Handbuch der Palliativpflege:
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | German |
| Veröffentlicht: |
Wien [u.a.]
Springer
2002
|
| Ausgabe: | 3., vollst. überarb. Aufl. |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XVI, 187 S. graph. Darst. |
| ISBN: | 3211838295 |
Internformat
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| 245 | 1 | 0 | |a Handbuch der Palliativpflege |c Monique Weissenberger-Leduc |
| 250 | |a 3., vollst. überarb. Aufl. | ||
| 264 | 1 | |a Wien [u.a.] |b Springer |c 2002 | |
| 300 | |a XVI, 187 S. |b graph. Darst. | ||
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Datensatz im Suchindex
| _version_ | 1804129383515947008 |
|---|---|
| adam_text | Inhaltsverzeichnis
Was bedeuten Palliativmedizin und Palliativpflege .............................................................. 1
1. Definitionen ................................................................................................................. 1
2. Grundüberlegungen...................................................................................................... 1
Schmerzkrankheit............................................................................................................
з
Der Umgang mit Schmerzzuständen des Patienten............................................................... 5
Schmerzphysiologie.................................................................................................................. 6
1. Was ist
Schmerzľ
.......................................................................................................... 6
2. Schmerzerklärungen .................................................................................................... 6
3. System der Schmerzwahrnehmung und -Verarbeitung .............................................. 7
4. Die Gate-Control-Theorie ........................................................................................... 7
5. Sinnvoller Schmerz = akuter Schmerz ........................................................................ 8
6. Sinnloser Schmerz = chronischer Schmerz ................................................................. 8
7. Die häufigsten Schmerzformen ................................................................................... 8
8. Akuter Schmerz und chronischer Schmerz ................................................................ 9
9. Die Schmerzkrankheit ................................................................................................. 10
Schmerz-Was nun? ................................................................................................................ 12
1. Dem Schmerz vorbeugen ............................................................................................. 12
2. Den Schmerz identifizieren ......................................................................................... 13
3. Den Schmerz einschätzen............................................................................................ 14
4. Schmerzschwelle und Schmerztoleranz ..................................................................... 17
5. Die Ursachen suchen ................................................................................................... 18
6. Patienteninformation ................................................................................................... 18
Schmerzmanagement .............................................................................................................. 20
Instrumentarium der palliativen Therapie ..................................................................... 20
1. Medizinische Behandlungsmaßnahmen ..................................................................... 20
2. Physikalische Methoden .............................................................................................. 25
3. Psychoonkologie........................................................................................................... 27
4. Unterstützende/komplementäre Methoden ............................................................... 29
Pharmakologische Methode — Nozizeptorenschmerz ............................................................ 37
1. Therapiegrundlagen...................................................................................................... 37
2. Therapieverlauf nach dem WHO-Stufenplan ............................................................. 41
Opioide...................................................................................................................................... 45
1. Buprenorphin-HCl........................................................................................................ 45
2. Hydromorphon-HCl ..................................................................................................... 45
3. Morphin-HCl ................................................................................................................ 46
4. Morphinsulfat ............................................................................................................... 47
5. Nicomorphin ................................................................................................................ 48
6. Oxycodon ...................................................................................................................... 48
7. Fortlaufende Einschätzung des Schmerzes ................................................................. 48
8. Opioidrotation .............................................................................................................. 49
9. Opioide - zentrale Wirkung ......................................................................................... 49
XII Inhaltsverzeichnis
10. Morphium - periphere Wirkung ................................................................................ 50
11. Opioide und Toleranzentwicklung ........................................................................... 50
12. Zu vermeidende Opioid-Nebenwirkungen ............................................................... 51
Pharmakologische Methode - andere Schmerzursachen........................................................ 54
1. Neuropathischer Schmerz, besonders Deafferentierungsschmerz ............................ 54
2. Plexusneuropathien ...................................................................................................... 55
3. Mischschmerzen .......................................................................................................... 57
4. Schwierige Schmerzen ................................................................................................. 57
5. Hartnäckige Schmerzen ............................................................................................... 57
Fehler bei der Behandlung von Karzinomschmerz ................................................................. 59
Pflege...................................................................................................................................... 61
Ziel der Palliativpflege.............................................................................................................. 63
1. Entscheidungen ............................................................................................................ 63
2. Pflegerische Anamnese ................................................................................................ 64
Anämie — Blutarmut................................................................................................................. 68
1. Ursache ......................................................................................................................... 68
2. Mögliche Begleitsymptome ......................................................................................... 68
3. Therapie ........................................................................................................................ 68
Angst und Depression .............................................................................................................. 69
1. Ursachen ....................................................................................................................... 69
2. Begleitsymptome .......................................................................................................... 70
3. Therapie ........................................................................................................................ 71
Anorexie
- Appetitlosigkeit..................................................................................................... 74
1. Ursachen ....................................................................................................................... 74
2. Therapie ........................................................................................................................ 75
Asthénie
- chronische Müdigkeit ........................................................................................... 77
1. Beschreibung................................................................................................................. 77
2. Ursachen ....................................................................................................................... 77
3. Fragen ............................................................................................................................ 78
4. Nichtmedikamentöse Therapie................................................................................... 78
5. Medikamentöse Therapie ............................................................................................ 79
„Death Rattle
-Todesrasseln................................................................................................. 80
1. Ursache ......................................................................................................................... 80
2. Symptomatische Therapie ........................................................................................... 80
3. Medikamentöse Therapie ............................................................................................ 80
Decubi
tus
— Wundliegen.......................................................................................................... 81
1. Planung der Decubitusprophylaxe .............................................................................. 82
2. Grundsätzliches Vorgehen bei Decubituspflege ......................................................... 83
Diarrhöe - Durchfall................................................................................................................. 85
1. Ursache ......................................................................................................................... 85
2. Stuhlanamnese ............................................................................................................. 85
3. Therapie ........................................................................................................................ 85
Inhaltsverzeichnis
Dysphagie - Schluckstörung ................................................................................................... 87
1. In der ersten Etappe ...................................................................................................... 87
2. In der zweiten Etappe ................................................................................................... 88
Dyspnoe - Atemnot.................................................................................................................. 90
1. Ursachen ....................................................................................................................... 90
2. Therapie ........................................................................................................................ 90
3. Todesrasseln ................................................................................................................. 92
Epigastrisches
Syndrom
............................................................................................................ 93
1. Ursachen ....................................................................................................................... 93
2. Therapie ........................................................................................................................ 93
Exsikkose - Dehydratation...................................................................................................... 94
1. Die Vorteile der Dehydratation sind............................................................................ 94
2. Probleme, die eine Unterlassung der
Rehydratation mit
sich bringt ........................ 95
3. Therapie des Nicht-Eingreifens ................................................................................... 95
4. Entscheidungshilfe: die W-Fragen von Dr. Vogel,
Luzern
.......................................... 96
Harnwegssymptome................................................................................................................. 97
1. Physiologie der Miktion (Harnlassens) ....................................................................... 97
2. Harninkontinenz .......................................................................................................... 97
3. Therapien ...................................................................................................................... 98
4. Harnretention ............................................................................................................... 99
Hirnmetastasen ........................................................................................................................ 100
1. Begleitsymptome .......................................................................................................... 100
2. Therapien ...................................................................................................................... 101
Hyperhidrose - übermäßige Schweißbildung ......................................................................... 103
1. Ursachen ....................................................................................................................... 103
2. Therapie ........................................................................................................................ 103
Hyperkalzämie.......................................................................................................................... 104
1. Ursachen ....................................................................................................................... 104
2. Symptome ..................................................................................................................... 104
3. Therapien ...................................................................................................................... 104
Ileus
— Darmverschluß.............................................................................................................. 106
1. Ursachen ....................................................................................................................... 106
2. Symptome..................................................................................................................... 106
3. Therapie ........................................................................................................................ 106
Infektion.................................................................................................................................... 108
1. Symptome ..................................................................................................................... 108
2. Therapie ........................................................................................................................ 108
Insomnia
- Schlaflosigkeit....................................................................................................... 109
1. Fragen in Zusammenhang mit Schlaflosigkeit ........................................................... 109
2. Ursachen ....................................................................................................................... 109
3. Therapien ...................................................................................................................... 110
Kachexie - Kräfteverfall............................................................................................................ 112
1. Definition ..................................................................................................................... 112
2. Physiologie.................................................................................................................... 112
3. Psychologie ................................................................................................................... 112
XIV Inhaltsverzeichnis
4. Ursachen ....................................................................................................................... 112
5. Therapie ........................................................................................................................ 113
Konvulsionen - Krampfanfälle................................................................................................. 114
1. Ursachen .......................................................................................................................
П4
2. Therapie im Notfall ..................................................................................................... II4
3. Vorbeugende Therapie bzw. Sekundärprophylaxe...................................................... 115
Lymphödem.............................................................................................................................. 116
1. Ursachen ....................................................................................................................... 116
2. Begleitsymptome .......................................................................................................... 116
3. Prävention ..................................................................................................................... 116
4. Symptomatische Therapie ........................................................................................... 117
Mundpflege................................................................................................................................ 118
1. Einschätzung des Mundzustandes ............................................................................... 118
2. Ziel einer guten Mundpflege ....................................................................................... 119
3. Durchführung ............................................................................................................... 119
4. Therapie ........................................................................................................................ 120
Myoklonien - Muskelzuckungen............................................................................................ 121
1. Die Ursache .................................................................................................................. 121
2. Muskelkrämpfe ............................................................................................................ 121
3. Muskelspastizität ......................................................................................................... 121
Nausea
und Vomitio — Übelkeit und Erbrechen..................................................................... 122
1. Physiologie .................................................................................................................... 122
2. Symptomatik ................................................................................................................ 122
3. Fragenkatalog................................................................................................................ 122
4. Ursachen ....................................................................................................................... 123
5. Nichtmedikamentöse Therapie ................................................................................... 124
6. Antiemetika - Therapie ............................................................................................... 124
Obstipation - Verstopfung....................................................................................................... 126
1. Ursachen ....................................................................................................................... 126
2. Begleitsymptome .......................................................................................................... 126
3. Betreuungsziel .............................................................................................................. 127
4. Medikamentöse Therapie ............................................................................................ 127
Pruritus
- Juckreiz.................................................................................................................... 129
1. Definition ..................................................................................................................... 129
2. Ursachen ....................................................................................................................... 129
3. Therapien ...................................................................................................................... 129
Pyrosis
- Sodbrennen ............................................................................................................... 131
1. Definition ..................................................................................................................... 131
2. Ursachen ....................................................................................................................... 131
3. Therapie ........................................................................................................................ 131
Rückenmarkkompression und Knochenmetastasen.............................................................. 133
1. Knochenmetastasen ..................................................................................................... 133
2. Rückenmarkkompression ............................................................................................ 133
3. Therapien ...................................................................................................................... 134
Sexualität................................................................................................................................... 135
Auswirkung von Erkrankungen im Beckenbereich auf die Sexualität.......................... 135
Auswirkung von anderen Erkrankungen auf die Sexualität .......................................... 135
Inhaltsverzeichnis
XV
Singultus - Schluckauf............................................................................................................. 138
1 Definition und Ursachen ............................................................................................. 138
2. Begleitsymptome .......................................................................................................... 138
3. Therapie ........................................................................................................................ 138
Die Subkutantherapie............................................................................................................... 140
1. Indikationen ................................................................................................................. 140
2. Kontraindikationen ...................................................................................................... 141
3. Die Vorteile .................................................................................................................. 141
4. Mögliche Probleme ...................................................................................................... 142
5. Informationen für den Patienten und seine Familie .................................................. 142
6. Gebrauchsanleitung ..................................................................................................... 143
Schluß ............................................................................................................................... 144
Schmerzbekämpfung vor schmerzhafter Pflege...................................................................... 145
Tenesmus
alvi
- Schmerzhafter Stuhlgang............................................................................. 146
1. Ursachen ....................................................................................................................... 146
I.Therapie ........................................................................................................................ 146
Tussis - Husten......................................................................................................................... 147
1. Ursachen ....................................................................................................................... 147
2. Produktiver Husten: Mit Expektoration (Auswurf) verbunden ................................. 147
3. Rauher und trockener Husten ..................................................................................... 148
4. Hämoptoe ..................................................................................................................... 148
Ulzerierende Wunden............................................................................................................... 149
1. Ursachen ....................................................................................................................... 149
2. Ziele der Therapie ........................................................................................................ 149
3. Wunden ......................................................................................................................... 149
4. Harnfisteln .................................................................................................................... 150
5. Vaginaler Ausfluß......................................................................................................... 150
Urämie - Nierenversagen......................................................................................................... 152
1. Ursache ......................................................................................................................... 152
2. Begleitende Symptome................................................................................................. 152
3. Therapie ........................................................................................................................ 152
Verwirrtheit -Unruhe.............................................................................................................. 153
1. Auslöser ........................................................................................................................ 153
2. Therapien ...................................................................................................................... 154
Notfälle..................................................................................................................................... 156
1. Alle Teammitglieder .................................................................................................... 156
2. Widerbelebungsfrage .................................................................................................... 157
3. Schwierige Situationen ................................................................................................ 157
4. Adressen........................................................................................................................ 158
Zum Abschluß.......................................................................................................................... 159
Anhang.................................................................................................................................. 161
Anhang 1: AIDS........................................................................................................................ 163
Anhang 2: Amyotrophische Lateralsklerose (ALS)................................................................. 165
XVI Inhaltsverzeichnis
Anhang 3: Das Freiburger Manifest......................................................................................... 169
Anhang 4: Medikamentenliste Österreich - Deutschland - Schweiz.................................... 174
Literaturverzeichnis ab 1997 bis jetzt...................................................................................... 188
Internet ..................................................................................................................................... 189
|
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| id | DE-604.BV014605944 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T19:04:16Z |
| institution | BVB |
| isbn | 3211838295 |
| language | German |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-009928832 |
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| physical | XVI, 187 S. graph. Darst. |
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| spelling | Weissenberger-Leduc, Monique Verfasser (DE-588)173093841 aut Handbuch der Palliativpflege Monique Weissenberger-Leduc 3., vollst. überarb. Aufl. Wien [u.a.] Springer 2002 XVI, 187 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Krankenpflege (DE-588)4032813-2 gnd rswk-swf Palliativtherapie (DE-588)4115490-3 gnd rswk-swf Palliativtherapie (DE-588)4115490-3 s Krankenpflege (DE-588)4032813-2 s DE-604 Digitalisierung SABAschaffenburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009928832&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Weissenberger-Leduc, Monique Handbuch der Palliativpflege Krankenpflege (DE-588)4032813-2 gnd Palliativtherapie (DE-588)4115490-3 gnd |
| subject_GND | (DE-588)4032813-2 (DE-588)4115490-3 |
| title | Handbuch der Palliativpflege |
| title_auth | Handbuch der Palliativpflege |
| title_exact_search | Handbuch der Palliativpflege |
| title_full | Handbuch der Palliativpflege Monique Weissenberger-Leduc |
| title_fullStr | Handbuch der Palliativpflege Monique Weissenberger-Leduc |
| title_full_unstemmed | Handbuch der Palliativpflege Monique Weissenberger-Leduc |
| title_short | Handbuch der Palliativpflege |
| title_sort | handbuch der palliativpflege |
| topic | Krankenpflege (DE-588)4032813-2 gnd Palliativtherapie (DE-588)4115490-3 gnd |
| topic_facet | Krankenpflege Palliativtherapie |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009928832&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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