To Understand “Palliative Medicine” Precisely

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  • Kanai Yoshiaki
    Department of Pain and Palliative Medicine, The University of Tokyo Hospital

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  • 緩和医療を正しく理解するために
  • 緩和医療を正しく理解するために : 総論にかえて
  • カンワ イリョウ オ タダシク リカイ スル タメニ : ソウロン ニ カエテ
  • —総論にかえて—

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<p>Palliative medicine, synonymous with “palliative care”, is defined as an approach not for cancer, nor for terminal illness to improve quality of life and not to hasten the death. “Total pain” consisting of physical, psychological, social and spiritual aspects is the key concept of palliative medicine, and we have to understand these four aspects of pain influence one another. Palliative medicine begun with hospice care is now regarded as applicable early in the course of illness, and we can comprehend that hospice care has become one model of terminal palliative medicine. In our country, although a government policy has made palliative oncology popular, some issues still remain unsolved : palliative medicine from the moment of cancer diagnosis, its quality improvement and application to nononcologic illness.</p>

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