Abstract: Palliative care is undergoing rapid development with medical advances in the control of chronic pain as well as the accompanying symptoms of the disease. Over the years, palliative care has not received the attention it deserves, but today the focus is increasingly on it because of the unfolded
potential it holds.
Objective: To review the development of palliative care, to identify the problems and outline the prospects in Bulgaria.
Material and methods: The study was conducted in 2022. A documentary method was used to research national and international literature, documents and regulations concerning the problem.
Discussion: The beginnings of palliative care began as hospice care, often provided by caregivers in religious institutions. Caring for the sick and alleviating people's suffering are values that are present in every religion, but Christianity is especially important. The path of origin and development of hospice
and palliative care is long, with the beginning dating back to ancient times, flourishing in the Middle Ages, followed by a decline for a short period of time, to unfold with new force in the 17th century in France. Cicely Saunders' contribution to the development and consolidation of the hospice work is indisputable.
She develops and implements a concept of hospice care, including ways to alleviate patients' suffering, respecting people's wishes and needs at the end of life. In 1990, the WHO developed a strategy for the integration of palliative care into health systems, updated in 2007, including four main elements. In
recent years, indicators have been developed and used to evaluate palliative care practices around the world. The situation in our country is worrisome, because palliative care is extremely necessary and at the same time insufficient, marked by a number of unsolved problems waiting for their solutions.
Conclusion: Guaranteeing quality palliative care requires the need for increased public awareness, training of medical professionals and commitment from the state.
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