Nauck, Friedemann

[["dc.bibliographiccitation.firstpage","442"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Supportive Care in Cancer"],["dc.bibliographiccitation.lastpage","451"],["dc.bibliographiccitation.volume","11"],["dc.contributor.author","Radbruch, Lukas"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Ostgathe, Christoph"],["dc.contributor.author","Elsner, Frank"],["dc.contributor.author","Bausewein, Claudia"],["dc.contributor.author","Fuchs, Martin"],["dc.contributor.author","Lindena-Gläß, Gabriele"],["dc.contributor.author","Neuwöhner, Karl"],["dc.contributor.author","Schulenberg, Dieter"],["dc.date.accessioned","2022-03-01T09:28:39Z"],["dc.date.available","2022-03-01T09:28:39Z"],["dc.date.issued","2003-07"],["dc.description.abstract","The development of a standardised core documentation for palliative care was initiated in Germany in 1996. Results from previous evaluations have shown the wide variability of the documentation in participating units. A different documentation form was used in 2001 using free text entries to find out what problems palliative care specialists perceive in their patients. Fifty-five of the 83 palliative inpatient units in Germany (66% of the units) as well as one unit each from Austria and Switzerland, documented 1304 patients in the core documentation in 2001. Inpatient care was continued until death for 531 patients, 604 patients were discharged home and 169 patients were transferred to other places of care. Palliative care treatment effectively reduced mean physical symptom intensity. Mean intensities of psychological and social problems also were reduced although not as much as physical symptom load. Nursing problems were reduced for those patients discharged but not for those who died in the unit. Anxiety and depression were the most frequent psychological problems. Nursing problems were focussed on impairment of mobility and other activities of daily living such as washing, nutrition and drinking. Excessive distress on caregivers and the organisation of home care were the predominant social problems. In conclusion, this representative prospective survey with the majority of palliative care units in Germany showed the high effectiveness of symptom relief. Using the categories identified in this study, checklists were constructed and included in the documentation forms that are currently used for the core documentation project."],["dc.identifier.doi","10.1007/s00520-003-0472-6"],["dc.identifier.pmid","12774219"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/102762"],["dc.language.iso","en"],["dc.relation.issn","0941-4355"],["dc.title","What are the problems in palliative care? Results from a representative survey"],["dc.type","journal_article"],["dc.type.internalPublication","no"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","255"],["dc.bibliographiccitation.issue","06"],["dc.bibliographiccitation.journal","Zeitschrift für Palliativmedizin"],["dc.bibliographiccitation.lastpage","256"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Radbruch, Lukas"],["dc.contributor.author","Nauck, Friedemann"],["dc.date.accessioned","2022-02-21T12:48:01Z"],["dc.date.available","2022-02-21T12:48:01Z"],["dc.date.issued","2016"],["dc.identifier.doi","10.1055/s-0042-118124"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/100145"],["dc.language.iso","de"],["dc.relation.issn","1615-2921"],["dc.relation.issn","1615-293X"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.title","Freiwilliger Verzicht auf Nahrung und Flüssigkeit – mehr Fragen als Antworten"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","571"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Der Schmerz"],["dc.bibliographiccitation.lastpage","572"],["dc.bibliographiccitation.volume","28"],["dc.contributor.author","Radbruch, Lukas"],["dc.contributor.author","Ostgathe, Christoph"],["dc.contributor.author","Nauck, F."],["dc.date.accessioned","2018-11-07T09:32:04Z"],["dc.date.available","2018-11-07T09:32:04Z"],["dc.date.issued","2014"],["dc.identifier.doi","10.1007/s00482-014-1497-0"],["dc.identifier.isi","000345968100002"],["dc.identifier.pmid","25610933"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/31666"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1432-2129"],["dc.relation.issn","0932-433X"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.title","Excruciating Pain - how good is the Pain Medicine?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.subtype","letter_note"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","43"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Supportive Care in Cancer"],["dc.bibliographiccitation.lastpage","49"],["dc.bibliographiccitation.volume","18"],["dc.contributor.author","Stiel, Stephanie"],["dc.contributor.author","Bertram, L."],["dc.contributor.author","Neuhaus, S."],["dc.contributor.author","Nauck, F."],["dc.contributor.author","Ostgathe, Christoph"],["dc.contributor.author","Elsner, Frank"],["dc.contributor.author","Radbruch, Lukas"],["dc.date.accessioned","2018-11-07T08:48:37Z"],["dc.date.available","2018-11-07T08:48:37Z"],["dc.date.issued","2010"],["dc.description.abstract","Most terminally ill patients request information about their remaining life span. Professionals are not generally willing to provide prognosis on survival, even though they are expected to be able to do so from their clinical experience. This study aims to find out whether the standardized instruments Palliative Prognostic Index (PPI) and the Palliative Prognostic Score (PaP-S) are appropriate, specific, and sensitive to estimate survival time in patients receiving inpatient palliative care in Germany. PPI and PaP-S were assessed in addition to the core documentation data set of the Hospice and Palliative Care Evaluation for patients admitted to the palliative care units in Aachen, Bonn, and Cologne. Time of survival was assessed with repeated phone calls to the family and was defined as the difference between the day of completion of the instruments (excluded) and the day of death (included). Survival time was compared with physicians' estimations and prognostic scores in 83 patients. Whereas the estimates of the PPI and the PaP-S correlate highly, even higher correlations are found for the physicians' prognosis and the scores. Correlations between survival time and the prognostic scores or physicians' prognosis were lower. Physicians' estimations overestimated survival time on average fourfold. Estimations were more often correct for very good and very bad prognosis. The prognostic scores are not able to produce a precise reliable prognosis for the individual patient. Nevertheless, they can be used for ethical decision making and team discussions. Estimating survival time from clinical experience seems to be easier for very bad or very good prognosis for physicians."],["dc.identifier.doi","10.1007/s00520-009-0628-0"],["dc.identifier.isi","000271963100006"],["dc.identifier.pmid","19381693"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6758"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/21260"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0941-4355"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Evaluation and comparison of two prognostic scores and the physicians' estimate of survival in terminally ill patients"],["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","771"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Supportive Care in Cancer"],["dc.bibliographiccitation.lastpage","777"],["dc.bibliographiccitation.volume","19"],["dc.contributor.author","Voltz, Raymond"],["dc.contributor.author","Galushko, Maren"],["dc.contributor.author","Walisko, Johanna"],["dc.contributor.author","Karbach, Ute"],["dc.contributor.author","Ernstmann, Nicole"],["dc.contributor.author","Pfaff, Holger"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Radbruch, Lukas"],["dc.contributor.author","Ostgathe, Christoph"],["dc.date.accessioned","2018-11-07T08:55:56Z"],["dc.date.available","2018-11-07T08:55:56Z"],["dc.date.issued","2011"],["dc.description.abstract","Purpose To be able to study the desire for hastened death (DhD) in patients receiving palliative care, research tools reflecting the thoughts of patients are needed. In order to better understand what issues of \"life\" and \"death\" mean to patients receiving palliative care in Germany, we analysed their spontaneous comments during a validation study of the German version of the Schedule of Attitudes Towards Hastened Death. Method Field notes and transcripts of 39 interviews were analysed by thematic analysis. Method Field notes from 32 patients were related to differentiating either an acute or a non-acute DhD. Furthermore, the patients' comments were categorized and the distribution of codes analysed, leading to three types of comments: (a) longing for life excluding a hastened death, (b) wanting to live on, but perceiving death as an option, and (c) longing for death, but struggling for life. Conclusion The existing construct of an increased DhD may benefit from a further differentiation between \"non-acute\" and \"acute.\" In addition, it could be helpful to conceptualize \"will to live\" and \"desire for death\" not as polarities from one dimension (two sides of the same coin), but to think them as two independent dimensions."],["dc.description.sponsorship","Deutsche Forschungsgemeinschaft DFG [Vo 497/4-1]"],["dc.identifier.doi","10.1007/s00520-010-0876-z"],["dc.identifier.isi","000290029700007"],["dc.identifier.pmid","20422231"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/23027"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0941-4355"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Issues of \"life\" and \"death\" for patients receiving palliative care-comments when confronted with a research tool"],["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","14"],["dc.bibliographiccitation.issue","36"],["dc.bibliographiccitation.journal","Med-Report"],["dc.bibliographiccitation.volume","27"],["dc.contributor.author","Radbruch, Lukas"],["dc.contributor.author","Nauck, Friedemann"],["dc.date.accessioned","2022-10-25T10:33:25Z"],["dc.date.available","2022-10-25T10:33:25Z"],["dc.date.issued","2003"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/116498"],["dc.language.iso","de"],["dc.title","Evidenzbasierte Therapie tumorbedingter Schmerzen"],["dc.type","journal_article"],["dc.type.internalPublication","no"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","471"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Journal of Pain and Symptom Management"],["dc.bibliographiccitation.lastpage","483"],["dc.bibliographiccitation.volume","23"],["dc.contributor.author","Radbruch, Lukas"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Fuchs, Martin"],["dc.contributor.author","Neuwöhner, Karl"],["dc.contributor.author","Schulenberg, Dieter"],["dc.contributor.author","Lindena-Gläß, Gabriele"],["dc.date.accessioned","2022-03-01T09:28:59Z"],["dc.date.available","2022-03-01T09:28:59Z"],["dc.date.issued","2002"],["dc.description.abstract","The recent development of palliative care inpatient units in Germany has been impressive. As a first step for quality assurance, a core documentation form was developed in 1996. The core documentation form consisted of 4 pages with 35 items documenting physical and psychosocial symptoms at the time of admission, diagnostic and therapeutic procedures before and during inpatient treatment, and outcome of physical and psychosocial dimensions. Checklists were used for most items and free text entries could be added. Of the 65 palliative inpatient units in Germany, 44 participated in the second phase of the evaluation of the core documentation in 2000. Eight units were affiliated with anesthesiology departments, 31 with internal medicine, two with radiotherapy, 1 with a surgical department, and 2 units were not affiliated with a department of the hospital. A total of 1087 patients were assessed in the 44 units during a period of up to 3 months. There was a high variability between units in all checklist items of the core documentation. Compared to units affiliated with internal medicine departments, units affiliated with anesthesiology departments performed less chemotherapy, but more immunotherapy; gave fewer infusions and blood transfusions but more skin and wound care, and more lymphatic drainage and massage; and documented psychosocial interventions more frequently for patients as well as for relatives. In one-third of the patients, a consent for omission of therapeutic options was documented. Inpatient treatment ended with the death of the patient in 45.3% of patients and with discharge in 51.6% (not documented 3.1%). The efficacy of inpatient treatment was rated very high by the staff. In conclusion, we found large variation in the documentation pertaining to palliative care patients at the time of admission, as well as for inpatient treatment, among palliative care units in Germany. This was related to the affiliation of the units at least to some degree, but also to differences in interests and documentation discipline. We suggest that training procedures for documentation should be included in crossectional surveys, as the results may not be comparable otherwise. However, common documentation instruments may be the first step towards an interdisciplinary discussion on aims and methods in palliative care."],["dc.identifier.doi","10.1016/S0885-3924(02)00408-6"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/102765"],["dc.language.iso","en"],["dc.relation.issn","0885-3924"],["dc.title","What Is Palliative Care in Germany? Results from a Representative Survey"],["dc.type","journal_article"],["dc.type.internalPublication","no"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","672"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Journal of Palliative Medicine"],["dc.bibliographiccitation.lastpage","680"],["dc.bibliographiccitation.volume","15"],["dc.contributor.author","Jaspers, Birgit"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Lindena, Gabriele"],["dc.contributor.author","Elsner, Frank"],["dc.contributor.author","Ostgathe, Christoph"],["dc.contributor.author","Radbruch, Lukas"],["dc.date.accessioned","2018-11-07T09:09:49Z"],["dc.date.available","2018-11-07T09:09:49Z"],["dc.date.issued","2012"],["dc.description.abstract","Background: Little is known about the practice of palliative sedation (PS) in Germany. This paper presents an analysis of sedation-related data obtained from the German standardized core documentation system (HOPE) for palliative care patients. Methods: HOPE was complemented by an optional module on ethical decision making (EDM) which was pretested in 2004, data was collected in 2005-6 during the annual 3-month census. Data was analyzed descriptively from palliative care units (PCU - representative) and inpatient hospice (H - non-representative control group). Chi(2) test was used to test for differences between the reported data per item and year within one kind of setting (significance level p <= 0.05). Free-text entries were categorized inductively. Results: Datasets were obtained for 1,944 patients (P) with EDM. PS was performed in 13.0/11.8% (2005/2006) P in palliative care units (PCU) and 25.5/22.9% in hospices (H). Main reasons for PS in PCU were dyspnea, pain, fear or anxiety, in H reasons were inconsistent, high prevalence of psychosocial reasons. Most PS in PCU and about half of the PS in H were intermittent. Sedated P were younger than non-sedated. Only 7 P received PS after asking for euthanasia. The most used medication was midazolam. Conclusions: This study reveals a first insight into the use and practice of PS in German PCU and H. For a more detailed systematic survey into the course of decision-making and procedures, a new complementary optional module on PS is being developed by the HOPE group."],["dc.identifier.doi","10.1089/jpm.2011.0395"],["dc.identifier.isi","000304778200010"],["dc.identifier.pmid","22656056"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/26351"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Mary Ann Liebert Inc"],["dc.relation.issn","1096-6218"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.title","Palliative Sedation in Germany: How Much Do We Know? A Prospective Survey"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["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.firstpage","1157"],["dc.bibliographiccitation.issue","9"],["dc.bibliographiccitation.journal","Supportive Care in Cancer"],["dc.bibliographiccitation.lastpage","1163"],["dc.bibliographiccitation.volume","18"],["dc.contributor.author","Ostgathe, Christoph"],["dc.contributor.author","Gaertner, Jan"],["dc.contributor.author","Kotterba, Maren"],["dc.contributor.author","Klein, Sebastian"],["dc.contributor.author","Lindena, Gabriele"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Radbruch, Lukas"],["dc.contributor.author","Voltz, Raymond"],["dc.date.accessioned","2018-11-07T08:40:13Z"],["dc.date.available","2018-11-07T08:40:13Z"],["dc.date.issued","2010"],["dc.description.abstract","Cancer may affect the central nervous system either by primary or secondary brain tumours (PBT/SBT). Specific needs of these patients and special requirements of services caring for them have not been adequately addressed so far. Since 1999, an annual, 3-month census is being conducted in different palliative care settings throughout Germany. Pooled data from the years 2002-2005 were analysed to test for differences between patients with PBT, SBT and other palliative care patients (OP). Symptom frequencies, ECOG status and nursing needs were tested for differences (chi A(2)). Free text entries for reasons for admission were recorded, categorised and analysed descriptively. A total of 5,684 patients were documented (PBT n = 153, 2.7%; SBT n = 661, 11.9%; OP n = 4,872, 85.4%). For patients with PBT, poor functional status and high need for nursing support was reported more frequently than for patients with SBT and OP. For patients with PBT/SBT physical symptoms (pain, nausea, vomiting, constipation and loss of appetite) were documented less frequently and in lower intensity than for OP. However, nursing, psychological, and social problems/symptoms were documented significantly more often and showed higher intensity, particularly the patients' need for support with the activities of daily living, disorientation/confusion of the patients and overburdening of the family. For 67% of all patients, a reason for admission was documented in free text. Main reasons were symptom control (OP > SBT > PBT), social issues (PBT > SBT > OP), functional deficits (PBT > SBT > OP) and cognitive impairment (PBT/SBT > OP). Distinct neurological deficits and problems were documented more often as secondary ICD-diagnoses than as a leading reason for admission. The specific palliative care problems and the rationales leading to health care utilisation point to the need for an appropriate interdisciplinary and multi-professional provision of care for patients with brain malignancies, with a particular view on the needs of the families and an early integration of social and psychological support."],["dc.identifier.doi","10.1007/s00520-009-0735-y"],["dc.identifier.isi","000280405800006"],["dc.identifier.pmid","19763633"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6760"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/19174"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0941-4355"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Differential palliative care issues in patients with primary and secondary brain tumours"],["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"]]