Ethical Challenges of Early Identification of Advanced Chronic Patients in Need of Palliative Care: The Catalan Experience

Journal of Palliative Care
Xavier Gómez-BatisteCarles Constante

Abstract

Palliative care must be early applied to all types of advanced chronic and life limited prognosis patients, present in all health and social services. Patients' early identification and registry allows introducing palliative care gradually concomitant with other measures. Patients undergo a systematic and integrated care process, meant to improve their life quality, which includes multidimensional assessment of their needs, recognition of their values and preferences for advance care planning purposes, treatments review, family care, and case management. Leaded by the National Department of Health, a program for the early identification of these patients has been implemented in Catalonia (Spain). Although the overall benefits expected, the program has raised some ethical issues. In order to address these challenges, diverse institutions, including bioethics and ethics committees, have elaborated a proposal for the program's advantages. This paper describes the process of evaluation, elaboration of recommendations, and actions done in Catalonia.

References

Dec 15, 2000·Archives of Family Medicine·L L EmanuelF D Ferris
Aug 30, 2005·Journal of Pain and Symptom Management·Josephine M ClaytonMartin H N Tattersall
Apr 10, 2008·BMJ : British Medical Journal·Scott A Murray, Aziz Sheikh
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Jul 18, 2012·Current Opinion in Supportive and Palliative Care·Xavier Gómez-BatisteAlbert Ledesma

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Citations

Nov 15, 2019·Journal of Palliative Care·Erika BerggrenLena Törnkvist
Oct 15, 2020·Einstein·Marcella Tardeli Esteves Angioleti SantanaMaria Gaby Rivero de Gutiérrez
Feb 18, 2021·BMJ Supportive & Palliative Care·Pamela TurrillasXavier Gómez-Batiste

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