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Origin ID
QD26
Q-Code scope note
Q-Code conceptual content
Advance Directives ; Declarations by patients, made in advance of a situation in which they may be incompetent to decide about their own care, stating their treatment preferences or authorizing a third party to make decisions for them. (Bioethics Thesaurus)(MeSH)
Palliative care ; is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. (WHO)
PALLIATIVE CARE ; is the active, total care of patients at a time when their disease is no longer responsive to curative treatment and when control of pain, other symptoms, and of psychological, social and spiritual problems are paramount. The overall goal of palliative care is the highest possible quality of life for the patient and family. Palliative care affirms life and regards dying as a normal process. Palliative care emphazises relief from pain and other distressing symptoms, integrates the physical, psychological and spiritual aspects of patients care, offers a support system to help the patient live as actively as possible until death, and a support system to help the family cope during the patients' illness and in bereavement. (Woncadic)
TERMINAL CARE ; the care provided to patients in the last phase of incurable disease and their families. Terminal care is designed to meet physical, spiritual, psychological, and social needs and is often performed by a team of professionals. Can be provided in special wards, in institutions, or at the patient's home. (Woncadic)
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Citation
Evans R, Stone D, Elwyn G. Organizing palliative care for rural populations: a systematic review of the evidence. Family practice. 2003; 20(3): 304-10. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12738700
Howarth G, Willison KB. Preventing crises in palliative care in the home. Role of family physicians and nurses. Canadian family physician Médecin de famille canadien. 1995; 41: 439-45. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7539653
Kohut N, Singer PA. Advance directives in family practice. Canadian family physician Médecin de famille canadien. 1993; 39: 1087-93. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8499789
Thoonsen B, Engels Y, van Rijswijk E, Verhagen S, van Weel C, Groot M, Vissers K. Early identification of palliative care patients in general practice: development of RADboud indicators for PAlliative Care Needs (RADPAC). The British journal of general practice : the journal of the Royal College of General Practitioners. 2012; 62(602): e625-31. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22947583
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