A palliative care approach in psychiatry: clinical implications
| Autor: | Anna Lindblad, Mattias Strand, Manne Sjöstrand |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Health (social science) Palliative care Debate Psychological intervention 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Recovery Medicine Humans 030212 general & internal medicine Psychiatry Borderline personality disorder Severely disabling lcsh:R723-726 business.industry Health Policy Mental Disorders Palliative Care Anorexia nervosa medicine.disease 030227 psychiatry Issues ethics and legal aspects Philosophy of medicine Schizophrenia Anorexia nervosa (differential diagnoses) Chronic Disease Quality of Life business lcsh:Medical philosophy. Medical ethics |
| Zdroj: | BMC Medical Ethics BMC Medical Ethics, Vol 21, Iss 1, Pp 1-8 (2020) |
| ISSN: | 1472-6939 |
| Popis: | Background Traditionally, palliative care has focused on patients suffering from life-threatening somatic diseases such as cancer or progressive neurological disorders. In contrast, despite the often chronic, severely disabling, and potentially life-threatening nature of psychiatric disorders, there are neither palliative care units nor clinical guidelines on palliative measures for patients in psychiatry. Main text This paper contributes to the growing literature on a palliative approach in psychiatry and is based on the assumption that a change of perspective from a curative to a palliative approach could help promote patient-centeredness and increase quality of life for severely ill patients in psychiatry as well as in somatic medicine. To exemplify this, we offer three different clinical scenarios: severe and enduring anorexia nervosa, treatment-refractory schizophrenia, and chronic suicidality and persistent self-injury in borderline personality disorder. Conclusion We emphasize that many typical interventions for treatment-refractory psychiatric disorders may indeed be of a palliative nature. Furthermore, introducing traditional features of palliative care, e.g. so-called goals of care conversations, could aid even further in ensuring that caregivers, patients, and families agree on which treatment goals are to be prioritized in order to optimize quality of life in spite of severe, persistent mental disorder. |
| Databáze: | OpenAIRE |
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