Case Management im palliativen Kontext: Eine Fallbearbeitung
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Wissenschaftliche Studie aus dem Jahr 2011 im Fachbereich Gesundheit - Sonstiges, Universität Bielefeld, Sprache: Deutsch, Abstract: Ein wesentliches Problem, das die Entwicklung des deutschen Gesundheitssystems kennzeichnet, ist die zunehmende Chronifizierung von Erkrankungen. Oft werden Krankheiten manifest, es tritt eine steigende Morbidität bei sinkender Mortalität ein. Diese Entwicklung wird in den Gesundheitswissenschaften als "double aging" bezeichnet. In den Kreis der chronischen Erkrankungen treten mit zunehmender Inzidenz auch einige maligne Tumorentitäten. Betrachtet man das Vorkommen der häufigsten Krebserkrankungen, so lässt sich ein Gro teil derer im fortgeschrittenen Alter ausmachen. Krebs kann somit auch als eine Alterserkrankung beschrieben werden. Durch das steigende Lebensalter tritt Krebs häufiger auf und korreliert damit mit der demographischen Entwicklung. Optimierte Therapien machen ein Überleben einer Krebserkrankung im Durchschnitt wahrscheinlicher (5-Jahres-Überlebensrate). Dennoch ist das Leben mit einer Karzinomerkrankung durch langwierige Therapien, einen häufigen Wechsel von Progredienz und Remission, soziale und psychische Veränderungen - meist sind es Negativverläufe - und oftmals durch finale Krankheitsphasen gekennzeichnet. Die Herausforderung des Gesundheitssystems besteht nun darin, den an Krebs Erkrankten die notwendigen Hilfestellungen zukommen zu lassen und zugänglich zu machen. Da die Auswirkungen einer Krebserkrankung auf alle Lebensbereiche mannigfaltig sind, sind zahlreiche Aspekte der medizinischen, pflegerischen, sozialen, psychologischen und rehabilitativen Versorgung zu berücksichtigen. Da im stationären Setting Tumorpatienten oft als "Wiederkehrer" und verstärkt in einem finalen Stadium Ihrer Erkrankung versorgt werden müssen, kann ein spezialisiertes Case Management als Instrument zu einer verbesserten Steuerung der Hilfemöglichkeiten installiert werden. Hier lassen sich die Stärken eines Case Managements auf der in
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