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Published on 09.09.2020
Cooperation between cardiology and all other disciplines including palliative care should bear the hallmarks of care in the 21st century: caring for all dimensions of needs, always when they emerge and involving all disciplines needed.
1. Caring attitude based on sensitivity, empathy and compassion, recognising inseparability of all dimensions of the person’s life and suffering. | |
2. Open, sensitive, compassionate way of communication: | |
Including all aspects of living with a disease (i.e. its progression, decline, approaching death and dying), if wanted and appropriate. | |
Consideration of individuality, respecting the person’s individual values might take precedence over medical, disease-specific priorities in decision-making (especially in case of refusal of management that could save life). | |
Shared decision-making (instead of obtaining informed consent). | |
Planning of management and care in advance in case of deterioration (e.g. in the form of advance care planning, ACP). | |
3. Assessment of symptoms and other problems related to living with a disease, implementing interventions to address them (including symptomatic i.e. palliative management) and continued reassessment. | |
4. Continuity of care – including active care at end-of-life and during active dying. | |
5. Care/support for relatives including after-care (bereavement counselling). |
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