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Despite the fact that Italy and Spain are culturally similar, there are important differences in palliative care services development. For example, Italy has a greater proportion of hospice teams compared with Spain, while Spain has a greater proportion of hospital support teams.1 Noting these differences, we decided to compare a major palliative care service model from each country: the Seragnoli Hospice Foundation (FHS), Italy, and the Palliative Care Support Team (PCST) at the Clinica Universidad de Navarra (CUN), Spain, where an oncologist from FHS recently completed a 4-week rotation. We compare the institutions according to symptom assessment and management, psychological and spiritual care, caregiver support and impact on the rest of the hospital. Initially, the differences between the two teams, such as culture and practice, were more noticeable, but by the end of the rotation the shared values were what stood out. FHS is a private non-profit foundation in Italy composed of three hospices that care for advanced and terminal patients, each with a …

U ovom članku želimo povezati osobnu svijest o smrtnosti, umiranju i smrti s društvenom brigom, osposobljenošću i ljubavlju društva za umiruće, koje bi trebale pomoći umirućima u procesu “otpuštanja” života. Hospicij i palijativna skrb (HPS) program je koji se razvio iz ove međusobne povezanosti, ovisnosti. HPS-program preuzima aktivnu ulogu u oblikovanju zajedničkih i osobnih vrednota vezanih uz smrt i umiranje. Upotrebljavajući referentni okvir kognitivne prakse, pokazat ćemo da su ove vrednote oblikovane u društvenom životu preko stvarnih situacija i događaja, izraslih kroz hospicijski timski rad s pacijentima, obiteljima i društvenim službama. Hospicijski program se razvija kroz iskustveno učenje koje se događa u socijalnoj interakciji koja uključuje ne samo profesionalce, pacijente i obitelji već i širu zajednicu. Tko može bolje nego hospicijski tim brinuti o zaštiti društvene svijesti o specifičnim potrebama smrtnobolesnih i umirućih osoba, ili prepoznati potrebu za podrškom obitelji i prijateljima umirućih? Neki od zaista predanih liječnika imaju bogatstvo praktičnog znanja i primijenjenog istraživanja te su spremni dijeliti to s drugima. Odgovorni za profesionalno obrazovanje trebaju inicirati promjene u srednjoškolskom, dodiplomskom i permanentnom obrazovanju, kako bi prenijeli ovu mudrost u sustavno javno obrazovanje, kao i uključili ne samo profesionalni tretman i principe timskog rada nego i vještine koje izgrađuju zajednicu., In our paper, we link the private realm of awareness of one's own mortality, dying and death and the public sphere of competent and compassionate end-of-life care that helps individuals manage the process of letting go of life. Hospice and palliative care (HPC) programs have evolved through this linkage. HPC has taken an active role in shaping communal and personal values about death and dying. Using a cognitive praxis framework, we show that these values are shaped in the public arena through the “actual things and events” produced by HPC teams working with patients, family, and social networks. We expand on the idea of experiential learning through social interaction to include not just professionals, patients and families but also the community at large. Who better to secure the wider community recognition of special care needs of terminally ill and dying persons and support needs of the circle of family and friends than the hospice team? Some dedicated practitioners have a wealth of practical knowledge and applied research and they share this readily. But, to translate this wisdom into advocacy grounded in sustained public education, providers of professional education need to initiate changes in undergraduate, graduate and continuing education to include not only treatment competencies and teamwork principles but also community-building skills.