With this definition by the WHO and current efforts expanding palliative care beyond terminal illnesses,
palliative care should be seen as partially overlapping but not synonymous with end-of-life care. Palliative
care does not necessarily revolve around end of life. This is an important conceptual differentiation of the
terms; however, palliative care is still often used interchangeably with hospice care or end of life care in
clinical settings and in the society. Most in-hospital units providing hospice care are named as ‘‘palliative
care units’’ in Japan because the term hospice implies the strong connotation of a place for dying. ‘‘Palliative
care teams’’ in hospital settings in various countries also are providing palliative care mostly to patients
whose curative treatment options are limited, and in the United States, there was a trend in the last 10 years
to rename organizations using the combined terms ‘‘hospice and palliative care’’ to encompass these services
to meet both definitions.3 More recently, there is another movement in the United States to use ‘‘supportive
care’’ instead of ‘‘palliative care’’ because of the belief that the term palliative care still carries a lot
of baggage implying a negative death and dying. Although we are aware of the mixed use of these terms in
our society, in order to delineate the scope of end-of-life care, we will differentiate palliative care and hospice
care in this article as it has been defined above.
With this definition by the WHO and current efforts expanding palliative care beyond terminal illnesses,palliative care should be seen as partially overlapping but not synonymous with end-of-life care. Palliativecare does not necessarily revolve around end of life. This is an important conceptual differentiation of theterms; however, palliative care is still often used interchangeably with hospice care or end of life care inclinical settings and in the society. Most in-hospital units providing hospice care are named as ‘‘palliativecare units’’ in Japan because the term hospice implies the strong connotation of a place for dying. ‘‘Palliativecare teams’’ in hospital settings in various countries also are providing palliative care mostly to patientswhose curative treatment options are limited, and in the United States, there was a trend in the last 10 yearsto rename organizations using the combined terms ‘‘hospice and palliative care’’ to encompass these servicesto meet both definitions.3 More recently, there is another movement in the United States to use ‘‘supportivecare’’ instead of ‘‘palliative care’’ because of the belief that the term palliative care still carries a lotof baggage implying a negative death and dying. Although we are aware of the mixed use of these terms inour society, in order to delineate the scope of end-of-life care, we will differentiate palliative care and hospiceสนใจในบทความนี้เป็นการกำหนดข้างต้น
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