{"id":265804,"date":"2017-12-19T11:30:56","date_gmt":"2017-12-19T16:30:56","guid":{"rendered":"https:\/\/policyoptions.irpp.org\/issues\/use-your-right-brain-to-better-understand-palliative-care\/"},"modified":"2025-10-07T21:54:54","modified_gmt":"2025-10-08T01:54:54","slug":"use-your-right-brain-to-better-understand-palliative-care","status":"publish","type":"issues","link":"https:\/\/policyoptions.irpp.org\/fr\/2017\/12\/use-your-right-brain-to-better-understand-palliative-care\/","title":{"rendered":"Use your right brain to better understand palliative care"},"content":{"rendered":"<p class=\"dropcap-big\">Lance Shaver, in his <em>Policy Options<\/em> <a href=\"https:\/\/policyoptions.irpp.org\/magazines\/november-2017\/palliative-care-is-misunderstood-and-often-forgotten\/\">article<\/a>, correctly says, \u201cPalliative care is misunderstood and often forgotten,\u201d but he fails to differentiate palliative care from medical care. When palliative care is lumped together with advanced treatment and end-of-life care, patients often think that doing less than \u201ceverything\u201d means doing \u201cnothing.\u201d The goal of serious illness management is to create balance between your left and right brains: to weigh medical intervention against leaving well enough alone (see the illustration below).<\/p>\n<p>As an emergency physician, I\u2019m charged with balancing quality of care with quality of life. Are my chronically ill patients better managed in the hospital or at home? Most of these patients recognize that being admitted to the hospital is more dreadful than beneficial. As one patient remarked, \u201cI seem to be getting worse instead of better.\u201d When patients have an incurable illness, can they still feel better? Quality of life begins at home, and home-based palliative care can provide the necessary resources to manage chronic illness outside the hospital.<\/p>\n<p>As Shaver notes, quality of life can include home care and nursing support, management of pain and symptoms, and support for families and caregivers. None of these services need the direct involvement of a physician. Hence, palliative care might be seen as a nursing practice rather than a medical specialty. Training physicians to provide quality of life or personal wellness is misguided. The practice of medicine promotes artificial wellness and distracts patients from taking personal responsibility in making their own decisions. Palliative nurses could specialize in home remedies that provide patients more control and fewer side effects (such as stress).<\/p>\n<p>In choosing their goals and personal values, patients will lean toward either \u201cmore is better\u201d or \u201cless is more\u201d; everyone decides through \u201cshared decision-making\u201d between the two sides of your thinking. Using your right brain will bring you a better understanding of palliative care.<\/p>\n<p><a href=\"https:\/\/policyoptions.irpp.org\/wp-content\/uploads\/2025\/08\/Figure-1-1.png\"><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-57596\" src=\"https:\/\/policyoptions.irpp.org\/wp-content\/uploads\/2025\/08\/Figure-1-1.png\" alt=\"\" width=\"624\" height=\"658\" \/><\/a><\/p>\n<p><span class=\"image-caption\">Photo:\u00a0Shutterstock\/By BlurryMe<\/span><\/p>\n<hr \/>\n<p><em>Do you have something to say about the article you just read? Be part of the\u00a0<\/em>Policy Options<em>\u00a0discussion, and send in your own submission.\u00a0Here is a\u00a0<\/em><a href=\"https:\/\/policyoptions.irpp.org\/article-submission\/\"><em>link<\/em><\/a><em>\u00a0on how to do it. <\/em><em>|\u00a0Souhaitez-vous r\u00e9agir \u00e0 cet article ? <\/em><em>Joignez-vous aux d\u00e9bats d\u2019<\/em>Options politiques\u00a0<em>et soumettez-nous votre texte en suivant ces\u00a0<\/em><a href=\"https:\/\/policyoptions.irpp.org\/fr\/article-submission\/\"><em>directives<\/em><\/a><em>.<\/em><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lance Shaver, in his Policy Options article, correctly says, \u201cPalliative care is misunderstood and often forgotten,\u201d but he fails to differentiate palliative care from medical care. When palliative care is lumped together with advanced treatment and end-of-life care, patients often think that doing less than \u201ceverything\u201d means doing \u201cnothing.\u201d The goal of serious illness management [&hellip;]<\/p>\n","protected":false},"featured_media":239278,"template":"","meta":{"_acf_changed":false,"content-type":"","ep_exclude_from_search":false,"apple_news_api_created_at":"2025-10-08T01:54:57Z","apple_news_api_id":"a04a39a1-ce06-4aeb-82c2-ef2643181087","apple_news_api_modified_at":"2025-10-08T01:54:57Z","apple_news_api_revision":"AAAAAAAAAAD\/\/\/\/\/\/\/\/\/\/w==","apple_news_api_share_url":"https:\/\/apple.news\/AoEo5oc4GSuuCwu8mQxgQhw","apple_news_cover_media_provider":"image","apple_news_coverimage":0,"apple_news_coverimage_caption":"","apple_news_cover_video_id":0,"apple_news_cover_video_url":"","apple_news_cover_embedwebvideo_url":"","apple_news_is_hidden":"","apple_news_is_paid":"","apple_news_is_preview":"","apple_news_is_sponsored":"","apple_news_maturity_rating":"","apple_news_metadata":"\"\"","apple_news_pullquote":"","apple_news_pullquote_position":"","apple_news_slug":"","apple_news_sections":[],"apple_news_suppress_video_url":false,"apple_news_use_image_component":false},"categories":[9357,9372,9377],"tags":[8539],"article-status":[],"irpp-category":[4251,4286,4382],"section":[],"irpp-tag":[],"class_list":["post-265804","issues","type-issues","status-publish","has-post-thumbnail","hentry","category-politiques-sociales","category-recent-stories-fr","category-sante","tag-palliative-care-fr","irpp-category-politique-sociale","irpp-category-sante","irpp-category-soins-medicaux"],"acf":[],"apple_news_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Use your right brain to better understand palliative care<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/policyoptions.irpp.org\/fr\/2017\/12\/use-your-right-brain-to-better-understand-palliative-care\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Use your right brain to better understand palliative care\" \/>\n<meta property=\"og:description\" content=\"Lance Shaver, in his Policy Options article, correctly says, \u201cPalliative care is misunderstood and often forgotten,\u201d but he fails to differentiate palliative care from medical care. 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