Publications by authors named "D Schlieper"

Background: Health-care professionals are confronted with patients who wish to end their lives through voluntarily stopping eating and drinking (VSED). During VSED, symptoms such as agitation, thirst or psychological distress may arise, thus making close medical accompaniment necessary. Dealing with these symptoms can put a high burden on palliative care teams.

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Background: Palliative care teams work under challenging conditions in a sensitive setting with difficult tasks. The multi-professional team can play an important role. Mindfulness and compassion-based practices are used to build resilience.

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COVID-19 patients who may require invasive therapeutic procedures such as extracorporeal membrane oxygenation (ECMO) have high symptom burden and in-hospital mortality. In addition, awake patients on ECMO are new in the intensive care unit (ICU) setting. Inpatient specialist palliative care (sPC) provides support such as symptom control on a physical, psychosocial and spiritual level.

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Article Synopsis
  • The COVID-19 pandemic made it hard for doctors to take care of very sick and dying patients due to isolation rules.
  • To help them improve their communication and care skills, a special online learning tool was created called "Palliative Care in Pandemic Times."
  • A study showed that most doctors (94%) liked the tool and learned a lot, especially about why palliative care is important, but it was harder for them to change how they feel about facing their own death.
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Background: Repeat hospitalizations, complications, and psychosocial burdens are common in patients with left ventricular assist devices (LVAD). Specialist palliative care (sPC) involvement supports patients during decision-making until end-of-life. In the United States, guidelines recommend early specialist palliative care (esPC) involvement prior to implantation.

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