unterstützen. Das Hospiz steht für die Einsicht, dass das Sterben zum Leben gehört und dass Menschen am Lebensende zu uns gehören! Die Entstehung einer modernen Palliativmedizin hat in den letzten Jahren dazu beigetragen, dass es in Deutschland zu einer Ergänzung von Konzepten der Hospizversorgung und der Palliativmedizin gekommen ist.

Volunteers have a long been involved in supporting the delivery of palliative care. Indeed in some countries, the range and quality of hospice and palliative care services depends on the involvement of volunteers. Hospice and palliative care services and volunteering are changing. As society develops, so too does volunteering. Volunteers have growing expectations of organizations, and increasingly seek roles that meet their needs and aspirations, rather than fitting in with organizational approaches. As hospice and palliative care services experience increasing and changing demands for their services due to aging populations with complex healthcare needs, we need to recognize that volunteers have a vital role to play in supporting the delivery of services of the future. The Changing Face of Volunteering in Hospice and Palliative Care explores the complex phenomenon that is volunteering in hospice and palliative care in different countries. It considers how and why volunteering is changing, through the contributions of authors from Western and Eastern Europe, North America, Australia, Africa, and India. It reflects on the influence of culture and organisational contexts, in addition to management approaches, legislative, and political influences, highlighting factors that contribute to the success of volunteering. Contributing to knowledge and understanding in the field of volunteering in hospice and palliative care internationally, this book highlights the factors that contribute to the success of volunteering models, allowing readers to see possibilities for change and find new ideas for innovative practice in their own setting.

Diese systematische Einführung in die Soziale Arbeit in Hospizeinrichtungen und auf Palliativstationen informiert über die Angebote für sterbende und trauernde Menschen. Dazu gehören die Auseinandersetzung mit der eigenen Sterblichkeit, die gesellschaftspolitische Herausforderung sowie rechtliche und ethische Fragen. Im Zentrum steht die Unsicherheit des Menschen gegenüber Sterben, Tod und Trauer. Hospizbewegung und Palliative Care wollen das Sterben für alle Beteiligten erträglicher machen durch: ganzheitliche Begleitung, Ermutigung und Versorgung in verschiedenen Settings, Hilfe für Helfende und nicht zuletzt Aufklärung der Öffentlichkeit. Eine besondere Aufgabe ist die Implementierung hospizlicher Prinzipien in bestehende Einrichtungen des Gesundheitswesens. Die 3. Auflage wurde komplett überarbeitet und auf den aktuellen Stand gebracht.

A comprehensive analysis of today's situation of palliative care in Europe is provided, including previously unidentified statistics and standardised profiles of 16 European countries. The analysis contains demographics, the history of hospice and palliative care, the number of current services, funding, education and training of professional staff and the role of volunteers, with an in-depth case portrayal of particular services.

Over the last 50 years palliative care has usually been associated with cancer patients but more recently there has been increased discussion of the role of palliative care for neurological patients. In the past years, neurology has moved from being a purely diagnostic area to a very therapeutically active one. A further step needs to be taken to modify the therapeutic activity from “cure” to “care” depending on the patient’s disease trajectory. Palliative care has been associated with care at the end of life, whereas it may be appropriate earlier in the disease progression, and will extend after death in the support of bereaved families. The care of patients with neurological disease, and their families, will encompass the psychological, spiritual and existential issues and neurologists, and the teams in which they work, should develop skills to consider all aspects of care, in order to maximize the quality of life of all involved, and enable patients to die peacefully.

What is the situation of people who are unable to make decisions due to a physical or mental change? This book gives impulses and answers to many ethical, economical and mainly legal questions which arise and are associated with the end of life. A universal human rights approach and the analysis of the relevant European law are put in front of the presentation of the national legal situations in Italy and Germany. The most topical and controversial issues concerning advance care planning are presented as well as a transnational economic analysis on the effects of advance care planning.​

Ageing populations mean that palliative and end of life care for older people must assume greater priority. Indeed, there is an urgent need to improve the experiences of older people at the end of life, given that they have been identified as the 'disadvantaged dying'. To date, models of care are underpinned by the ideals of specialist palliative care which were developed to meet the needs of predominantly middle-aged and 'young old' people, and evidence suggests these may not be adequate for the older population group. This book identifies ways forward for improving the end of life experiences of older people by taking an interdisciplinary and international approach. Providing a synergy between the currently disparate literature of gerontology and palliative care, a wide range of leading international experts contribute to discussions regarding priority areas in relation to ageing and end of life care. Some authors take a theoretical focus, others a very practical approach rooted in their clinical and research experience. The issues covered are diverse, as are the countries in which discussions are contextualised. Those working in both palliative care and gerontology will find the issues and advice discussed in this book hugely topical and of real practical value.