Once limited to end-of-life, supportive care is now at the heart of cancer treatment at the Institut Bordet. And this includes from the start of treatment.
The Supportive and Palliative Care Clinic provides continuing comfort care aimed at controlling and alleviating the symptoms and consequences of cancer and of certain treatments: pain, digestive, psychological and sexual disorders, skin problems, socio-economic difficulties, etc.
Supportive care has 3 objectives:
- to improve the patient’s quality of life throughout their care;
- to encourage the continuance of and adherence to treatment;
- to encourage return home (where possible).
The Supportive Care Clinic works in close collaboration with many medical and paramedical specialists including cancer psychologists, geriatric oncologists, gastroenterologists, etc. It comprises a mobile team and a hospital-based unit.
The mobile team, on request, visits other departments, attending patients and providing advice and information to Institut Bordet nursing staff. It also participates in certain multidisciplinary cancer care meetings (CMOs).
Transfer to the Acute Supportive Care Unit (UASS) is arranged when it becomes difficult to control a patient’s symptoms and/or when the support care is too complex to be administered in a “traditional” hospital unit or at home.
When curative cancer treatment is stopped, supportive care becomes palliative. As far as possible, and if the patient wishes, the Supportive Care Clinic arranges for the patient to return home, in collaboration with his GP, his relatives and a home care team.
The Institut Bordet respects the patient’s choice to die in dignity. In Belgium, the practice of euthanasia is covered by the Act of 28 May 2002. Dr Dominique Lossignol, head of the Supportive Care Department, initiated the EOL (End of Life) Forum which trains and provides nursing teams with information on issues relating to end of life and euthanasia from a legal, medical and ethical viewpoint. It provides the Institut Bordet with consultation on medical and ethical matters.
Doctors in the Supportive Care Clinic provide teaching to medical students, doctors, nurses and psychologists in the treatment of pain and palliative care.
Dr Lossignol teaches ethics and professional ethics at Mons Faculty of Medicine, the École Prigogine and the CPSI. He gives numerous lectures to the general public.
Research projects
Project 1
Narrative ethics and end of life in the context of the request for euth
- Project leader : Lossignol D
- Thesis study
- Funding : «Association Jules Bordet»
The team
Head of clinic
-
The team
- Isabelle Libert, physician
- Annie Drowart, medical oncologist, (mobile supportive care unit)
- Myriam Obiols Portis, nurse (head)
Scientific publications
Efficacy and Safety of Lanreotide Autogel in the Treatment of Clinical Symptoms Associated With Inoperable Malignant Intestinal Obstruction: A Prospective Phase II Study.
Authors : Duck L, Demolin G, DHondt L, Dopchie C, Hendrickx K, Lannoye B, Bastin F, Lossignol D, Hamdan O, Lybaert W, Vandenhaute V, Regnault B, De Ruyter V, Geboes K
Year : 2021
Journal : Clin Ther
Traitements psychopharmacologiques. In D. Razavi & N. Delvaux (Eds.), Psycho-oncologie: Concepts théoriques & interventions cliniques. Elsevier Masson.
Authors : Razavi D, Reich M, Farvacques C, Ronson A, Stefos G
Year : 2019
Journal : Psycho-oncologie
Volume : -
Pages : -
Confusion mentale. In D. Razavi & N. Delvaux (Eds.), Psycho-oncologie: Concepts théoriques & interventions cliniques. Elsevier Masson.
Authors : Reich M, Razavi D, Lossignol D, Delvaux N
Year : 2019
Journal : Psycho-oncologie
Volume : -
Pages : -
Formation des soignants à la relation et à la communication. In D. Razavi & N. Delvaux (Eds.), Psycho-oncologie: Concepts théoriques & interventions cliniques (2 ed., pp. 447-457). Elsevier Masson.
Authors : Peternelj L, Delevallez F, Delvaux N, Marchal S, Libert I, Liénard A, Merckaert I, Razavi D
Year : 2019
Journal : Psycho-oncologie
Volume : -
Pages : -
Décisions de fin de vie. In D. Razavi & N. Delvaux (Eds.), Psycho-oncologie: Concepts théoriques & interventions cliniques. Elsevier Masson.
Authors : Razavi D, Vandueren M, Dauchy S, Lewis F, Lossignol D, Datso C, Delvaux N
Year : 2019
Journal : Psycho-oncologie
Volume : -
Pages : -