Terminal condition – fear, challenge, professionalism in its approach

Pop Rodica Sorina, MD, senior family physician, geriatrics-gerontology, competence in palliative care, Palliative Care Department, Polaris Medical Rehabilitation Hospital, Cluj-Napoca, Romania

Address for correspondence: e-mail: drsorinapop@yahoo.com

Abstract

A terminally ill status is a very stressful and difficult condition for doctors but also for the patient and family. The main aim of the doctor is to treat the patient’s suffering and tackle the main symptoms but especially to support and advise the family. Also, the doctor will provide continue care to maintain all medical interventions that do not harm the patient and will not not abandon the patient, continuing to care him.

On the other hand, recognition from the physician of the terminal state is crucial because a properly management of the situation will reduce addressing patient to emergency services or to emergency rooms, and avoid therapeutic stubbornness and especially unnecessary diagnostic. “Truth” gently said is the essence of communication with the patient and his family. Information provided (and those required by the patient) during the evolution of cancer will vary and will be adjusted as the patient reaches the terminal stage of live.

Key words: terminal condition, medication, counselling, revaluation of care

(Full text in Romanian)

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