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Psychiatry and terminal illness.

H M Chochinov1

  • 1Division of Palliative Care, University of Manitoba, Winnipeg. chochin@cc.umanitoba.ca

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|April 1, 2000
PubMed
Summary

Psychiatry is increasingly important in end-of-life care, addressing psychological issues and psychiatric disorders in terminally ill patients. Emerging literature guides psychiatrists in providing comprehensive palliative care.

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Area of Science:

  • Psychiatry
  • Palliative Care
  • End-of-Life Care

Background:

  • End-of-life care necessitates addressing complex psychological and psychiatric issues.
  • Palliative care literature is expanding to include these crucial aspects.

Purpose of the Study:

  • To review the psychiatric literature relevant to end-of-life care.
  • To identify key psychological and psychiatric challenges in palliative care.

Main Methods:

  • Literature review of empirical studies.
  • Focused on psychological issues in life-threatening conditions, family dynamics, healthcare provider challenges, and psychiatric disorders (depression, anxiety, organic mental disorders) in terminal illness.

Main Results:

  • A nascent body of literature exists to support psychiatrists in end-of-life care.
  • This literature addresses psychological, family, and provider-specific issues.

Conclusions:

  • Psychiatry's role in end-of-life care is growing.
  • Psychiatry has a significant and expanding opportunity within palliative care.

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