Telemedicine allowed greater access to the healthcare system, reduced the need to employ emergency services, improved assessment/control of symptoms, and provided greater orientation and confidence in the care given by family members through early and proactive interventions. Web conferencing proved to be a good adjuvant to home monitoring of symptoms, complementing in-person assistance.

Palliative Care: the person's value and its history in HUPE The Núcleo de Cuidados Paliativos (NCP) (Nucleus of Palliative Care) began its work at the Hospital Universitário Pedro Ernesto in 2009, providing ongoing care to cancer patients referred from other services within the hospital. The model of care is multidisciplinary, person and family (caregiver) centered, focusing on technical excellence and humanistic approaches to control symptoms and tend to physical, emotional, social, and spiritual needs. In this period 903 patients were assisted. The performance of the professionals on the team-physician, psychologist, physical therapist, and music therapist-is presented according to their own perspectives and skills in daily practice. This NCP history includes assistance

The intensive care unit (ICU) is an environment for health care able to generate emotional situations that can intervene in the patient evolution. Care is offered through complex treatments to patients that present serious medical situation, in order to assure the survival and to improve better health conditions. Besides their physical weakness patients are submitted to important stress. Some are often maintained in a state of sedation and, during the period of progressive recovery of consciousness, they are exposed to various extremely difficult factors from an emotional point of view, causing psychiatric syndromes quite prevalent and requiring specialized attention. The hospitalization of a family member disrupts the family dynamic, addittionally, if hospitalization occurs in the ICU, the situation is even more complex because the ICU itself symbolizes the imminent risk of death. The problems that come from the environmental characteristics of the unit, the patient care, the need for a solid basis of knowledge and the difficulties on interpersonal communication increase the emotional charge on the healthcare team. This causes anxiety responses, depression and the development of defense mechanisms to deal with conflict situations. The introduction of the psychologist in this environment aims to identify and act on aspects that can intervene on the patient adaptation in the hospitalization period and his recuperation. Medical Psychology Service of General ICU of the Pedro Ernesto University Hospital aims at identifying and supporting emotional aspects of patients and families in order to contribute to a proper evolution of these individuals, as well as to promote a good communication between people involved in the process, in order to improve the better relations and the comfort of everybody.