Psychokardiologie und Palliativmedizin/-versorgung sind wichtige Bestandteile der
Behandlung von Menschen mit fortgeschrittenen Herzerkrankungen. Als bedeutsame Gemeinsamkeiten
zeigen sich eine auf die Persönlichkeit der Betroffenen und weniger auf rein somatische
Aspekte fokussierte Sichtweise und ein Schwerpunkt auf die Stärkung der Autonomie
von herzerkrankten Personen mit dem Ziel einer gebesserten Krankheitsverarbeitung
und Lebensqualität.
Abstract
Traditionally, there is a high expertise for psychooncological care in palliative
medicine. Psychooncology and psychocardiology are interdisciplinary fields in the
care of somatically ill patients. While personalised support of oncological patients
in palliative and psychooncological terms represents progress in the medical care
structure, there is a lack of care for patients with chronic heart disease without
curative treatment options. Patients with advanced heart failure e.g. show oscillations
in disease severity compared to those with cancer, which lends a certain unpredictability
to treatment planning. As cardiologists often find it difficult to leave the curative
approach, communication about palliative treatment options and psychocardiological
support often does not take place. Apart from consultation and liaison services, the
topics of farewell and dying play a subordinate role in psychocardiological treatment
contexts. Also, heart disease patients rarely receive psychocardiological care under
a palliative treatment concept. If palliative care is provided for cardiac patients,
there is often a lack of psychocardiological expertise for the special care necessities
for these patients. Therefore, we entered into a dialogue between psychocardiology
and palliative medicine in order to explore the conceptual overlaps and fundamental
differences between the two disciplines, how they can learn from each other and how
concepts can be used meaningfully in the other field. In the following, we will discuss
which specialist concepts and ideas can help to better treat patients with advanced
heart disease.
Schlüsselwörter
Herzinsuffizienz - Psychokardiologie - Palliativversorgung - Psychoonkologie - multiprofessionelles
Team
Keywords
heart failure - psychocardiology - palliative care - psychooncology - multiprofessional
team
