title: Palliative medicine update: a multidisciplinary approach.
abstract: Palliative medicine is a young specialty that is officially recognized in relatively few countries. The World Health Organization published an adapted definition in 2002, describing palliative care as an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness. When the accent is shifting from curative to palliative, the goal of management is the maintenance or improvement of the patient's quality of life. The different dimensions of palliative care and the multitude of types of care to be provided require a multidisciplinary, well-functioning team, effective communication and a clear task division between primary and hospital care. Considering the complexity of care for incurable patients, a multidisciplinary approach is a prerequisite to balance curative and palliative intervention options. Optimal functioning of a team requires excellent training, communication and a description of the tasks and responsibilities of each team member. More and more advanced care planning is introduced in palliative care, focusing on an early identification of patients in a palliative trajectory and on the prevention of annoying symptoms, hoping that this approach results in an improved quality of life for the individual patient, less useless technical investigations and a better end-of-life care on the place the patient and his family desires.
authors.affiliation: Department of Anesthesiology, Pain and Palliative Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. k.vissers@anes.umcn.nl
authors.forename: Kris C P
authors.initials: KC
authors.lastname: Vissers
authors.forename: Maria W M
authors.initials: MW
authors.lastname: van den Brand
authors.forename: Jose
authors.initials: J
authors.lastname: Jacobs
authors.forename: Marieke
authors.initials: M
authors.lastname: Groot
authors.forename: Carel
authors.initials: C
authors.lastname: Veldhoven
authors.forename: Constans
authors.initials: C
authors.lastname: Verhagen
authors.forename: Jeroen
authors.initials: J
authors.lastname: Hasselaar
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Engels
mesh_terms: D006801:Humans; D010166:Palliative Care / Q000379:methods* / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration*; D011788:Quality of Life