The point of view of palliative care professionals Comunity of Madrid about psychological care

Abstract

aim of this study is to show the opinion of the Palliative Care Teams of Madrid about the psychological support provided by their units. Methodology: qualitative according to the following techniques, participant observation, individual interviews to the principal of the different units of the Public Health System, group interviews to the different units, and one group interview with professionals of the private nonprofit units. Results: in general terms, psychological support is provided by medical and nursing professionals, specific therapy is provided by psychology professionals. There is not a clear border between psychological or spiritual needs. Complexity is found in the relational and communicational aspects. There is a lack of formation on psychological support in general practitioners. There are not enough number of psychologist and social workers, moreover in home care. The grief is the main field of psychological support, especially in cases where children are involved. Bereavement groups are most valued. Burnout syndrome requires a special attention even is little demanded by the palliative care teams. Conclusion: in Madrid, psychological support is recognized as necessary for the patients and for the palliative care professionals. It is necessary to increase the resources to cover this support, especially at home care