Operational protocols

In an original and innovative educational process, 20 procedures have been designed for the educational and professional training, considered to coagulate the need for useful skills to provide the prospect of understanding the palliative phenomenon, but also to allow punctual interventions in their care.

In a partnership of five European centers of palliative medicine, through the synthesis of updated literature and based on scientific medical evidence, the medical protocols proposed have been designed to include the suite of stages to be covered in a holistic approach of the patient, not as an oral cavity, bladder, etc. but in its entirety approach as a human being.


Performing urethrovesical catheterization (foley probe) in female patients


Performimg paracentesis

Automatic syringe

Subcutaneous automatic syringe perfusion

Bed transfer

Transferring the patient from sustained dorsal decubitus to sustained lateral decubitus

Conspiracy of silence

Conspiracy of silence - handling collusion

Active listening

Active listening and empathic response

Communicating news

Communicating the diagnosis of severe illness (bad news)

Spiritual assessment

Understanding patients suffering in the spiritual/religious domain and ways of coping and finding meaning and support through faith


Performing the bedridden patient’s nutrition

Oral care

Perform daily hygiene of teeth, gums, mouth of incapacitated patients

Patient bath

Bed bath - washing a bedridden patient by using water and common soap

Pain assessment

Pain Assessment - Measuring Pain In Conscious Adult Patients Using The Visual Analogue Scale

Pain prescribing

Prescribing pain medication according to the Who-pain ladder

Burn out syndrome

Dealing with empathic reaction of overwhelming emotional exhaustion, feelings of ineffectiveness and self-doubt.

End of life care

Discussion about end of life care (place of care, aggressive treatment, DNR)

Terminal phase

Management of terminal phase

Prevention Ulcer

Prevention pressure ulcer - repositioning

Awareness level

Evaluation of the patient awareness level of his/her disease

Patients’ network

Mapping patient’s network

Caregivers’ needs

Addressing caregiver’s needs