A palliative care approach in psychiatry: clinical implications

BMC Medical Ethics 21 (1):1-8 (2020)

Abstract

Background Traditionally, palliative care has focused on patients suffering from life-threatening somatic diseases such as cancer or progressive neurological disorders. In contrast, despite the often chronic, severely disabling, and potentially life-threatening nature of psychiatric disorders, there are neither palliative care units nor clinical guidelines on palliative measures for patients in psychiatry. Main text This paper contributes to the growing literature on a palliative approach in psychiatry and is based on the assumption that a change of perspective from a curative to a palliative approach could help promote patient-centeredness and increase quality of life for severely ill patients in psychiatry as well as in somatic medicine. To exemplify this, we offer three different clinical scenarios: severe and enduring anorexia nervosa, treatment-refractory schizophrenia, and chronic suicidality and persistent self-injury in borderline personality disorder. Conclusion We emphasize that many typical interventions for treatment-refractory psychiatric disorders may indeed be of a palliative nature. Furthermore, introducing traditional features of palliative care, e.g. so-called goals of care conversations, could aid even further in ensuring that caregivers, patients, and families agree on which treatment goals are to be prioritized in order to optimize quality of life in spite of severe, persistent mental disorder.

Download options

PhilArchive



    Upload a copy of this work     Papers currently archived: 72,891

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Analytics

Added to PP
2020-04-20

Downloads
9 (#959,288)

6 months
1 (#386,040)

Historical graph of downloads
How can I increase my downloads?

Similar books and articles

Palliative Care and the QALY Problem.Jonathan Hughes - 2005 - Health Care Analysis 13 (4):289-301.
Advocacy in Palliative Nursing: A Conceptual Model.Timothy Kirk & Nessa Coyle - 2019 - In Betty R. Ferrell & Judith A. Paice (eds.), Oxford Textbook of Palliative Nursing (5th ed). New York, NY, USA: Oxford University Press. pp. 861-867.