Palliative care is a discipline of few years of growth within the multiple areas of medicine. However, the growing concern for being, the dignity of the person, ethical values, such as justice and autonomy, aspects such as quality of life and the end of life, therapeutic proportionality and quality at the end of life has made palliative care one of the main actors in the multidisciplinary management of patients with advanced diseases, not only of an oncological type, but also of a non-oncological type.
The increase in patients with non-oncological diseases exceeds the prevalence of oncological diseases, generating in total a greater number of deaths from non-oncological diseases than from oncological diseases.
It has been shown that there is a great deficiency in medical training to face patients at the end of life, even more so, in patients with chronic non-oncological diseases, where there is no accuracy in prognostic criteria, where the diseases are accepted as benign and not It has a concept of progression and mortality, where it is difficult to clearly recognize states of non-return and futile and disproportionate strategies, where there is no capacity to speak of death, of the expectations of the disease, of the slopes in life, of Spiritual and personal aspects that may be more valuable than advanced and invasive treatments, and that may have a greater impact on patients' quality of life.
This supplement aims to provide tools that lead to reflect on the needs of patients with chronic non-cancer diseases supported. Provide tools in the approach and management of these patients based on evidence.