Palliative care at the National Cancer Institute of Milan

Conno, F. De; Ripamonti, Carla; Caraceni, Augusto; Saita, L.

doi:10.1007/s005200000219

Cited by 9 publications

(13 citation statements)

References 8 publications

(8 reference statements)

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“…Palliative care began in Italy between the end of the 1960s and the early 1970s as a result of the pioneering work of Professor Vittorio Ventafridda who established the first Pain Therapy Division at the National Cancer Institute of Milan [7]. Since then, the movement has progressively grown.…”

Section: The Activity Of the Pio Albergo Trivulzio Hospicementioning

confidence: 99%

“…In addition to those who are home-based (75% of patients), patients may come from Milan hospitals when they are in need of palliative care and are at an advanced stage of terminal illness. A large number of patients are referred from the [7]. Before opening, a biennial on-the-job training was organized from 1989 to 1991, for nurses and volunteers of the hospice.…”

Section: The Activity Of the Pio Albergo Trivulzio Hospicementioning

confidence: 99%

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Ten years? activity of the first Italian public hospice for terminally ill patients

Monti¹,

Cunietti

Castellani³

et al. 2004

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We present a review of the first 10 years of the hospice at the Geriatric Institute Pio Albergo Trivulzio of Milan, Italy's first public hospice for the admission of terminally ill patients. Over 1200 patients were admitted to the nine-bed hospice between October 1991 and December 2001, most of whom (63%) were referred by the Home Palliative Care Units operating in Milan. The hospice patients are elderly (nearly 60% are 70 or more years of age, median 72 years). Admission to the hospice was until the patient's death (74% of patients) after a brief time (4 weeks on average). From the very outset, we have striven to focus our attention on the daily application of the programmes of care inspired by the philosophy and practice of palliative medicine, i.e. the holistic approach and attention devoted to quality of life, multidimensional assessment, and the services of a multiprofessional team to provide, alongside medical and nursing assistance, psychosocial and spiritual support, bereavement support, etc. The continuing education of health workers and the systematic use of a clinical audit tool specifically designed for palliative care, are the two key elements which, in our judgement, have proved to be the most fruitful in reaching the objectives described above. These 10 years of the Pio Albergo Trivulzio Hospice have made a significant contribution towards defining a concrete Italian model which can be applied to the care of the terminally ill inpatient.

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Section: The Activity Of the Pio Albergo Trivulzio Hospicementioning

confidence: 99%

Section: The Activity Of the Pio Albergo Trivulzio Hospicementioning

confidence: 99%

Ten years? activity of the first Italian public hospice for terminally ill patients

Monti¹,

Cunietti

Castellani³

et al. 2004

Support Care Cancer

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“…First is the work by developers of pain assessment instruments. Pain language is an experience so personal, so individual, and so subjective that no ''gold standard'' exists for describing clinical pain [56]; thus, ''The only way to successfully assess pain is to believe the patient'' [57].…”

Section: Patient Language: Medical and Nursing Literaturementioning

confidence: 99%

“…In pain research, patients serve not only as recipients, but also as judges of pain instruments (of the Verbal Rating Scale [59,63], the Visual Analogue Scale [56,59,63,64], the Verbal Descriptor Checklist [64], and the Tursky Pain Perception Profile [61], among others). The ubiquitous McGill Pain Questionnaire [65] has been translated into other languages, a process itself documented in the research literature [56,62,66].…”

Section: Smithmentioning

confidence: 99%

Consumer language, patient language, and thesauri: a review of the literature

Smith¹

2011

J Med Libr Assoc

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“…10 T agreement on patient referral criteria [11,12]. Considering the longstanding experience of simultaneous oncology and palliative care outpatient clinics at our institution [13], we decided to assess the practice of integration between the Palliative care Outpatient Clinic (POC) and Thoracic Medical Oncology outpatient Clinic (TMOC). Aim of this study was to give a pragmatic description of indications and timing of POC referral, to study factors associated to referral and describe elements of the clinical pathway of referred patients.…”

Section: Introductionmentioning

confidence: 99%