Das Kompetenzzentrum Palliative Care Mittelland bietet mit der Palliativsprechstunde und dem Palliativkonsiliardienst am Kantonsspital Aarau sowie der Palliativstation am Spital Zofingen eine spezialisierte Palliative Care an.
Der Begriff „Palliative Care“ leitet sich aus dem lateinischen Wort „pallium“ für einen mantelähnlichen Umhang und dem englischen Wort „care“ für „Pflege“ ab.
Palliative Care umfasst die Betreuung und die Behandlung von Menschen mit unheilbaren, lebensbedrohlichen und/oder chronisch fortschreitenden Krankheiten. Sie stellt die Lebensqualität ins Zentrum der Behandlung, indem sie Leiden lindert und Komplikationen vorbeugt. Die individuelle Lebensqualität muss infolge der fortschreitenden Erkrankung immer wieder neu definiert werden. Durch frühzeitiges, umfassendes Erkennen und Behandeln von Veränderungen wird in der Palliative Care der jeweils am besten passende Weg gesucht.
Der ganzheitliche Ansatz der Palliative Care berücksichtigt neben medizinischen Behandlungen und pflegerischen Interventionen auch psychologische, soziale und spirituelle Bedürfnisse der Betroffenen und ihrer Bezugspersonen.
Palliativsprechstunde (PSS)
Die Palliativsprechstunde bietet Betroffenen und ihren Bezugspersonen sowie den Behandlungs- und Betreuungsteams eine ambulante Anlaufstelle für spezialisierte Palliative Care. Sie versteht sich als Ergänzung zu hausärztlicher Grundversorgung und Spitex. Eingebunden in das Palliativnetzwerk arbeitet das Team der Palliativsprechstunde eng mit verschiedenen weiteren Diensten zusammen.
Unterstützung bei psychischen Belastungssituationen
Hilfestellung bei schwierigen familiären oder sozialen Situationen
Beratung bei Entscheidungen (Patientenverfügung, Therapiebegrenzung, etc.)
Vorausschauende Netzwerk- und Notfallplanung
Information zu palliativen Angeboten (PalliativeSpitex, Palliativstation, Hospiz, etc.)
Unterstützung, Anleitung und Information nahestehender Bezugspersonen
Beratung und Unterstützung der behandelnden Fachpersonen
Team
Im Team der Palliativsprechstunde arbeiten sowohl Pflegefachpersonen als auch Ärztinnen und Ärzte. Die Erstkonsultation findet nach Möglichkeit interprofessionell im Zweierteam statt und dauert durchschnittlich eine Stunde. Nach Bedarf werden weitere Sprechstundentermine vereinbart oder andere Fachpersonen zugezogen.
Anmeldung
Die Anmeldung für die Palliativsprechstunde kann durch die behandelnde ärztliche Fachperson, die betreuende Pflegefachperson oder durch die Betroffenen oder ihre Angehörigen an Werktagen von 08.00 bis 17.00 Uhr unter +41 62 838 60 51 telefonisch erfolgen.
Palliativkonsiliardienst (PKD)
Der Palliativkonsiliardienst bietet dem betreuenden Team spitalintern Fachwissen und Unterstützung in komplexen Situationen an. Durch eine frühzeitige und umfassende Planung gemeinsam mit den Beteiligten suchen wir die bestmögliche Lösung für die Betroffenen. Wir arbeiten dabei eng mit verschiedenen weiteren Diensten zusammen.
Unterstützung bei psychischen Belastungssituationen
Hilfestellung bei schwierigen familiären oder sozialen Situationen
Beratung bei Entscheidungen (Therapiebegrenzung, etc.)
Vorausschauende Netzwerk- und Notfallplanung
Information zu palliativen Angeboten (PalliativeSpitex, Palliativsprechstunde, Palliativstation, Hospiz, etc.)
Unterstützung, Anleitung und Information nahestehender Bezugspersonen
Teilnahme/Leitung von Patienten- oder Rundtischgesprächen
Beratung und Unterstützung der behandelnden Fachpersonen
Palliativmedizinische Fortbildungen und Falldiskussionen
Team
Im Team des Palliativkonsiliardienstes arbeiten sowohl Pflegefachpersonen als auch Ärztinnen und Ärzte. Das Erstkonsil findet nach Möglichkeit interprofessionell im Zweierteam statt und dauert durchschnittlich eine Stunde. Nach Bedarf werden weitere Konsilien vereinbart oder andere Fachpersonen zugezogen.
Anmeldung
Die Konsilanmeldung erfolgt durch die behandelnde ärztliche Fachperson oder durch die betreuende Pflegefachperson über das entsprechende interne Formular im KISIM.
Für Rücksprachen ist der Palliativkonsiliardienst werktags von 8.00 bis 17.00 Uhr unter +41 62 838 62 70 telefonisch erreichbar.
Palliativstation Spital Zofingen
Die Palliativstation ist dem Spital Zofingen angegliedert. Sie erbringt spezialisierte Palliative Care Leistungen für stationäre Patientinnen und Patienten die eine komplexe palliative Behandlung und Betreuung benötigen.
Die Palliativstation ist kein Hospiz sondern Teil des Akutspitals, die Aufenthaltsdauer ist somit begrenzt. Ziel ist es, dass die Patientinnen und Patienten nach einer Besserung ihres Gesundheitszustandes wieder nach Hause oder in eine andere Einrichtung zurückkehren können.
Aufnahmekriterien
Zur Behandlung aufgenommen werden Patientinnen und Patienten:
mit unheilbaren, lebensbedrohlichen und/oder chronischen, fortgeschrittenen Erkrankungen mit begrenzter Lebenserwartung,
mit nicht beherrschbaren Symptomen (wie z.B. starke Schmerzen, unstillbares Erbrechen, akute Angstzustände oder Atemnot),
deren ambulante Versorgungsmöglichkeiten ausgeschöpft sind und die einer spezialisierten, stationären Behandlung bedürfen,
welche Unterstützung bei der Bewältigung psychischer sozialer und spiritueller Belastungssituationen benötigen,
die mit der Aufnahme auf die Palliativstation einverstanden und soweit möglich, darüber aufgeklärt sind, dass keine kurative Therapie mehr möglich ist.
Team
Es steht ein speziell ausgebildetes, multiprofessionelles Team zur Verfügung. Neben der ärztlichen und pflegerischen Versorgung kommen psychosoziale Betreuung, Physiotherapie, Ergotherapie, Seelsorge und Kunsttherapie umfassend zum Einsatz. Ehrenamtliche Mitarbeitende unterstützen das Team.
Anmeldung
Falls die Übernahme einer Patientin oder eines Patienten vom Kantonsspital Aarau auf die Palliativstation Zofingen gewünscht wird, ist der Palliativkonsiliardienst KSA rechtzeitig einzuschalten. Der Entscheid einer Verlegung vom KSA auf die Palliativstation Zofingen wird in Absprache zwischen dem behandelnden Team, dem Palliativkonsiliardienst KSA und der Leitung der Palliativstation Zofingen unter Einbezug der Wünsche der Betroffenen und ihrer Bezugspersonen getroffen.
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