Assumptions and principles underlying standards for care of t

Submitted by: Lucas

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It is then that the intervention must shift to what is now often termed "palliative treatment," which is designed to control pain in the broadest sense and provide personal support for patients and family during the terminal phase of illnessIn general, palliative care requires limited use of apparatus and technology, extensive personal care, and an ordering of the physical and social environment to be therapeutic in itself There are, as it were, two complementary systems of treatment which may often overlap: One system is concerned with eliminating a curable disease and the other with relieving the symptoms resulting from the relentless progress of an incurable illnessThere must be openness, interchange, and overlap between the two systems so that the patient receives continuous appropriate careThe patient should not be subjected to aggressive treatment that offers no hope of being effective in curing or controlling the disease and may only cause further distressObviously, the clinician must be on the alert for any shifts that may occur in the course of a terminal illness, which make the patient again a candidate for active treatment