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Beyond striae cutis: A case report on how physical skin complaints unveiled end-of-life total experience

Published online by Cambridge University Press:  28 August 2020

Miguel Julião Open the ORCID record for Miguel Julião [Opens in a new window] ,
Paula Calçada ,
Vasco Coelho Macias  and
Pedro Mendes-Bastos
Miguel Julião*
Affiliation:
Equipa Comunitária de Suporte em Cuidados Paliativos de Sintra, Sintra, Portugal
Paula Calçada
Affiliation:
Equipa Comunitária de Suporte em Cuidados Paliativos de Sintra, Sintra, Portugal
Vasco Coelho Macias
Affiliation:
Dermatology Centre, Hospital dos Lusíadas, Lisboa, Portugal
Pedro Mendes-Bastos
Affiliation:
Dermatology Centre, Hospital CUF Descobertas, Lisboa, Portugal
*
Author for correspondence: Miguel Julião, Equipa Comunitária de Suporte em Cuidados Paliativos de Sintra, 2635-364 Rio de Mouro, Sintra, Portugal. E-mail: migueljuliao@gmail.com
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Abstract

Background

End-of-life is a unique and multidimensional experience, and physical complaints can reveal other areas of distress.

Method

A case report of a woman with terminal cancer with painful and deforming skin striae cared by a multidisciplinary team.

Results

After initially treating her physical pain, other end-of-life psychosocial, spiritual, and existential aspects could be addressed.

Significance of results

Physical distress can unveil other essential areas of end-of-life experience when multidisciplinary teams caring for the terminally ill patients use holistic approaches.

Keywords

Case reportEnd-of-life experienceMultidisciplinarityPalliative dermatology
Type
Case Report
Information
Palliative & Supportive Care , Volume 19 , Issue 1 , February 2021 , pp. 119 - 121
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Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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References

REFERENCES

Barnabé, C and Daeninck, P (2005) ‘Beauty is only skin deep’: Prevalence of dermatologic disease on a palliative care unit. Journal of Pain and Symptom Management 29(4), 419–422.CrossRefGoogle Scholar
Bishurul Hafi, NA and Uvais, NA (2018) Palliative dermatology. Indian Journal of Palliative Care 24, 385–386.Google ScholarPubMed
De Conno, F, Ventafridda, V and Saita, L (1991) Skin problems in advanced and terminal cancer patients. Journal of Pain and Symptom Management 6, 247–256.CrossRefGoogle ScholarPubMed
Hansra, NK, Berger, TG, O'Sullivan, P, et al. (2008) Skin findings in palliative care patients. Journal of Palliative Medicine 11(6), 834–837.CrossRefGoogle ScholarPubMed
Hui, D and Bruera, E (2016) Integrating palliative care into the trajectory of cancer care. Nature Reviews. Clinical Oncology 13(3), 159–171.CrossRefGoogle ScholarPubMed
Hui, D and Bruera, E (2017) The Edmonton Symptom Assessment System 25 years later: Past, present, and future developments. Journal of Pain and Symptom Management 53, 630–643.CrossRefGoogle ScholarPubMed
Julião, M, Nunes, B, Sobral, MA, et al. (2016) Is it useful to ask “Está deprimido?” (“Are you depressed?”) to terminally-ill Portuguese patients? Results from outpatient research. Palliative & Supportive Care 14(2), 138–141.CrossRefGoogle ScholarPubMed
Julião, M, Antunes, B, Nunes, B, et al. (2020) Measuring total suffering and will to live in an advanced cancer patient using a patient-centered outcome measure: A follow-up case study. Journal of Palliative Medicine 23(5), 733–737.CrossRefGoogle Scholar
Neloska, L, Damevska, K, Kuzmanova, A, et al. (2017) Dermatological diseases in palliative care patients: A prospective study on 271 patients. Journal der Deutschen Dermatologischen Gesellschaft 15(6), 621–627.Google ScholarPubMed
Rhondali, W, Yennurajalingam, S, Ferrer, J, et al. (2014) Association between supportive care interventions and patient self-reported depression among advanced cancer outpatients. Supportive Care in Cancer 22, 871–879.CrossRefGoogle ScholarPubMed
Saracino, RM, Rosenfeld, B, Breitbart, W, et al. (2019) Psychotherapy at the end of life. The American Journal of Bioethics: AJOB 19(12), 19–28.CrossRefGoogle ScholarPubMed
Saunders, C (1963) The treatment of intractable pain in terminal cancer. Proceedings of the Royal Society of Medicine 56(3), 195–197.CrossRefGoogle ScholarPubMed
Van Mechelen, W, Aertgeerts, B, De Ceulaer, K, et al. (2013) Defining the palliative care patient: A systematic review. Palliative Medicine 27, 197–208.CrossRefGoogle ScholarPubMed