TREBALL DE RECERCA

TdR EL PAPER MODULADOR DE LA MEDITACIÓ TONGLEN
familiar i social del malalt sigui el més adequat a la seva situació.
-Respectar el malalt i la seva família tal com son, proporcionant les pautes més
adequades i acords a la seva manera de viure.
A EEUU les Clinical Practice Guidelines que proposa el National Consensus Project for
Quality Palliative Care 3 suposen un salt qualitatiu pel que fa als punts referents a
les necessitats espirituals del malalt terminal (detallades a la Taula3) i ens defineixen les
cures pal·liatives de la següent manera:
Definition of Palliative Care (PC): The goal of palliative care is to prevent
and relieve suffering and to suport the best possible quality of life for patients
and their families, regardless of the stage of the disease or the need for other
therapies. PC is both a philosophy of care and an organized, highly estructured
system for delivering care. (...) expands tradicional disease-model medical
treatments to include the goals of enhancing quality of life for patient and family,
optimizing function, helping with
decision-making and providing opportunities for personal growth. (...) PC is
operationalized through effective management of pain and other distressing
symptoms, while incorporating psychosocial and spiritual care according to
patient/family needs, values, beliefs and culture (s). (...) Members of a PC
team may include professionals from medicine, nursing, social work, chaplaincy,
nutrition, rehabilitation, pharmacy and other professional disciplines.
(Clinical Practice Guidelines for Quality Palliative Care, pg.3)
Domains of Quality Palliative Care:
1. Structure and Processes of Care
2. Physical Aspects of Care
3. Psychological and Psychiatric Aspects of Care
4. Social Aspects of Care
5. Spiritual, Religious and Existential Aspects of Care -------
6. Cultural Aspects of Care
7. Care of the Imminently Dying Patient
8. Ethical and Legal Aspects of Care
(Clinical Practice Guidelines..., pg.15)
Taula3
A Interventions to Enhance the Spiritual Aspects of Dying (Manitoba, Canadà, 2005), H.M.
Chochinov i B.J.Cann fan un recull dels treballs publicats sobre la importància de tenir en compte
les necessitats espirituals dels malalts crònics i/o amb malalties avançades dins els programes de
Mònica Oliveras Rozas 24