A5038586084- Palliative Care and End-of-Life Issues
- Ethics and Legal Issues in Pediatric Healthcare
- Childhood Cancer Survivors' Quality of Life
- Healthcare Decision-Making and Restraints
- Family and Patient Care in Intensive Care Units
- Ethics in medical practice
- Medical and Health Sciences Research
- Disaster Response and Management
- Sepsis Diagnosis and Treatment
- Healthcare cost, quality, practices
- Organ Donation and Transplantation
- Cardiac Arrest and Resuscitation
- Infant Development and Preterm Care
- Neonatal Respiratory Health Research
- Medical Practices and Rehabilitation
- Grief, Bereavement, and Mental Health
- Healthcare professionals’ stress and burnout
- Intensive Care Unit Cognitive Disorders
- Family and Disability Support Research
- Family Support in Illness
- Clinical practice guidelines implementation
- Health and Medical Studies
- Adolescent and Pediatric Healthcare
- Social and Demographic Issues in Germany
- Counseling, Therapy, and Family Dynamics
Technical University of Munich
2022-2025
LMU Klinikum
2017-2023
Klinikum St. Georg
2023
Kreiskliniken Reutlingen
2023
Ludwig-Maximilians-Universität München
2019-2023
Medical University of Graz
2023
Johannes Gutenberg University Mainz
2023
Ruhr University Bochum
2023
Munich University of Applied Sciences
2023
Sankt-Antonius-Hospital Eschweiler
2023
Background: Although international guidelines recommend discussions about goals of care and treatment options for children with severe life-limiting conditions, there are still few structured models paediatric advance planning. Aim: The study aimed at identifying key components planning through direct all involved parties. Design: had a qualitative design participatory approach. Participants constituted an advisory board took part in two transdisciplinary workshops. Data were collected...
Abstract Although cardiopulmonary resuscitation (CPR) was initially used very selectively at the discretion of clinicians, use CPR rapidly expanded to point that it required be performed on all patients having in‐hospital cardiac arrests, regardless underlying condition. This created problems with being clearly inadvisable for many patients. Do Not Resuscitate (DNR) orders emerged as a means providing transparent process making decisions in advance regarding resuscitation, by and later also...
Background: A prenatal diagnosis of a life-limiting disease raises complex ethical, emotional, and medical issues. Studies suggest that 40%–85% parents decide to continue the pregnancy if given option Perinatal Palliative Care. However, structured Care programs are missing in many European countries. In Germany, have right free psychosocial support from counseling services after disease. Aim: We aimed investigate whether German professional counselors perceive need for so, how it should be...
OPINION article Front. Pediatr., 27 February 2020 | https://doi.org/10.3389/fped.2020.00067
Decision-making in pediatric palliative care concerns mainly children without decision-making capacity. It has to balance the child's best interests, parental responsibility and impact on family system.Advance planning (ACP) supports decision making about future medical care. A consistent approach is still missing. This study aimed at developing a ACP program (pedACP) meeting specific needs of children, parents professionals.Bereaved with life-limiting conditions professionals involved...
OBJECTIVES: Simulation and evaluation of a prioritization protocol at German university hospital using convergent parallel mixed methods design. DESIGN: Prospective single-center cohort study with quantitative analysis ICU patients qualitative content two focus groups intensivists. SETTING: Five ICUs internal medicine anesthesiology hospital. PATIENTS: Adult critically ill ( n = 53). INTERVENTIONS: After training the attending senior physicians 13) in rationing, an impending congestion was...
Context: Advance care discussions (ACD) between health professionals (HCPs) and parents of children with a life-limiting disease are core element successful pediatric advance planning (pACP). Yet, they perceived as challenging situation for all participants. Objectives: Our goal was to investigate the first step ACD identify its challenges helpful communication strategies develop conversation guide initiating pACP process structure conversational opening. Methods: We performed participant...
Abstract During the COVID‐19 pandemic, national triage guidelines were developed to address anticipated shortage of life‐saving resources, should ICU capacities be overloaded. Rationing and imply that in addition individual patient interests, interests population health have integrated. The transfer theoretical empirical knowledge into feasible useful practice models their implementation clinical settings need improved. This paper analyzes how protocols could translate abstract theories...