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Use of hypnosis for the placement of a midline catheter in a patient at the end of life

Published online by Cambridge University Press:  23 August 2019

Celia Ibañez del Prado Open the ORCID record for Celia Ibañez del Prado [Opens in a new window] ,
Juan Antonio Cruzado Open the ORCID record for Juan Antonio Cruzado [Opens in a new window] ,
Héctor González Ordi  and
Pilar Capilla Ramírez
Celia Ibañez del Prado
Affiliation:
Hospital Virgen de la Poveda (SERMAS). Carretera del Hospital km5 Villa del Prado 28630 Madrid
Juan Antonio Cruzado*
Affiliation:
Facultad de Psicología Universidad Complutense de Madrid. Campus de Somosaguas, Ctra. de Húmera, s/n, 28223 Pozuelo de Alarcón, Madrid
Héctor González Ordi
Affiliation:
Facultad Psicología y Facultad de Enfermería, Fisioterapia y Podología de la Universidad Complutense de Madrid
Pilar Capilla Ramírez
Affiliation:
Facultad de Ciencias Biomédicas y de la Salud Universidad Europea de Madrid
*
Author for correspondence: Juan Antonio Cruzado, Facultad de Psicología Universidad Complutense de Madrid. Campus de Somosaguas, Ctra. de Húmera, s/n, 28223 Pozuelo de Alarcón, Madrid. Email: jacruzad@ucm.es
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Abstract

Objective

The case of a non-oncological patient at the end of his life, admitted to a Palliative Care Unit (PCU), is presented. After a failed attempt to place a central venous catheter (CVC) and another placement of a peripherally inserted central catheter (PICC), the patient exhibited high anxiety regarding a midline catheter (MC) and refused its placement, even though this was necessary for the administration of intravenous drugs to control dyspnea and other complex symptoms that he presented.

Method

An intervention through clinical hypnosis for successful MC placement and symptom control is described.

Result

Through clinical hypnosis and interdisciplinary teamwork, it was possible to place a MC, necessary for symptomatic control of a complex patient.

Significance of result

This case exemplifies hypnosis as a simple procedure that is easy to apply, accepted by the patient, and effective in the implementation of invasive procedures and symptom control in PCUs.

Keywords

clinical hypnosispalliative caremidline catheterpsychological interventionteamwork
Type
Case Report
Information
Palliative & Supportive Care , Volume 18 , Issue 1 , February 2020 , pp. 113 - 117
Copyright
Copyright © Cambridge University Press 2019

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