Summary - Palliative and terminal care
Palliative care is about quality of life for people with a life-threatening condition who have no prospect of recovery. A part of them is in the terminal phase. In people with a chronic disease, there is not always a sharp line between the curative and palliative phases. In the palliative phase and the terminal phase, part of the medication can sometimes be stopped, for example cholesterol lowers. Anticipating policy can prevent many annoying and serious complaints or be treated quickly and adequately, even if they occur during ANW hours. Commonly used are painkillers, including opioids, laxatives, and sleep and tranquilizers. Good information about opioids is important. Palliative care for migrants, people with dementia, people with a psychiatric disorder and people with a mental disability requires extra attention. Palliative sedation is used to combat severe symptoms that cannot be treated in any other way (refractory symptoms). The aim is to relieve suffering. Palliative sedation is normal medical practice, for which there is a KNMG guideline. Euthanasia is life-ending action upon request. If the doctor does not act in accordance with the due care requirements of the euthanasia law, he can be prosecuted.