Abstract
Palliative care in patients with terminal lung disease is guided on improving the quality of life of patients, focusing on management of symptoms and engaging with family members and caregivers in supportive treatment. Disease course evolves from large and fluctuant periods of improvement and worsening, to a progressive deterioration of general condition. Lung cancer shows a slowly progressive phase evolving to an acute deterioration resulting in death. Multidisciplinary assistance program is required in the last phase of life. In a first stage of the program subsidiary population has to be identified; secondly, clinical assessment is performed in order to identify the symptoms; and finally, diagnostic and therapeutic appraisal is implemented. Etiological treatment is mandatory. When etiological treatment is not possible, symptomatic treatment is performed, seeking to improve patient quality of life and to avoid familiar suffering. At the end-of-life, opiates are very useful drugs for the management of pain and dyspnea.
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