1. Palliativversorgung von Patienten in Opioidsubstitutionsbehandlung
- Author
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L Wüllenweber, J Goldmann, Lukas Radbruch, K Weckbecker, H Hoffmann-Menzel, and Martina Kern
- Subjects
medicine.medical_specialty ,Harm reduction ,Palliative care ,Sports medicine ,business.industry ,Pain medicine ,Psychosomatic medicine ,Opioid use disorder ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,Anesthesiology and Pain Medicine ,030202 anesthesiology ,Health care ,medicine ,Anxiety ,Neurology (clinical) ,medicine.symptom ,Intensive care medicine ,business ,030217 neurology & neurosurgery - Abstract
Patients with opioid use disorder survive longer and reach higher ages due to harm reduction and maintenance programs. Therefor and because of concomitant comorbidities there is an increased incidence of life-limiting diseases. Thus, increasing numbers of patients with opioid use disorder or in maintenance programs will require palliative care. However, both inpatient and outpatient service providers are uncertain about providing palliative care for these patients. Home-care teams and inpatient hospices have been known to refuse admission for patients with opioid use disorder. Providing medical care to patients receiving substitution therapy can be challenging because maintenance programs require strict compliance with their rules and regulations; however, an individualized approach with knowledge of basic legal requirements enables good palliative care. In this manner, it is possible to ensure healthcare for these aging patients. more...
- Published
- 2019
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