title: [Palliative Care in Nursing Homes: Characteristics and Specificities].
abstract: Elderly patients in palliative situations residing in a nursing home present characteristics and specificities that clearly distinguish them from patients with advanced cancer. Besides the difficulty to define a precise prognosis, their many comorbidities, their communication difficulties because of cognitive disorders, their high sensitivity to primary and secondary effects of drugs render their management a real challenge for physician and caregivers. Accompanying these patients at the end of their life also raises many ethical problems, especially when they are no longer able to express their wishes and have not previously expressed advance directives.
authors.affiliation: Mon Repos SA, La Neuveville.
authors.forename: Grégoire
authors.initials: G
authors.lastname: Gremaud
authors.affiliation: Service de soins palliatifs, Département de Médecine, CHUV Lausanne.
authors.forename: Claudia
authors.initials: C
authors.lastname: Mazzocato
mesh_terms: D000465:Algorithms; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003299:Cooperative Behavior; D004992:Ethics, Medical; D005194:Family Practice / Q000941:ethics; D006707:Homes for the Aged / Q000941:ethics; D006801:Humans; D033183:Interdisciplinary Communication; D009735:Nursing Homes / Q000941:ethics; D059408:Pain Management / Q000941:ethics / Q000379:methods; D010166:Palliative Care / Q000941:ethics / Q000379:methods*; D013557:Switzerland
chemical_list: D000900:Anti-Bacterial Agents
keywords: Interdisziplinarität; Kommunikation; Palliativpflege; Pflegeheim; communication; interdisciplinarity; interdisciplinarité; nursing home; palliative care; soins palliatifs; établissements médico-sociaux