Abstract
In Germany, the group of geriatric patients is the biggest part of all decedents. That is the reason why the medical staff, who is taking care of elderly patients, needs not only curative, rehabilitative and preventive competencies butalso palliative skills. Recently, three guidelines were published (national guideline palliative care for patients with incurable cancer diseases, national guideline pain assessment in resident homes and German guideline geriatric assessment level 2). These three guidelines are useful for the detection of partial aspects in special palliative needs and make recommendations for the alleviation of suffering. However, there is no tool for the identification of palliative needs of geriatric inpatients in emergency rooms and in other places in the hospitals. In primary care, the Supportive and Palliative Care Indicators Tool (SPICT) is available for this purpose.
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