       Document 0408
 DOCN  M9630408
 TI    Hospice and palliative care.
 DT    9603
 AU    Rousseau P; Carl T. Hayden Veterans Affairs Medical Center, Phoenix,
       Arizona,; USA.
 SO    Dis Mon. 1995 Dec;41(12):769-842. Unique Identifier : AIDSLINE
       MED/96101550
 AB    The emergence of AIDS and the aging of the population, with the numerous
       malignant and debilitating maladies associated with growing older, have
       focused attention on the provision of cost-effective quality care by
       hospice and palliative care programs. Hospice and palliative care is a
       venerated system of care, which uses an interdisciplinary approach to
       address the medical, psychosocial, and spiritual issues that arise in
       the treatment of terminally ill patients. This interdisciplinary
       stratagem for symptom control is necessary to ensure that dying patients
       and their families are afforded dignity and quality of life through
       death and the period of familial bereavement. Although death is dominant
       in palliative situations, terminal care requires an affirmation of life
       and a recognition that dying is not an aberration of medical care but a
       natural and normal process. Palliative care, however, also requires a
       personal acceptance of death and an acknowledgment that dying does not
       denote a failure to provide good medical care but, rather, calls for an
       acquiescence that curative treatment is no longer feasible. Accordingly,
       the terminal state is an integral process and a time to reconcile
       differences so that patient and family may accept death with a minimum
       of physical, spiritual, and psychosocial anguish. This article discusses
       the various precepts cardinal to hospice and palliative care, including
       the philosophy of terminal care, the management of pain, the adverse
       effects of analgesic medications, the management of nonpain symptoms,
       the use of terminal sedation, and the stages of familial bereavement.
 DE    Acquired Immunodeficiency Syndrome  Aging  Analgesics/ADMINISTRATION &
       DOSAGE/THERAPEUTIC USE  Bereavement  Cost-Benefit Analysis  Death
       Family  *Hospice Care/ECONOMICS/METHODS  Human  Neoplasms
       Pain/PREVENTION & CONTROL  *Palliative Care/ECONOMICS/METHODS  Terminal
       Care  JOURNAL ARTICLE  REVIEW  REVIEW, TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

