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Introduction: The Palliative sedation at home is a management alternative in the control of refractory symptoms of people in end-of-life, reducing the suffering of the sick person and his/her family. Materials and methods: It’s a quantitative, descriptive, number of cases study, based on the review of clinical records of patients who received palliative sedation treatment as part of end-of-life care in a Palliative care home program in Bucaramanga, Colombia. It’s shown absolute and relative frequencies for qualitative variables, and measures of central tendency for quantitative variables. Results: most patients presented dyspnea as only refractory symptom at the end-of-life, a combination of morphine and midazolam was used in most cases, and the average duration from the onset of sedation to death was 1.72 days. Discussion: Unlike other studies, the proportion of patients with oncological and non-oncological diseases was equivalent, the dyspnea continues to be the main at end-of-life, patient death occurred in less than 48 hours, which ratifies the indication for palliative sedation.

Patients with palliative needs can be more prompt to medication errors, due to several factors such as the presence of polypharmacy, complex drug regimens, advanced age, and the presence of associated comorbidities. The objective of the present study is to analyze the factors related to the presence of medication errors with opioids, in patients with advanced chronic disease and palliative needs attended by home palliative care teams in a region. The presence of medication error was associated with a lower level of patient education, p<0.001, and with a lower number of days of follow-up by the home palliative care teams, p<0.001. A multivariate analysis was performed where all the variables associated with medication error were introduced with p<0.20, resulting in a model, p<0.001, -2LL 435.579 and Nagelkerke R squared 0.231. With this, an explanatory model was obtained in which, if the patient had the last treatment written by the professional, OR (95% CI) 0.300 [0.126-0.711], p<0.006, he was protected by 70% of a medication error to occur, and having adherence to treatment, OR (95% CI) 0.132 [0.073-0.241], p<0.000, was 87% protective against a medication error occurring. On the contrary, patients who were illiterate or only knew how to read and write, OR (95% CI) 2.090 [1.241-3.520], p<0.006, had twice the risk of a medication error occurring than if they had primary education , secondary or university.

Objective: Identify to what extent spiritual needs are recorded in patients when referred to a Palliative Care Unit.
Material and Methods: Data from 1,159 palliative care patients were collected, primarily concerning the spiritual and psychosocial needs reported by professionals in the referral protocol. Along with descriptive analyses, the relationship between spiritual and psychosocial needs was evaluated using the Chi-Square statistic and Fisher's Exact Test.
Results: The sample includes a similar percentage of men and women, mostly over 66 years old with a history of cancer. A low recording of spiritual needs was observed, with existential distress being the most prominent among them. Approximately half of the participants had some form of psychoemotional need. The relationship between both types of needs was found to be statistically significant.
Discussion: Despite the recognized prevalence and importance of patients' spiritual needs, the study shows a deficiency in the recording of these needs during palliative care admissions. The findings suggest the need to include spirituality in the training curricula of professionals, as well as to develop standardized tools that facilitate a comprehensive and early assessment of these needs.

Managing difficult-to-control pain in patients with cervical cancer represents a major challenge for the palliative care team, combined with limited social factors and suffering; having a clinical tool such as plasticine human figures favors expression and an appropriate therapeutic approach.

Patients with Advanced Congestive Heart Failure (ACHF) depending on their complexity may be eligible for specialized Palliative Care (PC) treatment. The profile of cardiology patients admitted to a Medium Stay Palliative Care Unit (MSPCU) is described in comparison to patients with other non-oncological and oncological pathologies.

Super refractory status epilepticus (SRSE) is a life-threatening clinical entity that impacts the quality of life of patients and their families. The available evidence for the treatment of SRSE in pediatric palliative care is scarce, especially in the end-of-life patient. As palliative therapy, Midazolam may be an insufficient pharmacological management for the control of ESRD, generating barriers in resolving symptom control, generating discomfort in patients and their families. Thus, alternative pharmacological therapies that do not require intravenous administration routes are proposed, which allow the control of SRSE, associated symptoms and out-of-hospital treatment options.
The aim of this article is to report the use of Ketamine by enteral route for the control of SRSE in a pediatric patient under palliative management, in this patient seizure control and hospital discharge was achieved.