Psychiatry and terminal illness

Journal/Book: Can J Psychiatry. 2000; 45: 260-441 Maclaren St, Ottawa, Ontario K2H 2P3, Canada. Canadian Psychiatric Assoc. 143-150.

Abstract: Objective: To provide an overview of the palliative care literature salient to the psychiatric aspect of end-of-life care. Method: A literature review was conducted, targeting primarily empirical studies that addressed the following topics: 1)psychological issues pertaining to life-threatening conditions, 2)family issues in the context of palliative care, 3) psychological issues and challenges faced by end-of-life health care providers, and 4) psychiatric disorders, including depression, anxiety, and organic mental disorders, in people with terminal illness. Results: There is a small but emerging literature that can guide psychiatrists in their role of providing care to dying patients. Conclusions: While psychiatry has made tremendous inroads toward providing care to patients throughout the life cycle, its presence is only just beginning to be felt in end-of-life care Within the domain of palliative cave psychiatry has an expanded and important role to play.

Note: Review Chochinov HM, Room PX-246, 771 Bannatyne Ave, Winnipeg, MB R3E 3N4, CANADA

Keyword(s): terminal illness; palliative care; death and dying; HOSPITALIZED CANCER-PATIENTS; DIAGNOSTIC-CRITERIA; COGNITIVE FAILURE; ASSISTED SUICIDE; ILL PATIENTS; DEPRESSION; METHYLPHENIDATE; PREVALENCE; DISORDERS; FAMILY

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