Alt-Epping, Bernd

[["dc.bibliographiccitation.artnumber","151"],["dc.bibliographiccitation.journal","BMC Medical Education"],["dc.bibliographiccitation.volume","15"],["dc.contributor.author","Ilse, Benjamin"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Kiesewetter, Isabel"],["dc.contributor.author","Elsner, Frank"],["dc.contributor.author","Hildebrandt, Johanna"],["dc.contributor.author","Laske, Alexander"],["dc.contributor.author","Scherg, Alexandra"],["dc.contributor.author","Schiessl, Christine"],["dc.date.accessioned","2018-11-07T09:51:35Z"],["dc.date.available","2018-11-07T09:51:35Z"],["dc.date.issued","2015"],["dc.description.abstract","Background: In 2009, palliative medicine became an integrated and compulsory part of undergraduate training in Germany by legislation. After a transitional period, all medical faculties were required to provide adequate teaching with an according examination and certification procedure. In parallel, we conducted bi-annual surveys on all medical faculties in Germany to examine for potential discrepancies between the implementation process and their intended consequences on teaching time and content. Methods: Four consecutive bi-annual surveys (2006, 2008, 2010, 2012) of all 36 medical faculties in Germany were performed, using purposively for this study developed questionnaires. Likert scales and closed questions were analyzed descriptively. Results: Medical Faculty response rate increased from 50 % in 2006 to 88.9 % in 2012. Teaching coordinators in palliative medicine primarily had an anesthesiology or internal medicine background. There was a noted increase over time of the involvement of specialized palliative care units (PCUs) as providing the setting for education. The number of faculties that were able to offer a complete 16 weeks of training in palliative medicine during the \"final year\" rose steadily. In addition, increased patient-centered teaching formats have been implemented over time. The faculties which offered innovative teaching formats with actors as patients (standardized patient interaction) increased, as did the total number of mandatory examinations. The number of faculties that provided compulsory teaching in a condensed manner within a single academic year increased sharply from 3 of 31 responding faculties in 2010 to 19 of 32 responding faculties in 2012. Conclusions: Until now, teaching conditions and structures in palliative medicine in Germany have proven to be extraordinarily heterogeneous. Although professorships (\"Chairs\") in palliative medicine proved to be particularly beneficial and supportive in curricular and structural development, only a minority of faculties provide leading academic positions in palliative medicine."],["dc.identifier.doi","10.1186/s12909-015-0439-6"],["dc.identifier.isi","000361280100001"],["dc.identifier.pmid","26383546"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/12293"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/35944"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Biomed Central Ltd"],["dc.relation.issn","1472-6920"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Undergraduate education in palliative medicine in Germany: a longitudinal perspective on curricular and infrastructural development"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","12"],["dc.bibliographiccitation.firstpage","1"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","GMS Zeitschrift für medizinische Ausbildung"],["dc.bibliographiccitation.lastpage","12"],["dc.bibliographiccitation.volume","29"],["dc.contributor.author","Ilse, B."],["dc.contributor.author","Hildebrandt, J."],["dc.contributor.author","Posselt, J."],["dc.contributor.author","Laske, A."],["dc.contributor.author","Dietz, I."],["dc.contributor.author","Borasio, G. D."],["dc.contributor.author","Kopf, A."],["dc.contributor.author","Nauck, F."],["dc.contributor.author","Elsner, F."],["dc.contributor.author","Wedding, U."],["dc.contributor.author","Alt-Epping, B."],["dc.date.accessioned","2019-07-10T08:14:07Z"],["dc.date.available","2019-07-10T08:14:07Z"],["dc.date.issued","2012"],["dc.description.abstract","Fragestellung: Mit der Änderung der ärztlichen Approbationsordnung (ÄApprO) im Jahre 2009 wurde die Palliativmedizin als 13. Querschnittsfach (Q13) verpflichtend in das studentische Curriculum eingeführt. Die Umsetzung dieser Änderung muss bis zum Beginn des Praktischen Jahres im August 2013 oder bei der Meldung zum Zweiten Abschnitt der Ärztlichen Prüfung für den Prüfungstermin im Oktober 2014 erfolgen. In vorangegangenen Umfragen wurden an den medizinischen Fakultäten in Deutschland sehr heterogene palliativmedizinische Lehrstrukturen beschrieben. Daher sollten nun die curricularen und prüfungsbezogenen Planungen der jeweiligen Fakultäten zur Implementierung eines verpflichtenden Q13 Palliativmedizin erfragt werden. Methodik: Die Bundesvertretung der Medizinstudierenden Deutschlands (bvmd) führt seit 2006 zweijährliche Umfragen an allen medizinischen Fakultäten in Deutschland zum gegenwärtigen Stand der palliativmedizinischen Lehre durch. Nach Konzeption eines Online-Fragebogens und Pilotierung erfolgte im Mai 2010 eine einmonatige Online-Umfrage. Die Daten wurden deskriptiv ausgewertet. Ergebnisse: 31 von 36 medizinischen Fakultäten nahmen an der Befragung teil. An 15 Fakultäten existierten zum Befragungszeitpunkt bereits verpflichtende Lehrveranstaltungen entsprechend der Vorgabe der neuen ÄApprO; an drei Standorten soll das Q13 Palliativmedizin erst ab dem Sommersemester 2012 verpflichtend eingeführt werden. An 15 Fakultäten bestand bereits ein Lehrcurriculum für Q13, teils angelehnt an die curricularen Vorgaben der Deutschen Gesellschaft für Palliativmedizin. Sechs Standorte beschrieben einen begonnenen Implementierungsprozess noch ohne Curriculum. An den meisten Fakultäten werden 21-40 Lehrveranstaltungsstunden angestrebt, die überwiegend in Form von Vorlesungen oder Seminaren, seltener auch in betreuungsintensiveren Formaten angeboten werden sollen. Die Mehrzahl der teilnehmenden Fakultäten strebt eine Prüfung in Form von Multiple Choice Fragen an. An 8 Universitäten bestand ein eigenständiger Lehrstuhl für Palliativmedizin (5 weitere in Planung); dies war mit einem höheren Maß an Pflichtlehre analog der Vorgabe der ÄApprO verbunden. Ein breites Spektrum an lehrbeteiligten Berufsgruppen, Fachdisziplinen und externen Kooperationspartnern wurde angegeben. Schlussfolgerung: Die infrastrukturellen Voraussetzungen, die bisherigen curricularen Planungen und der Grad der Implementierung des Q13 analog der Vorgabe der neuen ÄApprO divergieren zwischen den einzelnen medizinischen Fakultäten erheblich. Die Bemühungen um eine qualitativ hochwertige Lehre in Hinblick auf die vielschichtigen Fragestellungen bei der Betreuung schwerst- und sterbenskranker Patienten spiegeln sich in der Umfrage ebenso wider wie der besondere Stellenwert eines eigenständigen Lehrstuhls für Palliativmedizin für die Umsetzung der gesetzlichen Vorgaben. Die Mitwirkung der verschiedenen Berufsverbände an dieser Umfrage sowie das große Spektrum der Lehrbeteiligten unterstreicht die interdisziplinäre und multiprofessionelle Dimension palliativmedizinischer Lehre."],["dc.identifier.fs","591769"],["dc.identifier.pmid","22737202"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/9539"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/61440"],["dc.language.iso","de"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","1860-3572"],["dc.relation.orgunit","Universitätsmedizin Göttingen"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.ddc","610"],["dc.title","Palliativmedizinische Lehre in Deutschland – Planungen der Fakultäten zum zukünftigen Querschnittsfach 13"],["dc.title.translated","Palliative Care teaching in Germany – concepts and future developments"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","188"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Neurology"],["dc.bibliographiccitation.volume","22"],["dc.contributor.author","Salzmann, Laura"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Simon, Alfred"],["dc.date.accessioned","2022-06-01T09:39:41Z"],["dc.date.accessioned","2022-08-18T12:35:32Z"],["dc.date.available","2022-06-01T09:39:41Z"],["dc.date.available","2022-08-18T12:35:32Z"],["dc.date.issued","2022-05-23"],["dc.date.updated","2022-07-29T12:07:19Z"],["dc.identifier.citation","BMC Neurology. 2022 May 23;22(1):188"],["dc.identifier.doi","10.1186/s12883-022-02718-x"],["dc.identifier.pii","2718"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/108537"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/112941"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-572"],["dc.publisher","BioMed Central"],["dc.relation.eissn","1471-2377"],["dc.relation.iserratumof","/handle/2/108536"],["dc.rights.holder","The Author(s)"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Correction: Palliative sedation in amyotrophic lateral sclerosis: results of a nationwide survey among neurologists and palliative care practitioners in Germany"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","erratum_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","19"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Ethik in der Medizin"],["dc.bibliographiccitation.lastpage","28"],["dc.bibliographiccitation.volume","24"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Nauck, Friedemann"],["dc.date.accessioned","2018-11-07T09:13:02Z"],["dc.date.available","2018-11-07T09:13:02Z"],["dc.date.issued","2012"],["dc.description.abstract","Definition of the problem Therapeutic decision making generally relies on a given underlying medical indication and the patient's informed consent. So far, the concept of medical indication has been analyzed and operationalized for clinical purposes by medical ethics, and the concept of the patient's informed consent is broadly secured by legislation and clinical and ethical guidelines. Informed consent implies thorough and appropriate delivery of information and an according treatment option communicated to the patient, who can accept or refuse this offer. Within this concept of medical decision making, it is under debate in medical ethics, to what extent the patient's (or the relatives') desire for certain treatment options should play a role, if at all. Arguments and conclusions This article discusses the significance of the patients' desire as an independent normative factor in medical decision making, besides ascertaining the underlying medical indication and the patient's informed consent. A case report illustrates the spectrum of concepts of autonomy, and points to the dilemma that might result on a diverging appraisal on medical usefulness and futility between patient and physician in cancer care and palliative care. The case report finally tries to incorporate the patient's desire as a relevant co-factor into conventional concepts of therapeutic decision making."],["dc.identifier.doi","10.1007/s00481-011-0147-7"],["dc.identifier.isi","000300848600003"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/7327"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/27077"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0935-7335"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","The patient's desire-an independent ethical factor contributing to therapeutic decision making?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","203"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Notfall + Rettungsmedizin"],["dc.bibliographiccitation.lastpage","210"],["dc.bibliographiccitation.volume","24"],["dc.contributor.author","Rieder, N."],["dc.contributor.author","Mühe, K."],["dc.contributor.author","Nauck, F."],["dc.contributor.author","Alt-Epping, B."],["dc.date.accessioned","2021-04-14T08:26:08Z"],["dc.date.available","2021-04-14T08:26:08Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1007/s10049-020-00713-8"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/81847"],["dc.language.iso","de"],["dc.notes.intern","DOI Import GROB-399"],["dc.relation.eissn","1436-0578"],["dc.relation.issn","1434-6222"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.rights","CC BY 4.0"],["dc.title","„Leben retten bis der Arzt kommt?“"],["dc.title.alternative","Konflikte und wahrgenommene Belastung des nichtärztlichen Rettungsdienstpersonals im Umgang mit Patienten mit fortgeschrittener unheilbarer Erkrankung"],["dc.title.translated","“Saving lives until the physician arrives?”: Conflicts and perceived burden of paramedics when caring for patients with advanced, incurable diseases"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","605"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Der Schmerz"],["dc.bibliographiccitation.lastpage","612"],["dc.bibliographiccitation.volume","24"],["dc.contributor.author","Bertram, L."],["dc.contributor.author","Stiel, Stephanie"],["dc.contributor.author","Elsner, Frank"],["dc.contributor.author","Radbruch, Lukas"],["dc.contributor.author","Davies, A."],["dc.contributor.author","Nauck, F."],["dc.contributor.author","Alt-Epping, Bernd"],["dc.date.accessioned","2018-11-07T08:36:33Z"],["dc.date.available","2018-11-07T08:36:33Z"],["dc.date.issued","2010"],["dc.description.abstract","Of cancer patients receiving palliative care, 80% suffer from cancer pain, and again 80% of these patients report breakthrough pain. This study explores the patients' perception of breakthrough pain, their experiences with existing therapeutic regimens and their expectations regarding an ideal breakthrough pain medication. From November 2008 to February 2010 two German palliative care units recruited 80 in- or outpatient cancer patients who completed a standardized questionnaire on breakthrough pain characteristics, analgesic medication, attitudes towards new treatment approaches for breakthrough pain, and experiences with alternative routes of drug administration as part of the \"European Survey of Oncology Patients' Experience of Breakthrough Pain\". The study participants suffered from 1-12 episodes of either incident (47.5%) or spontaneous pain (37.5%) per day which were perceived as \"severe\" in 71% of all cases. These exacerbations highly interfered with the patients' general activity, mood, walking ability, and normal work. Overall, 64% of the patients reported alleviation from pharmacological (26%) and non-pharmacological (73%) interventions. Subcutaneous (40%) and oral (39%) routes were used frequently; intranasal (1.25%) and intrapulmonary (1.25%) routes were used rarely. Only 64% of all participants stated an overall satisfaction with their breakthrough analgesia. The diagnosis and treatment of breakthrough pain seems to be conducted in a suboptimal manner, and standard recommendations on breakthrough pain relief are not implemented consistently. Possible causes of pain should be taken into account as well as multi-professional treatment interventions and alternative routes of administration of fast onset, effective drugs should be considered."],["dc.identifier.doi","10.1007/s00482-010-0989-9"],["dc.identifier.isi","000284958500007"],["dc.identifier.pmid","21046170"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6207"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/18340"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0932-433X"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.rights","CC BY-NC 2.0"],["dc.title","Experiences of cancer patients with breakthrough pain and pharmacological treatments"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","Doc52"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","GMS Zeitschrift für medizinische Ausbildung"],["dc.bibliographiccitation.volume","28"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Gágyor, Ildikó"],["dc.date.accessioned","2019-07-09T11:53:52Z"],["dc.date.available","2019-07-09T11:53:52Z"],["dc.date.issued","2011"],["dc.description.abstract","BACKGROUND: The concerns of patients suffering from life-threatening disease and end-of-life care aspects have gained increasing attention in public perception. The increasing focus on palliative medicine questions can be considered to be paradigmatic for this development. Palliative medicine became a compulsory subject of the undergraduate curriculum in Germany to be implemented until 2013. The preexisting conditions and qualifications at the medical faculties vary, though. We describe the conceptual process, didactic background, and first experiences with the new interdisciplinary course \"Delivering bad news\" as a compulsory part of the palliative medicine curriculum. METHODS: Since autumn 2009, this course has been taught at the University Medical Center Göttingen, consisting of two double lessons in the final year of medical education. Considering the curriculum-based learning goals in Göttingen, the focus of this course is to impart knowledge, attitudes and communication skills relating to \"bad news\". RESULTS: Although the seminar requires adequate staff and is time-consuming, students have accepted it and gave high marks in evaluations. In particular, the teachers' performance and commitment was evaluated positively. DISCUSSION AND CONCLUSIONS: We describe the first experiences with a new course. Didactic structure, theoretical contents, role-plays and usage of media (film, novel) are well- suited to communicate topics such as \"bad news\". Additional experiences and evaluations are necessary. According to the progressive nature of learning, it might be worthwhile to repeat communication- centered questions several times during medical studies."],["dc.description.abstract","Zielsetzung: Verschiedene Aspekte bei der Behandlung lebensbedrohlich erkrankter Patienten und der Begleitung Sterbender rücken zunehmend in den gesellschaftlichen Fokus. Paradigmatisch hierfür kann die zunehmende Aufmerksamkeit gegenüber palliativmedizinischen Inhalten betrachtet werden, die seit der letzten Änderung der ärztlichen Approbationsordnung im Medizinstudium ab 2013 verpflichtend unterrichtet und geprüft werden müssen. Die didaktischen Vorerfahrungen und strukturellen Voraussetzungen zur Integration von Lebensend-Themen in das studentische Curriculum sind an den einzelnen Fakultäten jedoch sehr unterschiedlich. Dieser Artikel beschreibt die Konzeption des neuen Pflichtseminars „Überbringen schlechter Nachrichten“, dessen didaktischen Hintergrund sowie erste Erfahrungen bei der Durchführung für Studierende unmittelbar vor Eintritt in das Praktische Jahr. Methodik: An der Universitätsmedizin Göttingen wird seit dem Wintersemester 2009 ein aus zwei Doppelstunden bestehendes Pflicht-Seminarr zum Thema „Überbringen schwerwiegender Nachrichten“ unterrichtet. Unter Berücksichtigung des Göttinger Lernzielkataloges wird Wissen vermittelt, die kommunikativen Fertigkeiten in Form von Rollenspielen verbessert und die affektive Ebene durch den Einsatz von Literatur mit einbezogen. Ergebnisse und Schlussfolgerung: Das Seminar ist zwar zeit- und personalaufwendig, wird aber von den Studierenden gut angenommen und evaluiert. Besonders positiv wird das Auftreten der Dozenten bewertet. Der didaktische Aufbau von Lerninhalten durch Kombination von Medien (Filmausschnitt, Roman), Kleingruppenarbeit und Rollenspielen ist zur Vermittlung des Themas gut geeignet. Weitere Evaluationen müssen folgen. Wünschenswert wäre im Sinne der Lernspirale ein mehrfaches Aufgreifen des Themas innerhalb des Studiums."],["dc.identifier.doi","10.3205/zma000764"],["dc.identifier.fs","584691"],["dc.identifier.pmid","22205910"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/8180"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/60517"],["dc.language.iso","de"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","final"],["dc.relation.issn","1860-3572"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.mesh","Communication"],["dc.subject.mesh","Cooperative Behavior"],["dc.subject.mesh","Curriculum"],["dc.subject.mesh","Education, Medical, Undergraduate"],["dc.subject.mesh","Faculty, Medical"],["dc.subject.mesh","Germany"],["dc.subject.mesh","Humans"],["dc.subject.mesh","Interdisciplinary Communication"],["dc.subject.mesh","Medicine"],["dc.subject.mesh","Palliative Care"],["dc.subject.mesh","Physician-Patient Relations"],["dc.subject.mesh","Truth Disclosure"],["dc.title","Überbringen schwerwiegender Nachrichten – ein interdisziplinäres Lehrkonzept im Pflichtcurriculum"],["dc.title.alternative","Breaking bad news - an interdisciplinary curricular teaching-concept"],["dc.title.translated","Überbringen schwerwiegender Nachrichten – ein interdisziplinäres Lehrkonzept im Pflichtcurriculum"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Palliative Care"],["dc.bibliographiccitation.volume","19"],["dc.contributor.author","Harnischfeger, Nele"],["dc.contributor.author","Rath, Hilke M."],["dc.contributor.author","Ullrich, Anneke"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Letsch, Anne"],["dc.contributor.author","Thuss-Patience, Peter"],["dc.contributor.author","Bokemeyer, Carsten"],["dc.contributor.author","Oechsle, Karin"],["dc.contributor.author","Bergelt, Corinna"],["dc.date.accessioned","2021-04-14T08:26:31Z"],["dc.date.available","2021-04-14T08:26:31Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1186/s12904-020-00568-3"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/17315"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/81976"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.notes.intern","Merged from goescholar"],["dc.relation.eissn","1472-684X"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Evaluation of a communication skills training to facilitate addressing palliative care related topics in advanced cancer patients: study protocol of a multicenter randomized controlled trial (PALLI-KOM)"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Nauck, Friedemann"],["dc.date.accessioned","2022-04-05T08:58:39Z"],["dc.date.available","2022-04-05T08:58:39Z"],["dc.date.issued","2019"],["dc.description.abstract","Was verstehen wir unter Palliativmedizin/Palliative Care/Palliativversorgung? Welchen Belastungen sind Patienten und deren Angehörige in unheilbaren und fortgeschrittenen Erkrankungssituationen ausgesetzt? Wie kann eine entsprechende umfassende Behandlung und Unterstützung bewerkstelligt werden? Wie kann eine Entscheidung zur Begrenzung oder zur Fortführung therapeutischer Maßnahmen am Lebensende begründet werden? Das vorliegende Skript soll Medizinstudierenden und allen Interessierten einen Einblick in die Notwendigkeiten und Möglichkeiten umfassender palliativmedizinischer Unterstützung ermöglichen und zum Nachlesen sowie für die Vorbereitung für die palliativmedizinischen Prüfungen im QB 13 und im Staatsexamen eine Hilfe sein."],["dc.description.edition","7"],["dc.format.extent","92"],["dc.identifier.doi","10.17875/gup2019-1141"],["dc.identifier.isbn","978-3-86395-400-0"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?univerlag-isbn-978-3-86395-400-0"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/106333"],["dc.identifier.url","https://publications.goettingen-research-online.de/handle/2/106333"],["dc.identifier.urn","urn:nbn:de:gbv:7-isbn-978-3-86395-400-0-2"],["dc.language.iso","de"],["dc.notes.intern","Import GROB-550"],["dc.publisher","Universitätsverlag Göttingen"],["dc.publisher.place","Göttingen"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.rights","CC BY-SA 4.0"],["dc.rights.uri","http://creativecommons.org/licenses/by-sa/4.0/deed.de"],["dc.title","Palliativmedizin - das Skript"],["dc.title.subtitle","zum Querschnittsfach 13 an der Universitätsmedizin Göttingen (UMG)"],["dc.type","book"],["dc.type.internalPublication","yes"],["dc.type.subtype","manual_book"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1086"],["dc.bibliographiccitation.issue","11"],["dc.bibliographiccitation.journal","The Lancet Oncology"],["dc.bibliographiccitation.lastpage","1091"],["dc.bibliographiccitation.volume","9"],["dc.contributor.author","Nauck, Friedmann"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.date.accessioned","2018-11-07T11:09:38Z"],["dc.date.available","2018-11-07T11:09:38Z"],["dc.date.issued","2008"],["dc.description.abstract","Palliative care aims to improve quality of life by early identification, impeccable assessment, and treatment of symptoms while meeting other needs of patients with advanced and progressive disease. It comprises disease-specific and symptom-guided interventions, with emphasis on preparing patients and their relatives for foreseeable, highly distressing clinical problems. Use of inappropriate mechanisms and algorithms in standard emergency treatment might be avoidable for the sake of patient-centred inpatient and outpatient palliative care during the last phase of life. This Review reflects a clinical attitude in palliative care that differs from oncological emergency management. We give examples of typical clinical crises at the end of life and discuss treatment to aid care before, during, and after such crises."],["dc.identifier.doi","10.1016/S1470-2045(08)70278-X"],["dc.identifier.isi","000260746400015"],["dc.identifier.pmid","19012857"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6209"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/53049"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Lancet Ltd"],["dc.relation.issn","1470-2045"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Crises in palliative care-a comprehensive approach"],["dc.type","review"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]