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Antea Worldwide Palliative Care Conference

Rome, 12-14 November 2008


Mario Montermini
Authors (max 6, presenting author included): Mario Montermini
In palliative care relational approach and counselling are essential for the physiotherapist and the
Phone times and ways of the technique must be modulated according to the patient’s needs, therefore the
physiotherapeutic intervention will exploit these three patterns.
Rehabilitative approach: it’s possible to maximize the functional potential of the patient so as to
Mobile phone improve his/her performance status when there is a clinical stability and a good control of
symptoms. The aim is a satisfying independence at home and outside. The physiotherapist’s
counselling should, also, make him/her admit one’s limits and that the disease cannot be cured
but kept under control. So the patient avoids unnecessary exertion that may lead to a deteriorating
Please underline the most health. This is to minimize patient’s delusion and to build a good therapeutic alliance that will be
appropriate category for your of great help during the disease progression.
abstract Reducing disability approach: the intervention offers the patient the possibility to improve his/her
residual physical functioning and to maintain a self-sufficient mobility. When the clinical picture
• Pain and other symptoms
is not too bad, the symptoms are under control and the life expectancy is medium-term
• Palliative care for cancer patients (weeks/months) the physiotherapist helps to regain some independence, if necessary with walking
• Palliative care for non cancer aids, therefore reducing fear and anxiety, to eliminate architectural obstacles and teaches the
patients carers how to support mobility in a safe and not exhausting way.
• Paediatric palliative care Palliative approach: it isn’t possible any motor activity aiming at recovering the patient’s
independence, even if incomplete. The poor clinical picture, a low symptom control and a short
• Palliative care for the elderly
life expectancy (days/weeks) allow to work only on positioning, postural changes and joint
• The actors of palliative care
mobilization. Anyhow the physiotherapist welcomes the desire of motor activity/ independence of
• Latest on drugs patient and carers and educates the care giver how to help and how to avoid dangerous actions,
• Pain but improves their ability to put back into perspective their hopes with the counselling.

• 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 Session: Rehabilitation in palliative care
• End-of-life ethics
• Complementary therapies Chair of the session: Claudio Pellegrini

• Education, training and research
• Fund-raising and no-profit
• Bereavement support
• Volunteering in palliative care
• Rehabilitation in palliative care