Again and again it is in the Corona-crisis, the question is, how many intensive care beds are available for the treatment of Covid-19-patients. A palliative care practitioner laments the, in his view, entirely the wrong approach. You should provide patients with pre-existing conditions in old age, faced with the choice of whether you want to take the rigors of such a treatment anyway.
Matthias Thöns complained in an Interview with the "Deutschlandfunk" a "very one-sided focus on the Intensivbehandlung" of patients in the corona of a crisis. The palliative care physician, calls for: Elderly patients with pre-existing conditions need to be better informed about the rigors and possible serious consequences of intensive therapy.
The number of intensive care beds and intensive care beds with ventilators in Germany is currently in any kind of press briefing by the Robert-Koch-Institute (RKI), and many Statements from politicians and virologists mention. Prayer mill-like RKI-chief Lothar Wieler, repeatedly, that an adequate supply for later phases of the Covid-19-should the pandemic be ensured.
Federal Minister of health, Jens Spahn (CDU), had on Thursday said that currently around 3000 Covid patients in Intensive treatment were. More than 10,000 intensive were beds up-to-date – Germany’s clinics see also Easter, good gewapnnet.
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Palliative physician, criticized "a one-sided focus on the Intensivbehandlung"
Palliative physician, Thöns sees the focus on the intensive treatment of Corona patients but critical and warns of ethical problems. "The policy has now a very one-sided focus on the intensive treatment, on the Purchase of new breathing, on Offer from Intensivbetten", the doctor from North Rhine-said-Westphalia the "Deutschlandfunk".
Often it is a matter but a group in old age, the suffering, and in part to pre-existing conditions. "So it is a group that usually has and yet get more and more palliative care as a Intensivmedizin", says Thöns, and criticised the handling of the patients in the Corona-crisis. "Now is diagnosed with a new disease, and because of this all patients, intensive care patients."
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The Benefits of this treatment, according to Thöns minimal. According to a Chinese study, in which the practitioner invokes, would "97 percent, despite the maximum therapy of death – an intensive therapy is painful, since the ratio between Benefits and damage, that’s true hardly."
"Wrong priorities are set, and all the ethical principles verletzt"
You could save over a certain age and with corresponding pre-existing conditions, only a very few people, and most of the Rescued would remain disabled after a few weeks of hard. "I see that are very wrong priorities, and it violated all the ethical principles that we so kennen", the doctor criticized. Too often, patient dispositions, the refuse a ventilator or desires is not considered to be Treated would.
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This is according to Thöns reprehensible. "The will goes beyond the Indikation", the physician stresses and calls for a different approach. "You should inform the patients, actually to be honest, that intensive care medicine, rescue chances at a high suffering load with the minimal due to the associated intensive-care medicine."
Palliative care physician, calls for education to intensive care patients to decide for themselves
You have to ask the people the question whether they are isolated from their family in the ICU and ventilated, or to stay with the risk to not survive, but with gelindertem suffering at home. "I tell you, most of the old people will go down this second path, when the honest sagt", Thöns believes. Reuters/Tom Weller/dpabild A Nurse with a resident of the nursing home and a Walker across the hall. (Recording with a zoom effect).
In this context, the palliative physician, praises the special control, that people who are in a nursing home to Die, may get a visit. "In a nursing home, you are no longer separated, at least from your family, if you opt for palliative care. In the ICU, they remain separated."
Proper, ethical behavior in a pandemic "you try zumindest" to create. The framework difficult triage decisions in the intensive care units of the German Interdisciplinary Association for intensive care medicine were "ethically it is good. Better would be, of course, clear, if, from the outset, only the patients with the life-saving service in the clinic, the medical intensive."
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