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Antea Worldwide Palliative Care Conference

Rome, 12-14 November 2008


Presenting author Hospital – Territory – Hospice: a hard-to-follow pathway
Verena De Angelis
Authors (max 6, presenting author included): Verena De Angelis, Manlio Lucentini
Geographic and demographic data are synthetically analyzed, in connection with the vast
Phone territory and the capillary, though not uniform, organisation of primary care in the Azienda USL
n.2 of Umbria. The presence of a large hospital and university centre (Azienda ospedaliera)
having an autonomous management hinders the integration of the discharge phase towards the
Mobile phone territorial structures and the Hospice.
The planning of USL n.2 assigned to the Palliative Care Unit the following mission:

a)to extend to all of its territory the end-of-life care of terminally ill patients with chronic
Please underline the most evolutionary pathologies;
appropriate category for your b)........activation and regular running of the hospice;
abstract c)protected discharge of terminally ill patients from the Azienda ospedaliera towards home care
or hospice care.
• Pain and other symptoms
• Palliative care for cancer patients As to points a) and b), a specific programme was carried out to complete the training of home
• Palliative care for non cancer care and hospice operators, which was fitted into a wider project financed by the European Union.
patients The contents of the theoretical programme and of the training in-the-job are illustrated, as well as
• Paediatric palliative care the evaluation of results.
As to point c), informational courses were organized for the Azienda ospedaliera sanitary staff.
• Palliative care for the elderly
Since the results were not positive, a “palliative advice service” c/o hospital wards was organized,
• The actors of palliative care
whose modalities will be illustrated. The preliminary data have encouraged us to ameliorate and
• Latest on drugs to continue such an activity.
• Pain

• Illness and suffering through
• Marginalisation and social stigma
at the end of life
• Palliative care advocacy projects

• Prognosis and diagnosis
communication in
different cultures
• Communication between doctor-
patient and patient-
• Religions and cultures versus
suffering, death and
• Public institution in the world:
palliative care policies
and law
• Palliative care: from villages to metropolies

• Space, light and gardens for the terminally ill patient
• End-of-life ethics
• Complementary therapies
• Education, training and research
• Session: Palliative care - from villages to metropolies

• Fund-raising and no-profit
Chair of the session: Dott. Laura Surdo, Dott. Faith M. Powell
• Bereavement support
• Volunteering in palliative care
• Rehabilitation in palliative care