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References [1] World Health Organization. Definition of Palliative Care. Accessed August 15, 2011. [2] UK Government Advice on Definition of an Emergency. Retrieved 2007-05-30. [3] National Institute for Health and Care Excellence. Improving supportive and palliative care for adults with cancer, 2011. [4] Sargent JT, Smith OP. Haematological emergencies managing hypercalcaemia in adults and children with haematological disorders. Br J Haematol. 2010; 149: 465-477. [5] Stewart AF. Clinical practice. Hypercalcemia associated with cancer. N Engl J Med. 2005; 352

paliativní péče 2013 [ Palliative care standards 2013 ].[online] [Retrieved December 15, 2019] Available at: FIRMENT, P. (2015): Terminálna fáza ľudského života a poskytovanie zdravotnej starostlivosti z pohľadu práva [The terminal phase of human life and the provision of healthcare from the perspective of law]. In: Anestéziológia a intenzívna medicína (SOLEN) , 4(2), pp. 75–77. GRACE, B., HURST, K. & MCDONALD, S. (2012): ANZDATA 35 th Annual Report 2012. Australia and New Zealand Dialysis and

Palliative Care as Response to Suffering at End of Life Daniela Moşoiu* Persons suffering from chronic and life limiting illnesses often have unrelieved symptoms such as pain, depression, fatigue, and psychosocial and spiritual distress. In Romania they are frequently left in the care of their families with little support from the health care system. It seems a paradox that those who are the sickest persons in a country find little place in the health care system. This article presents palliative care as a solution to the suffering for these patients and


Many symptoms are experienced by dying patients. Any symptom can be debilitating and affect the patient’s and the family’s quality of life. Symptom research is complicated, especially in patients receiving palliative care because the studies needed are methodologically challenging. Symptoms management is the essential goal in palliative care. Many people rate this as one of the most important issues whether they are at home, in a hospital or at other assisted care. Bowel obstruction is rarely an emergency, and usually evaluated by multidisciplinary teams. Tailored management is based on the underlying aetiology and pathophysiology. When several symptoms occur together, they can be interrelated and management can be complex. This article discusses the management of intestinal obstruction experienced by palliative care patients

delo. Visoka šola za zdravstvo Novo mesto; 2013. 12. World Health Organization. WHO Definition of Palliative Care. 2005,, [accessed: 30. 5. 2015] 13. Healy S, Israel F, Charles MA, Reymond L. An educational package that supports laycarers to safely manage breakthrough subcutaneous injections for home-based palliative care patients: Development and evaluation of a service quality improvement. Palliative Medicine. 2013; 27(6):562-70. doi: 10.1177/0269216312464262. 14. Hendrichova I, Castelli M, Mastroianni C, et al

): Humanização dos Cuidados Paliativos: Análise Multivariada de um Questionário de Qualidade/Satisfação ao Apoio Domiciliário. In: Livro de Resumos das XII Jornadas de Classificação e Análise de Dados, JOCLAD 2005: 70-71. Doria I., Dias O., Sousa Ferreira A., Le Calvé G., Bacelar-Nicolau H. (2007): Comparison of methodologies of multivariate analysis in a palliative care context. In: Livro de resumos da XI Conferencia Española de Biometria e Primer Encuentro Iberoamericano de Biometria (CEIB2007): 101-102. Doria I. (2008): Representações euclidianas de dados: Uma abordagem

1 Introduction During advanced stages of chronic life-limiting diseases, patients might benefit from palliative care (PC). Many patients in the Western world wish to remain at home during this palliative phase and to die there. Therefore, general practitioners (GPs) should play an important role in PC provision ( 1 , 2 , 3 , 4 ). In Slovenia, this is challenging since the average consultation time per patient is 7 minutes, and GPs do not receive extra payment for home visits ( 5 ). Other barriers in PC provision are the lack of knowledge, PC skills and experience

References 1. Gehlert S, Browne TA. The Handbook of Health Social Work, Hoboken, New Jersey: John Wiley & Sons; 2006; p. 58-62. 2. Oken M, Creech R, Tormey D, et al. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol . 1982;5:649-655. 3. Selman L, Young T, Vermandere M, Stirling I, Leget C, on behalf of the Research Subgroup of the European Association for Palliative Care Spiritual Care Taskforce. An International Survey of Palliative Care Researchers and Clinicians. J Pain Symptom Manage . 2014;4:518-531. 4. Antunes B

1 Introduction Advancements in cancer therapies and the integration of palliative care have contributed greatly to improvements in quality of life and survival for individuals with metastatic non-small cell lung cancer (NSCLC). However, as healthcare costs escalate and providers shift toward value-based care, the debate remains about the appropriate utilization of medical resources near the end of life. This issue is compounded by the increasing burden of cancer in the population. Given the current trends, U.S. costs of cancer care are expected to reach $174

References DĄBROWSKA A., (2008), Zmiany obszarów podlegających tabu we współczesnej kulturze, Acta Universitatis Vratislaviensis nr 3060, Język a kultura, tom 20, Wrocław. KWIECIŃSKA A., Z czym kojarzy się hospicjum, (22.05.2018). WHO , (18.07.2018). DE WALDEN GAŁUSZKO K . (red.) 2006, Podstawy opieki paliatywnej, Wydawnictwa Lekarskie PZWL, Warszawa. DANGEL T. (red.) (2011), Zaniechanie i wycofanie się z uporczywego