{"title":"Soigner au seuil de la mort : l’expérience mystique d’un patient avec la thérapie assistée par la psilocybine","authors":"Houman Farzin","doi":"10.7202/1109567ar","DOIUrl":"https://doi.org/10.7202/1109567ar","url":null,"abstract":"Patients with serious illnesses like advanced cancer often experience existential and psychospiritual distress. Alleviating this form of pain and suffering has proven to be very challenging using conventional treatments. Psilocybin-assisted therapy (PAT) employs the psychoactive effects of psilocybin as a catalyst for a psychotherapeutic process grounded in indigenous traditions and within the context of a therapeutic mindset and environment (“set and setting”). This carefully curated experience of an altered state of consciousness can promote healing and psychospiritual growth independently of the disease trajectory. Current research supports the use of this form of therapy as a safe and effective therapeutic tool for such patients. This narrative case report, based upon and written from the perspective of the treating physician, describes the therapeutic journey of a patient with the fictitious name Martin, as he receives his diagnosis of a terminal illness, engages in PAT, and on to his deathbed. Martin was the first patient in Quebec to receive psilocybin treatment through Canada’s Special Access Program (SAP) and chose to end his life with medical assistance in dying (MAID), both done in the context of homecare and paid for in its entirety by the public healthcare system of Quebec.","PeriodicalId":379424,"journal":{"name":"Cahiers francophones de soins palliatifs","volume":"69 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139837956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pour bien prendre soin jusqu’à la fin","authors":"Édith Dumont","doi":"10.7202/1109571ar","DOIUrl":"https://doi.org/10.7202/1109571ar","url":null,"abstract":"The Board of Directors approved a pilot project from April 1 to December 31, 2021, to allow the experiment of the use of Healing Touch (HT), a holistic energy/complimentary therapy. The mandate to implement this project was granted to The Home’s social worker, including a team of three HT practitioners who offered free sessions to residents. Since then, to take good care until the end, Healing Touch is offered free of charge to residents and is included in the care and services offered by the Littoral Palliative Care House.","PeriodicalId":379424,"journal":{"name":"Cahiers francophones de soins palliatifs","volume":"2 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139777838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maisons de soins palliatifs au Québec et aide médicale à mourir : liaisons dangereuses ?","authors":"Thomas de Gabory, Didier Caenepeel","doi":"10.7202/1109569ar","DOIUrl":"https://doi.org/10.7202/1109569ar","url":null,"abstract":"The practice of medical aid in dying within palliative care services, and more specifically in hospices in Quebec, questions their raison d’être. This article, based on the clinical ethics method of analysis, aims to analyze the raison d’être of palliative care and hospices as they exist in Quebec, and to put it into perspective with the medical aid in dying recently introduced into these settings. This article identifies the potentially deleterious effects of offering medical aid in dying on the raison d’être of palliative care and, more specifically, of hospices. These effects are temporal (the temporality of the taming of dying), relational (caregiver-patient-family relationships) and community-based (the communities that form with and around patients).","PeriodicalId":379424,"journal":{"name":"Cahiers francophones de soins palliatifs","volume":"58 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139779267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Les doulas de la fin de vie : une pratique innovante à découvrir","authors":"Ariane Plaisance","doi":"10.7202/1109570ar","DOIUrl":"https://doi.org/10.7202/1109570ar","url":null,"abstract":"End-of-life doulas represent a novel practise in the area of end-of-life care in Quebec, while being common in other eras and cultures. A non-medical ally who supports families during the end-of-life process—which can endure for months or even years—is known as an end-of-life doula. Since 2016, Douglas College in British Columbia has provided a training course for potential end-of-life doulas. The face-to-face or online format is adaptable and accessible. The author of this essay briefly explains the function of end-of-life doulas and shares her own experiences at Douglas College.","PeriodicalId":379424,"journal":{"name":"Cahiers francophones de soins palliatifs","volume":"8 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139778924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Passer le flambeau des Cahiers","authors":"Carol-Anne Hyland Carignan","doi":"10.7202/1109565ar","DOIUrl":"https://doi.org/10.7202/1109565ar","url":null,"abstract":"Gilles Nadeau, founder of the Cahiers francophones de soins palliatifs, has been the journal's editor for over 20 years. He offers us a privileged moment to retrace his journey as a spiritual guide in palliative and end-of-life care, and as founder and editor of the Cahiers. We would like to thank him warmly for his investment and commitment to developing and maintaining the transfer of knowledge through the Cahiers francophones de soins palliatifs. We would also like to thank him for this interview.","PeriodicalId":379424,"journal":{"name":"Cahiers francophones de soins palliatifs","volume":"137 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139836575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"L’éthique vivante, une approche innovante","authors":"Félix Pageau","doi":"10.7202/1109568ar","DOIUrl":"https://doi.org/10.7202/1109568ar","url":null,"abstract":"I had the chance as a geriatrician, researcher and ethicist to participate in the living ethics workshop in Montreal. This innovative approach in ethics aims for human flourishing, even at the end of life and despite suffering. It is as novel as interesting for palliative care. I share my experience on this new posture in ethics in the following.","PeriodicalId":379424,"journal":{"name":"Cahiers francophones de soins palliatifs","volume":"56 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139836782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Passer le flambeau des Cahiers","authors":"Carol-Anne Hyland Carignan","doi":"10.7202/1109565ar","DOIUrl":"https://doi.org/10.7202/1109565ar","url":null,"abstract":"Gilles Nadeau, founder of the Cahiers francophones de soins palliatifs, has been the journal's editor for over 20 years. He offers us a privileged moment to retrace his journey as a spiritual guide in palliative and end-of-life care, and as founder and editor of the Cahiers. We would like to thank him warmly for his investment and commitment to developing and maintaining the transfer of knowledge through the Cahiers francophones de soins palliatifs. We would also like to thank him for this interview.","PeriodicalId":379424,"journal":{"name":"Cahiers francophones de soins palliatifs","volume":"31 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139776992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pour bien prendre soin jusqu’à la fin","authors":"Édith Dumont","doi":"10.7202/1109571ar","DOIUrl":"https://doi.org/10.7202/1109571ar","url":null,"abstract":"The Board of Directors approved a pilot project from April 1 to December 31, 2021, to allow the experiment of the use of Healing Touch (HT), a holistic energy/complimentary therapy. The mandate to implement this project was granted to The Home’s social worker, including a team of three HT practitioners who offered free sessions to residents. Since then, to take good care until the end, Healing Touch is offered free of charge to residents and is included in the care and services offered by the Littoral Palliative Care House.","PeriodicalId":379424,"journal":{"name":"Cahiers francophones de soins palliatifs","volume":"88 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139837485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"L’éthique vivante, une approche innovante","authors":"Félix Pageau","doi":"10.7202/1109568ar","DOIUrl":"https://doi.org/10.7202/1109568ar","url":null,"abstract":"I had the chance as a geriatrician, researcher and ethicist to participate in the living ethics workshop in Montreal. This innovative approach in ethics aims for human flourishing, even at the end of life and despite suffering. It is as novel as interesting for palliative care. I share my experience on this new posture in ethics in the following.","PeriodicalId":379424,"journal":{"name":"Cahiers francophones de soins palliatifs","volume":"15 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139777122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}