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the similarity of life is
irrefutable as a palliative physician
completely out of the frame
usually you expect from
Medical doctors that they have problems
solve that the sick people healthy
make her recover
I aspire to palliative care
a completely different order
I accompany people in one phase
is characterized by incurable kite that is
a medicine with no one
what would like to do his medicine
which is not hype is patient
actually have nothing to do with me
certainly do not belong and even
The doctors shy away from this
field of medicine and yet it is one
area of us all that we sit here
or maybe someday
in our life arc meets where it is
it will be necessary for us to do this
use to make symptomatik better
for the life that is left
to give quality of life
this is something that nobody likes
sets apart
the requirements for the medicine are
with the achievements of the modern ones
medicine has risen enormously
we can replace organs today
i of course we can do that
Temporarily with machines
we can make the long-term
with other organs we are close to it
that we medications in oncology
they create a concrete one
Patients and his tumor disease
are tailored so personalized
drug
It is suggested that a lot
is possible and that life
seemingly infinitely renewable
and yet there is a point in that
everything is questioned
the point at which the question arises is
what is medically feasible and possible
is really what the one concrete
helping patients helps his
improve the quality of life
and that point and that limit was
what you got it like me
was asked
if I write here in his article
want to afford and I want you
Invite me on this border with two
to visit
on the one hand, the angle of view
patient who is facing with
his life and on the other
side view of the doctor
so he is confronted with it
his patient at the end of life too
Everyone takes care of the patient
his medical history is somewhere
a very personal story with
each of you if there is an e-card
and not from elga
has unsubscribed has this
Hidden behind a history
number in the trouser pocket
usually people assume it
if you are in medical treatment
do something well done
will make you healthy again
that’s usually the case, too
The leaf can be extremely fast
turn
a stroke is a brain hemorrhage
heavy skull brain trauma through
an accident or illnesses the
Slowly, dementia comes slowly
you lose or change yours
personality changes cognition
usually no longer the person of the
man before was a cancer diagnosis
diagnostics therapy chemotherapy
Side Effects
you come in an endless swirl
the medical machinery all this
can go very fast and we
displace the possibility us with it
what we are talking about in this
situation really want ours
values are and what we are
important is the medicine has in the
last century of one
paternalistic medicine transformed into
a medicine in autonomy and
Self-determination is very important to us
all as a patient, it is important that
we can decide for ourselves and
can determine what is with us
We are afraid of us
at the end of life on machines
hang hoses and no longer lord
our own senses are in 2015
In Austria 83,000 73 people are
most of them died in
hospitals on intensive care units in
nursing homes
if you ask people on the street
where would they like to die and
I think that’s not the herringer
unlike on the street outside then
say over 70% at home in the circle of
Belonging in a familiar environment
Desire thinking and reality are there
very far apart
If you ask people if they are
already thought what they did
because of this package of medical
benefits at the end of life
want
and if you ask them if they are
have thought about how to do it
that could then say 4
percent of austrians that they have one
Patient’s orders have 96 percent
leave it to chance
what happens if they are not
more can communicate with us again
and can not comment
the reason is usually that we
us not in our health
we can imagine that someday
once in the situation where
illness is getting out of hand and where
illness and the life on the subject
will stand on the other side of the
Doctors in this situation we have
medical scientist learned from natural science
We have learned chemistry physics
deal biology physiology
we studied anatomy and there it is
first became aware that the
At last we are living in formalin
crowded corpses dissected and have
Realizing that people are dying
how is the way there and what we for
have an order with you
Nobody taught us that
achievements of medicine are whole
enormously
Medical knowledge is doubling
within five years
I have been involved since then
I am 25 years old with medicine
cycle already five times
therapies at the beginning of my
education
optical goods are partly already today
outdated again or maybe straight
still self-evident and this
Development suggests it is everything
makeable
it is life that delays infinitely
and in this certainty we displace
the question how it is at the end of life
may want to look at this point
I both perspective
merge what is it now what
people almost in this last
Life stage need what moves you
on the one hand, it is the symptomatology that we
It is easy to master it
Symptoms deserve great fear
but that is not the actual
problem are
we can today with modern
prevent pain therapy that people
We can have aches and pains
alleviate
with little nausea and vomiting
we do not control stress
that’s not the big problem
The problem is because they are people on
The end of her life in her
weakness in the decaying force in
to become weaker and this
Narrow the radius of action to easy
accompany and take as they are
the idea that life
Suddenly ends unfortunately only meets completely
few people have a colleague of mine
once formulated would like to be
if we pay with 90 of
galloping horse rushing and with
People are dead in a blow
to fall asleep and not anymore
to wake up
But that’s not the reality
reality looks different
through the progress in medicine
we are faced with the patient
now this as
chronically critically ill tronic critical
Mass is a new concept in medicine
Often only in hospitals and
are viable on intensive care stations
because you have so much intensive medicine
need you in the domestic area
possibly can not live at all
and at this point it shows how
important it is also as a person with
to explain this similarity
because therapy is always there
where we are medically feasible and
have medical options and where
but also the human and the patient
says i am ready for this price
to pay or I am ready for this
to accept therapy
displace this
this this displace this one
idea and these considerations leads
unfortunately, that we medically quite
can do a lot and often the connection
what is lost to the patient
really important and in the
palliative care we try
to focus on the human being
turn as the individual-to see
which at the end of life the
entire life story condensed
bring people we care for
infinite things from her
life story with the end will be
compresses everything and is sealed there goes
It’s not about judging or being
but people like him
is to accept its vulnerability
and to accompany
That’s why
palliative care or palliative care
needs more than just the doctor or the
doctor
why that is an area of medicine where
the cooperation of the individual
professional and so important
it takes the pastor as well as
the psychologist
it needs the music of the work like
The doctor all have to work together
try the needs of the individual
to perceive people and to do it
accompany
and i want to have one at this point
please pronounce that with one
Make a promise
link the please is sits down with you
one’s own finiteness apart
think about something for you
Values are something for you
important is when the life arc too
ends and communicates that
communicates that with their relatives
again a family member with
friends and hold that firmly one
A patient directive can be a suitable one
place for it
be and the promise so
connected is
it will not hurt you the people
with the life
will deal when it insofar
is
to the great teacher of life
and these are the people who are us
to teach more than in all
palliative medical books
knowledge is recorded
Thank you
[Applause]
”
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