Palliative medicine is an emerging medical discipline in the United States, modeled after similar efforts in Great Britain, Australia, and Canada.
Increasingly, academic medical centers are starting clinical programs in palliative medicine including inpatient consultation services.
A description of the essential components of a palliative medicine consultation is presented, based on the author's experience of more than 600 patient encounters at the Medical College of Wisconsin in Milwaukee.
A palliative medicine consultation consists of 6 features :
assessment and management of physical symptoms ;
assisting patients to identify personal goals for end-of-life care ;
assessment and management of psychological and spiritual needs ;
assessment of the patient's support system ;
assessment and communication of estimated prognosis ;
and assessment of discharge planning issues.
Mots-clés Pascal : Soin palliatif, Consultation hospitalière, Relation médecin malade, Aspect humain, Psychologie médicale, Communication information, Homme, Réanimation, Cancérologie, Immunopathologie, Education santé, Ethique, Psychopathologie, Fin de vie
Mots-clés Pascal anglais : Palliative care, Hospital consultation, Physician patient relation, Human aspect, Medical psychology, Information communication, Human, Resuscitation, Cancerology, Immunopathology, Health education, Ethics, Psychopathology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0257671
Code Inist : 002B27C. Création : 11/06/1997.