Pain management in German hospices: a cross-sectional study
Background and objectives Pain management is a necessary component of palliative care as most patients suffer from pain during the final phase of life. Due to the complex causation of pain in the last phase of life, it is important to utilize methods other than pharmacotherapeutic options in order...
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| Autoren: | , , , , |
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| Format: | Artikel |
| Sprache: | Englisch |
| Veröffentlicht: |
Philipps-Universität Marburg
2024
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| Zusammenfassung: | Background and objectives Pain management is a necessary component of palliative care as most patients suffer
from pain during the final phase of life. Due to the complex causation of pain in the last phase of life, it is important to
utilize methods other than pharmacotherapeutic options in order to achieve adequate pain control. As little is known
about treatment of pain in German hospices, a nationwide survey was conducted.
Materials and methods All German hospices (259) were contacted by post in June 2020 and asked to participate in
an anonymous cross-sectional survey.
Results A total of 148 (57%) German hospices took part in the survey. A broad variety of medication is used in the
hospice setting. Metamizole is the most commonly used non-opiod analgesic , hydromorphone the most commonly
used opioid, and pregabalin is the most commonly prescribed co-analgesic drug. The pain medication is usually
prescribed as an oral slow-release substance. Standardized treatment schemes are rare among the responding
hospices. Most of the respondents also use complementary treatment options, such as aroma (oil) therapy or music
therapy, in the treatment of pain. Palliative sedation is used by nearly all responding hospices if all other treatment
options fail.
Conclusion This survey provides an overview of the treatment options for pain management in German hospices.
A broad variety of pain medication is used. Compared to international literature, it is debatable whether such a large
variety of different types of pain medication is necessary, or whether a reduction in the type of medication available
and the use of standardized treatment schemes could benefit everyone involved. |
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| Beschreibung: | Gefördert durch den Open-Access-Publikationsfonds der UB Marburg. |
| DOI: | 10.1186/s12904-023-01291-5 |