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Morphine for a broken leg would be a symptomatic treatment in most cases (unless you were expected to die without recovering from it, then it would be palliativ

Morphine for a broken leg would be a symptomatic treatment in most cases (unless you were expected to die without recovering from it, then it would be palliative). As far as I can tell most medications for mental illnesses are also symptomatic. If somebody had general anxiety issues, and they started taking benzodiazepines, their anxiety issues would be expected to return if they stopped taking them. Unless they had also undertaken other non-pharmaceutical treatments during that time.

mlyle 7y ago
> unless you were expected to die without recovering from it, then it would be palliative). I understand that palliative care has developed a connotation of "this is what we do for you when you're dying..." but the definition is e.g. palliate verb (used with object), pal·li·at·ed, pal·li·at·ing. to relieve or lessen without curing; mitigate; alleviate.
- AmericanChopper 7y ago
  Strictly speaking that’s what palliate means, but palliative care almost always refers to symptomatic care for people with life threatening conditions (see the WHO definition[0]). If you look at the way the phrase is most often used in medical literature, you can see it’s qualitatively different from general symptomatic treatment, as the potential side effects are assessed differently. You’d be much less concerned about a patient developing an opioid dependence if they’re terminally ill. For instance the standard[1] from BC describing guidelines for opiate prescriptions states: > This standard does not apply to active cancer care, palliative care, and management of substance use disorders. Physicians are expected to follow relevant clinical guidelines and established best practices in managing patients with these conditions. Nothing in this standard interferes with a physician’s obligation to provide aggressive symptom management to patients with active cancer, or nearing the end of their lives. [0] https://www.who.int/cancer/palliative/definition/en/ https://www.who.int/cancer/palliative/definition/en/ [1] https://www.cpsbc.ca/files/pdf/PSG-Safe-Prescribing.pdf https://www.cpsbc.ca/files/pdf/PSG-Safe-Prescribing.pdf
  - mlyle 7y ago
    Ugh. Semantic arguments. From your link: > is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and includes those investigations needed to better understand and manage distressing clinical complications. ... https://medlineplus.gov/ency/patientinstructions/000536.htm https://medlineplus.gov/ency/patientinstructions/000536.htm > Palliative care can be given at the same time as treatments meant to cure or treat the disease. Palliative care may be given when the illness is diagnosed, throughout treatment, during follow-up, and at the end of life. https://www.nia.nih.gov/health/what-are-palliative-care-and-hospice-care https://www.nia.nih.gov/health/what-are-palliative-care-and-... > Doctors can provide treatment to seriously ill patients in the hopes of a cure for as long as possible. These patients may also receive medical care for their symptoms, or palliative care, along with curative treatment. But, this is an aside. When we're talking about any given treatment medication / treatment-- it can be a likely cure; it can halt or slow the progression of the disease itself; it can merely provide symptom relief. The latter is often called a palliative.
    - AmericanChopper 7y ago
      > it can merely provide symptom relief. The latter is often called a palliative. Because some times it is, but sometimes it isn’t. Which is why the document I linked detailing prescription guidelines for opioids (medicines which exclusively treat symptoms), specifically states that the guidelines do not apply to palliative care. If all treatment of symptoms was palliative treatment, then that standard would never apply in any situation.

mlyle 7y ago

> unless you were expected to die without recovering from it, then it would be palliative). I understand that palliative care has developed a connotation of "this is what we do for you when you're dying..." but the definition is e.g. palliate verb (used with object), pal·li·at·ed, pal·li·at·ing. to relieve or lessen without curing; mitigate; alleviate.

AmericanChopper 7y ago
Strictly speaking that’s what palliate means, but palliative care almost always refers to symptomatic care for people with life threatening conditions (see the WHO definition[0]). If you look at the way the phrase is most often used in medical literature, you can see it’s qualitatively different from general symptomatic treatment, as the potential side effects are assessed differently. You’d be much less concerned about a patient developing an opioid dependence if they’re terminally ill. For instance the standard[1] from BC describing guidelines for opiate prescriptions states: > This standard does not apply to active cancer care, palliative care, and management of substance use disorders. Physicians are expected to follow relevant clinical guidelines and established best practices in managing patients with these conditions. Nothing in this standard interferes with a physician’s obligation to provide aggressive symptom management to patients with active cancer, or nearing the end of their lives. [0] https://www.who.int/cancer/palliative/definition/en/ https://www.who.int/cancer/palliative/definition/en/ [1] https://www.cpsbc.ca/files/pdf/PSG-Safe-Prescribing.pdf https://www.cpsbc.ca/files/pdf/PSG-Safe-Prescribing.pdf
- mlyle 7y ago
  Ugh. Semantic arguments. From your link: > is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and includes those investigations needed to better understand and manage distressing clinical complications. ... https://medlineplus.gov/ency/patientinstructions/000536.htm https://medlineplus.gov/ency/patientinstructions/000536.htm > Palliative care can be given at the same time as treatments meant to cure or treat the disease. Palliative care may be given when the illness is diagnosed, throughout treatment, during follow-up, and at the end of life. https://www.nia.nih.gov/health/what-are-palliative-care-and-hospice-care https://www.nia.nih.gov/health/what-are-palliative-care-and-... > Doctors can provide treatment to seriously ill patients in the hopes of a cure for as long as possible. These patients may also receive medical care for their symptoms, or palliative care, along with curative treatment. But, this is an aside. When we're talking about any given treatment medication / treatment-- it can be a likely cure; it can halt or slow the progression of the disease itself; it can merely provide symptom relief. The latter is often called a palliative.
  - AmericanChopper 7y ago
    > it can merely provide symptom relief. The latter is often called a palliative. Because some times it is, but sometimes it isn’t. Which is why the document I linked detailing prescription guidelines for opioids (medicines which exclusively treat symptoms), specifically states that the guidelines do not apply to palliative care. If all treatment of symptoms was palliative treatment, then that standard would never apply in any situation.