[Percutaneous endoscopic gastrostomy-tube for a patient with glioblastoma to enable his admission into a nursing home].
The medical care for people in the end-stage of their carcinoma-disease demands extensive medical and nursing resources. If the admission to a hospice is not possible because of financial and personal reasons, or the medical care at home cannot be fulfilled personnel, a medical care in a nursing home would be possible for some patients on condition that a stable general condition and the support of mobile palliative teams are given. Besides a practicable pain therapy and the control of symptoms the hydration and ingestion are the criteria for the approval to a possible admission to a nursing home. If the ingestion is only limited possible respectively impossible and no advance directive respectively nor provision full power can be submitted, the admission is often denied, because mainly the people occupying a nursing profession are afraid to be situated in an ethic or lawful dispute situation, despite comprehensive information.
Schmidt
Elisabeth
E
Palliativstation, Krankenhaus der Elisabethinen, Graz, Austria. elisabeth.schmidt@elisabethinen.at
D001254:Astrocytoma / Q000473:pathology / Q000523:psychology* / Q000532:radiotherapy / Q000601:surgery; D001932:Brain Neoplasms / Q000473:pathology / Q000523:psychology* / Q000532:radiotherapy / Q000601:surgery; D003131:Combined Modality Therapy; D018450:Disease Progression; D004750:Enteral Nutrition / Q000451:nursing / Q000523:psychology*; D005774:Gastrostomy / Q000451:nursing / Q000523:psychology*; D005858:Germany; D005909:Glioblastoma / Q000473:pathology / Q000523:psychology* / Q000532:radiotherapy / Q000601:surgery; D006801:Humans; D007872:Legal Guardians; D008297:Male; D009367:Neoplasm Staging; D009735:Nursing Homes; D010166:Palliative Care / Q000379:methods / Q000523:psychology*; D010343:Patient Admission; D013727:Terminal Care / Q000523:psychology