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Sterben in Zürich 
Friedhof Forum Zürich 
Mittwoch 15.10.2014 
Med. pract. Silvia Richner 
Leitung Palliative Care Team Stadtspital Triemli
Abteilungsname 
Abteilungsname (2. Zeile)
Sterbeort: Wunsch 
Abteilungsname 
Abteilungsname (2. Zeile)
Sterbeort 
Wunsch der Schweizer 
73% der Befragten möchten zu hause sterben 
Nur 6% möchten im Spital sterben
Wie sterben die Menschen ? 
Nur gerade 10% der Todesfälle sind unerwartet 
(Unfälle, ‚Einschlafen‘…) 
90% sterben nach einer längeren oder kürzeren 
Pflegebedürftigkeit
Wann beginnt das Lebensende ? 
Krebserkrankungen 
Chronische Erkrankungen 
des Herzens, der Lunge, 
der Leber…. 
Demenz
Bedürfnisse am Lebensende 
•Beste Linderung von Beschwerden 
•Informierte Entscheidungsfindung 
•Vorbereitung des Lebensendes 
•Ruhe und Zeit für Lebensbilanz 
•Keine Belastung für die Angehörigen werden 
•Weitergabe wichtiger Dinge 
•Respektierung als Person 
Steinhauser KE, Christakis NA.: Ann Int Med 2000, BMJ 2000, JAMA 2000
Aufgaben in der Sterbephase 
• Rahmen : 
- Angstreduktion durch Kommunikation 
- Platz für Intimität, Begegnung, Abschied 
• Sterben diagnostizieren 
• Leiden lindern 
• Kooperation mit anderen Helfern 
• Prävention bei Angehörigen und Team 
Longo 1978, Ellershaw 1996
Wie ist dieses Sterben ? 
Meist kein abruptes Ende sondern in Phasen
Was können wir/ Sie machen: 
Vorausschauend Planung – Advanced Care Planning 
• Regeln wichtiger Dinge 
• Wünsche notieren 
• Darüber sprechen
Und nach dem Tod ?
Fragen

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Sterben in Zürich Teil 2

  • 1. Sterben in Zürich Friedhof Forum Zürich Mittwoch 15.10.2014 Med. pract. Silvia Richner Leitung Palliative Care Team Stadtspital Triemli
  • 3. Sterbeort: Wunsch Abteilungsname Abteilungsname (2. Zeile)
  • 4. Sterbeort Wunsch der Schweizer 73% der Befragten möchten zu hause sterben Nur 6% möchten im Spital sterben
  • 5. Wie sterben die Menschen ? Nur gerade 10% der Todesfälle sind unerwartet (Unfälle, ‚Einschlafen‘…) 90% sterben nach einer längeren oder kürzeren Pflegebedürftigkeit
  • 6. Wann beginnt das Lebensende ? Krebserkrankungen Chronische Erkrankungen des Herzens, der Lunge, der Leber…. Demenz
  • 7. Bedürfnisse am Lebensende •Beste Linderung von Beschwerden •Informierte Entscheidungsfindung •Vorbereitung des Lebensendes •Ruhe und Zeit für Lebensbilanz •Keine Belastung für die Angehörigen werden •Weitergabe wichtiger Dinge •Respektierung als Person Steinhauser KE, Christakis NA.: Ann Int Med 2000, BMJ 2000, JAMA 2000
  • 8. Aufgaben in der Sterbephase • Rahmen : - Angstreduktion durch Kommunikation - Platz für Intimität, Begegnung, Abschied • Sterben diagnostizieren • Leiden lindern • Kooperation mit anderen Helfern • Prävention bei Angehörigen und Team Longo 1978, Ellershaw 1996
  • 9. Wie ist dieses Sterben ? Meist kein abruptes Ende sondern in Phasen
  • 10. Was können wir/ Sie machen: Vorausschauend Planung – Advanced Care Planning • Regeln wichtiger Dinge • Wünsche notieren • Darüber sprechen
  • 11. Und nach dem Tod ?

Notas do Editor

  1. Sprache Bedanken für Interesse Mich Vorstellen Fragen jederzeit
  2. Wo möchte ich sterben: Sterbeort Wunsch und Realität Wie möchte ich sterben: Sterbequalität Bedürfnisse nationalen Befragung 2009 des Bundesamtes für Statistik
  3. Perspektive von Gesunden Schweizern, wissen dass Wandel im Laufe des Lebens aus Studien UK
  4. Lebensende: Tage wenige Wochen zum Tode nach SAMW
  5. die Fachprofis : Palliative care