Palliative care in pulmonary medicine.

Autor: Oliveira EP; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil., Medeiros Junior P; A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Jazyk: Portuguese; English
Zdroj: Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia [J Bras Pneumol] 2020; Vol. 46 (3), pp. e20190280. Date of Electronic Publication: 2020 Jul 06.
DOI: 10.36416/1806-3756/e20190280
Abstrakt: Palliative care was initially developed for patients with advanced cancer. The concept has evolved and now encompasses any life-threatening chronic disease. Studies carried out to compare end-of-life symptoms have shown that although symptoms such as pain and dyspnea are as prevalent in patients with lung disease as in patients with cancer, the former receive less palliative treatment than do the latter. There is a need to refute the idea that palliative care should be adopted only when curative treatment is no longer possible. Palliative care should be provided in conjunction with curative treatment at the time of diagnosis, by means of a joint decision-making process; that is, the patient and the physician should work together to plan the therapy, seeking to improve quality of life while reducing physical, psychological, and spiritual suffering.
Databáze: MEDLINE