Palliative care is an integrated approach that promotes the quality of life of patients and families who are confronted with the physical, psychosocial and spiritual problems associated with a life-threatening illness. 1 The palliative patient is not necessarily a terminal patient (estimated prognosis of 3-6 months), or a moribund or agonising patient (estimated prognosis of days or hours). 1 According to the World Health Organization (WHO) and the National Plan of Palliative Care, palliative care: affi rms life and accepts death as a natural process, without trying to delay the process; constitutes a global and holistic approach to the patients suffering from a physical, psychological, social and spiritual point of view; seeks the wellbeing and quality of life of the patient; is centered on the needs of patients and their families, life and death; should not be restricted to terminally ill and agonised patients; and, should be addressed by a multidisciplinary team. 1,2 The person with a life-threatening illness feels in total pain. 1 Patients with an advanced life-limiting illness experience great suffering, a complex negative state of malaise (bodily, affective, cognitive, spiritual) characterised by feeling threatened and destroyed in the integrity or continuity of their existence, a sensation of powerlessness to face this threat and an exhaustion of their personal and psychosocial resources. 1 The main sources of suffering in palliative care patients are poorly controlled symptoms, loss of autonomy and dependence on others, alterations in body image, loss of social roles and status, impairment in interpersonal relationships, feelings of abandonment, changes in expectations and future plans, and loss of dignity and meaning of life. 1 In most cases, palliative patients have severe functional and cognitive limitations requiring support in basic needs, such as hygiene, food, money, medication and mobility, relying on others for daily life activities, with increasing dysfunctionality and psychological repercussions. 2 According to number 7 of the Administrative Rule 66/2018 in Diário da República (Portugal), 3 a palliative care unit must ensure: permanent medical and nursing care; psychological intervention for patients, relatives and professionals; social intervention and support; support and intervention in mourning; spiritual intervention; complementary examinations; prescription and administration of drugs contained in the National Formulary of Medicines; hygiene, comfort and food; conviviality and leisure; training in palliative care; and, assistance in the area of palliative care for health professionals, namely primary, hospital and continuing healthcare. 3 Psychosocial rehabilitation can be understood as, 'a comprehensive and continuous process that provides individuals with disability due to mental illness the opportunity to achieve the greatest possible functioning potential (in the Palliative care is an approach to incurable and/or severe disease with limited prognosis, aiming to relieve the suffering a...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2025 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.