Patient's Familly and Palliative Care: What Are Needs and Sufferings ? (original) (raw)

[Palliative care and Alzheimer disease]

La Revue de Médecine Interne

Although end-of-life care is a relatively common option for patients with terminal cancer, it has become available only recently for patients with Alzheimer's disease. Alzheimer's disease is a chronic process of gradual deterioration of cognitive ability and the resulting deficits in activities of daily living. The chronic disease course of Alzheimer's disease gives to the clinician the opportunity to look ahead and plan for the final stages of care. This article presents a review of palliative care interventions for patients with Alzheimer's disease and other dementias. End-of-life care for individuals with end-stage Alzheimer's disease is increasingly important because of the increasing number of patients with this disease. However, there are barriers to providing high-quality end-of-life care. Currently, palliative care is not optimal for Alzheimer's patients. Health care systems and clinicians should make efforts to improve the suffering of patients with ...

Soins Palliatifs et Fin De Vie

2007

Since 1998, when palliative care was officially integrated to the health care continuum through the fight against cancer program, many governmental reports pointed out the necessity to establish palliative care programs in order to meet the end-of-life population’s needs in all concerned areas. Ten years later, Quebec’s population doesn’t fully have access to palliative care at the end of life. This article describes the current situation and points out the lack of training of health care professionals in this area as a factor of limitation of access to palliative care for all those who could benefit of them.

Les services offerts aux familles lors d'un décès périnatal

des sciences infirmières, Université du Québec en Outaouais b Étudiant, Baccalauréat en sciences infirmières, Université du Québec en Outaouais Le décès périnatal est complexe et peut agir sur la santé des parents de façon importante. On croit que la qualité des services offerts influencerait l'expérience des parents. Des échanges entre des intervenants de diverses disciplines ont permis de constater que les services qui visent à soutenir les parents sont méconnus. Alors que les parents expriment les besoins d'écoute et de reconnaissance de leur douleur, les intervenants expriment leur sentiment d'impuissance lorsqu'il s'agit d'entendre toute cette souffrance. Ces derniers constatent aussi que le père vit différemment son deuil et que les services n'en tiennent pas compte. Ainsi, on recommande des suivis plus adaptés qui considèrent les différences observées entre les femmes et les hommes en deuil et des projets de recherche qui explorent la qualité et la...

[Analgesics and palliative care]

Revue médicale de Bruxelles, 2008

Pain is an important and often under-treated symptom of life-threatening illness. A complete evaluation of pain facilitate optimal treatment. Correct use of analgesic medication, following the guidelines of the W.H.O. step ladder, with attention to detail, with addition of adjuvant analgesics, should control the pain in most of the cases. The use of weak and strong opioid analgesics, their tolerance, the breakthrough doses, principle of opioid rotation and the place of adjuvant drugs are discussed. Proper pain management in end-of-life is never easy and require to become more familiar with the use of these analgesics and to surround oneself with a multidisciplinary team.