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C2  ·  37 words

Palliative medicine in Italian

When cure is no longer the aim — and what counts instead.

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From these 37 words, as many per round as you like — up to all of them: first what is due today, then new ones. First you choose, then you fill the gap, then you write it yourself. Mistakes come back again shortly.

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The tenth entry is il senso di nausea, and the English word that fits it best is the one that will not hold still. Italian divides the ground cleanly. La nausea is the sensation, vomitare is what may follow it, and essere malato is being ill in general. English loads all three onto « sick », and British English keeps them apart by grammar rather than by word. « I feel sick » is the nausea itself, and it is what a patient would actually say, because « nausea » is a chart word here and belongs in the notes rather than in a sentence. « I have been sick » is the vomiting, which is why a nurse asking « have you been sick? » is asking about the bowl and not about the illness. For being unwell in general, British English reaches for « ill ». In American English « sick » covers that general sense too, so the three meanings come apart along a different line. Both renderings of this entry are right, then, but they are not interchangeable: one belongs at the bedside and the other on the drug chart.

The words

Phrase (28)

cure palliativepalliative carePhraseC2
Le cure palliative iniziano prima di quanto si creda.Palliative care begins earlier than people think.
controllo dei sintomisymptom controlPhraseC2
Il controllo dei sintomi viene prima di tutto il resto.Symptom control comes before everything else.
dolore totaletotal painPhraseC2
Il dolore totale comprende anche la paura.Total pain takes in fear as well.
scala analgesicathe analgesic ladderPhraseC2
La scala analgesica ordina i farmaci per forza crescente.The analgesic ladder ranks the drugs by increasing strength.
dolore episodico intensobreakthrough painPhraseC2
Il dolore episodico intenso arriva senza preavviso.Breakthrough pain arrives without warning.
adeguamento della dosethe dose adjustmentPhraseC2
L’adeguamento della dose avviene a piccoli passi.The dose adjustment is made in small steps.
pompa antidolorethe pain pumpPhraseC2
La pompa antidolore lavora sotto la pelle.The pain pump works under the skin.
agitazione terminaleterminal restlessnessPhraseC2
L’agitazione terminale rende difficile stare fermi.Terminal restlessness makes it hard to lie still.
prescrizione anticipataanticipatory prescribingPhraseC2
La prescrizione anticipata evita una corsa nella notte.Anticipatory prescribing saves a dash through the night.
farmaco al bisogno predispostothe as-needed drug left readyPhraseC2
Il farmaco al bisogno predisposto resta in casa.The as-needed drug left ready stays in the house.
misure di confortocomfort measuresPhraseC2
Restano soltanto misure di conforto.Only comfort measures are left now.
igiene della boccamouth carePhraseC2
L’igiene della bocca conta più di quanto sembri.Mouth care matters more than it seems to.
hospice diurnothe day hospicePhraseC2
L’hospice diurno apre soltanto di giorno.The day hospice opens only during the day.
équipe domiciliarethe home care teamPhraseC2
L’équipe domiciliare passa due volte a settimana.The home care team calls twice a week.
pianificazione condivisa delle cureadvance care planningPhraseC2
La pianificazione condivisa delle cure si scrive insieme.Advance care planning is written together.
disposizioni anticipate di trattamentothe advance directivePhraseC2
Le disposizioni anticipate di trattamento valgono anche dopo.The advance directive holds good afterwards as well.
rinuncia alla rianimazionethe do-not-resuscitate decisionPhraseC2
La rinuncia alla rianimazione è scritta in cartella.The do-not-resuscitate decision is written in the notes.
bene del pazientethe good of the patientPhraseC2
Ogni decisione parte dal bene del paziente.Every decision starts from the good of the patient.
valutazione della capacità di consensothe assessment of capacity to consentPhraseC2
La valutazione della capacità di consenso precede la firma.The assessment of capacity to consent comes before the signature.
interruzione di un trattamentothe withdrawal of a treatmentPhraseC2
L’interruzione di un trattamento non è un abbandono.The withdrawal of a treatment is not an abandonment.
duplice effettodouble effectPhraseC2
Il duplice effetto distingue lo scopo dalla conseguenza.Double effect separates the aim from the consequence.
luogo di cura desideratothe preferred place of carePhraseC2
Il luogo di cura desiderato è quasi sempre la casa.The preferred place of care is almost always home.
fase terminalethe terminal phasePhraseC2
Nella fase terminale il respiro cambia.In the terminal phase the breathing changes.
ultimi giorni di vitathe last days of lifePhraseC2
Gli ultimi giorni di vita hanno un ritmo proprio.The last days of life have a rhythm of their own.
assistenza spiritualespiritual carePhraseC2
L’assistenza spirituale non chiede una fede.Spiritual care asks for no faith.
colloquio con i familiarithe conversation with the relativesPhraseC2
Il colloquio con i familiari dura più della visita.The conversation with the relatives lasts longer than the ward round.
comunicazione di cattive notiziebreaking bad newsPhraseC2
La comunicazione di cattive notizie si impara.Breaking bad news can be learnt.
lutto anticipatorioanticipatory griefPhraseC2
Il lutto anticipatorio comincia prima della morte.Anticipatory grief begins before the death.

Noun (m) (4)

Grammar for these: Definite article: il, lo, la · Indefinite article: un, uno

l’oppioidethe opioidNoun (m)C2
L’oppioide viene dato a orari fissi.The opioid is given at fixed times.
il senso di nauseanauseaNoun (m)C2
Il senso di nausea toglie ogni voglia di mangiare.Nausea takes away any wish to eat.
il deliriumdeliriumNoun (m)C2
Il delirium va e viene nell’arco della giornata.Delirium comes and goes over the course of the day.
l’hospicethe hospiceNoun (m)C2
L’hospice accoglie anche i familiari.The hospice takes the relatives in as well.

Noun (f) (5)

Grammar for these: Definite article: il, lo, la · Indefinite article: un, uno

la dispneabreathlessnessNoun (f)C2
La dispnea spaventa più del dolore.Breathlessness frightens people more than pain does.
la stitichezzaconstipationNoun (f)C2
La stitichezza accompagna spesso questi farmaci.Constipation often goes with these drugs.
la futilità terapeuticatherapeutic futilityNoun (f)C2
La futilità terapeutica pesa su ogni scelta.Therapeutic futility weighs on every choice.
l’incertezzauncertaintyNoun (f)C2
L’incertezza sul tempo che resta pesa su tutti.Uncertainty about the time left weighs on everybody.
la dignità della personathe dignity of the personNoun (f)C2
La dignità della persona non dipende dalla forza che resta.The dignity of the person does not depend on the strength that is left.

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