Experience in a Palliative Care Unit in a Mexican Tertiary Level Hospital
DOI:
https://doi.org/10.5195/ijms.2021.1145Keywords:
Education, Palliative Medicine, Ethics, Pain, Pain ManagementAbstract
Palliative care represents a form of holistic patient care at the end of life, from an emotional, spiritual, biological, and social approach; its ultimate purpose is to enhance human autonomy and dignity and to avoid therapeutic obstinacy. In international literature, there is not many mentions about the role we, undergraduate students, play as part of the palliative care team. It is necessary to be interested in seeking, learning, and understanding palliative care as undergraduate students, and not only the curative medical approach. It is important to emphasize that opioids are important drugs and that we should not be afraid of their use; on the contrary, it is vital to highlight their capacity to alleviate the pain and suffering of a patient and even of a family. When curative treatment is no longer an option, there is always something left for the medical team to do; such as initiating palliative care. I must emphasize that research in this area is still scarce and that the more research and improvement is being made, the more can be done to improve end-of-life care quality. The death of a patient, after all, is a collaborative work between the general physician, the nursing staff, and finally, most importantly, the family. Through this experience, I relate different lessons that I have learned during the first months of my year of medical social service, in the pain and palliative care clinic of the High Specialty Medical Unit #25.
Metrics
References
Dimoula M, Kotronoulas G, Katsaragakis S, Christou M, Sgourou S, Patiraki E. Undergraduate nursing students' knowledge about palliative care and attitudes towards end-of-life care: A three-cohort, cross-sectional survey. Nurse Educ Today. 2019 Mar;74:7-14.
Oliveira S, Santiago LM, Dourado M. Conhecimento sobre Cuidados Paliativos em Estudantes de Medicina da Universidade de Coimbra [Knowledge of Palliative Care Among Medical Students of the University of Coimbra]. Acta Med Port. 2020 Aug 27. Portuguese
Weber M, Schmiedel S, Nauck F, Alt-Epping B. Knowledge and attitude of final - year medical students in Germany towards palliative care - an interinstitutional questionnaire-based study. BMC Palliat Care. 2011 Nov 23;10:19.
Allende-Pérez, Silvia, et al. [Basic knowledge and perceptions in palliative care in undergraduate physicians at the National Autonomous University of Mexico: a cross-sectional study]. Med. Paliat. 2020 Apr-Jun;71-78. Spanish
de Antueno P, Silberberg A. [Efficacy of Palliative Care in Pain Relieving]. 2019 Jun;22(2):367-80. Spanish
Published
Versions
- 2022-04-13 (3)
- 2022-04-05 (2)
How to Cite
License
Copyright (c) 2020 Patricio Garcia-Espinosa
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site; with the understanding that the above condition can be waived with permission from the Author and that where the Work or any of its elements is in the public domain under applicable law, that status is in no way affected by the license.
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from the Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Enforcement of copyright
The IJMS takes the protection of copyright very seriously.
If the IJMS discovers that you have used its copyright materials in contravention of the license above, the IJMS may bring legal proceedings against you seeking reparation and an injunction to stop you using those materials. You could also be ordered to pay legal costs.
If you become aware of any use of the IJMS' copyright materials that contravenes or may contravene the license above, please report this by email to contact@ijms.org
Infringing material
If you become aware of any material on the website that you believe infringes your or any other person's copyright, please report this by email to contact@ijms.org