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[Approximation to palliative care in the advanced non-malignant diseases]
R Navarro Sanz1, C López Almazán
1Area Médica Integral, Hospital Pare Jofré, Agencia Valeciana de Salud, Conselleria de Sanitat, Valencia, Spain. navarro_ram@gva.es
Anales De Medicina Interna (Madrid, Spain : 1984)
|July 8, 2008
Summary
Palliative care (PC) is expanding to include non-cancer patients, but access remains limited due to challenges in diagnosing end-of-life conditions. This study proposes criteria for PC eligibility in advanced non-malignant organ diseases.
Area of Science:
- Palliative Medicine
- Geriatrics
- Oncology
Context:
- Palliative care (PC) is evolving from a cancer-centric model to a broader approach encompassing advanced non-malignant diseases.
- End-of-life care is increasingly recognized as a fundamental societal right.
- Patients with non-malignant diseases are underrepresented in palliative care programs.
Purpose:
- To address the difficulty in diagnosing end-of-life clinical conditions (EOLCC) in non-malignant advanced organ diseases (NMOAD).
- To propose practical criteria for identifying NMOAD patients eligible for PC.
- To discuss the justification and limitations of PC for non-cancer patients.
Summary:
- The article examines the challenges and paradoxes in providing PC to patients with NMOAD.
- It highlights the need to understand prognostic factors for EOLCC in common NMOAD (e.g., advanced lung, heart, liver, renal failure, dementia).
- Recommendations include patient-centered decision-making, clinical documentation, and suitable treatments for a dignified death.
Impact:
- Facilitates better decision-making for PC inclusion in NMOAD.
- Aims to improve the quality of end-of-life care for a wider patient population.
- Underscores the need for prospective studies to refine PC inclusion criteria for NMOAD.
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