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The ‘Information Guide on Palliative Care ‘ for citizens is a document that provides necessary information on the definition and context of care at the end of life and its implementation in the Andalusian public system. The texts have been prepared by health professionals and communication specialists. Published by the Ministry of Health of the Junta de Andalucía, is aimed at anyone interested in knowing more about palliative care. In addition to texts on the subject written in Spain and other countries, the publication includes the advice of different scientific societies. In its writing, it was attended by citizens and patients.The guide ‘consists of five sections of informal consultation. The first of them refers to the description of Palliative Care, the associated terminology, its functions, its objectives and the accompaniment of family members. The second part relates to palliative care as a fundamental right of people. Later, it describes what type of information is transferred to the patient and how it is communicated, as well as questions related to the treatment and the Declaration of Anticipated Vital Will Common symptoms in terminally ill patientsWhen a situation of last days and agony is reached, the case must be explained well to the family, to resolve their doubts, to agree on the care that is going to be carried out, to suspend non-essential drugs and to treat the symptoms that cause suffering. In the final moments and to avoid unnecessary suffering neither to the patient nor to his surroundings, it is usual to proceed with a palliative sedation, which consists of the administration of drugs to reduce the consciousness as much as is necessary, to adequately placate one or more symptoms that cause a unnecessary suffering, such as suffocation, delirium, pain without relief or psychological distress. It should be emphasized that sedation is not disguised euthanasia since both the objective and the procedure and the indication are different.The mistake of believing that they are only needed in terminally ill patientsInitially, Palliative Care was designed to help patients with cancer. However, its use has spread to infinity of chronic and degenerative diseases, to the point that they already account for 80% of consultations. Palliative care is applicable early in the course of the disease and does not exclude other active treatments, such as chemotherapy or radiotherapy in the case of patients with advanced cancer. Therefore, it is wrong to think that Palliative Care is applied when there is “nothing to do” for the sick person. This does happen with palliative treatments, which begin after the treatment of the disease is stopped and when it is clear that the patient will not survive it.Alleviate suffering, a priority in Palliative CareThere are many and complex needs that must be met when we are faced with advanced disease: from the physical sphere of the sick person to the psychological, social and spiritual dimension of it and its relatives. However, current Medicine is primarily focused on the attention of the physical sphere, that is, to cure it whenever and wherever possible; leaves the person suffering from this disease on the sidelines. There, the health teams that make up the Palliative Care services come into action.About us:Palliative care can relieve pain and symptoms, as well as provide support and coordinated and holistic medical care for people who have severe illnesses. Get more information about palliative care.

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