**6. Conclusion**

Middle English (in the sense 'apply one's mind or energies to'): from Old French

*Verb*. Ad- to; + iuvare – "to help" from *ad-* 'to, at' + *sistere* 'take one's stand'.

from assimilated form of ad "to" (see ad-) + sistere "stand still, take a stand; to

"take a stand, stand on, stand still; follow, pursue; insist, press vigorously, urge,

(from PIE root \*en "in") + sistere "take a stand," from PIE \*si-st-, reduplicated

assist (v.) Related: Assisted; assisting. Medical assisted suicide attested from 1884.

late Middle English: from Old French *assister*, from Latin *assistere* 'take one's

from Old French *assistance* and Medieval Latin *assistentia*, Late latin adjuva

"to help, aid, give assistance or support to in some undertaking or effort,"

"from PIE \*si-st-, reduplicated form of root \*sta- "to stand, make or be firm."

from assimilated form of ad "to" (see ad-) + *sistere* "stand still,

"act of helping or aiding; help given, aid," from the respective verbs.

from PIE \*si-st-, reduplicated form of root \*sta- "to stand, make or be firm."

1. early 15c., *assisten*, "to help, aid, give assistance or support to in some

atendre, from Latin attendere, from ad- 'to' + tendere 'stretch'.

*Suggestions for Addressing Clinical and Non-Clinical Issues in Palliative Care*

Old French Latin *assister* "stand by, take a stand near, attend,"

2. 14c old French *assister* "to stand by, help, put, place, assist"

to help someone, aid, collaborate, cooperate, benefit.

**IV.b3 To Assist** [43–46]

Late Middle English, from.

undertaking or effort,"

Latin *assister* Take one's stand by".

set, place, cause to stand,"

Originates

Dates

Or

**IV.b4 To Insist** Dates 1580s, Originates

French *insister* (14c.)

directly from Latin *insistere.*

form of root \*sta- "to stand, make or be firm."

"stand by, take a stand near, attend,"

To take a stand; to set, place, cause to stand,

stand by', from *ad-* 'to, at' + *sistere* 'take one's stand'.

dwell upon," from in- "upon".

**IV.b5 Assistance**

Originates from

*Noun.*

Dates early 15c.,

Meaning

Originates Latin *assistere*

Meaning

**318**

*Can you say something to comfort me?* The Polish man Cicely Saunders considered to have been the *Palliative Care* patient to set the bases for the Modern Hospice Movement, asked her. A beautiful research question which proves incredibly difficult to give an answer to in a timely, honest and personalized way [46, 47]. A question that demands words constructed and delivered in a soothing, comforting manner. A question that leaves out action, doing to, as we often want to do: administering medication, offering therapeutic and surgical options less sought than human verbal interaction.

Language in its different forms is very important to transmit knowledge, affection, security … and so much more too. PC uses not only spoken and written language but also body language. Language requires the support of concepts known, accepted and used by most. We conclude that too often those notions are not crystal clear and can provoke rejection, fear, isolation, doubt and increase the very suffering they should help alleviate.

Standing for and advocating for the promoting and contributing to the expansion and of Palliative Care [48], clear messages are important to avoid creating confusion. These messages should state truths such as "Palliative Care facilitates the process of dying without interfering with its natural course beyond the legitimate and ethical limits". It's a complex phenomenon that recognizes the intrinsic reality of professional work while touching on the most humane and compassionate principles of the art of palliating.

Today there is no doubt that the expansion and scope of Palliative Care is neither the desired nor the necessary [49]. In this the agreement is widespread. Where there is no agreement is in why this situation and therefore how to overcome it.

To appreciate and love something, it is necessary to know it. The better we know it, the easier it becomes to enjoy its bounties. The less we know it, the longer it will take us to accept it while finding what is needed to accept its place in our lives.

How much more difficult it is to accept something new when our life is threatened by a medical condition and we feel forced to face our own mortality. This is the reality found by professionals who try to introduce *Palliative* or *Supportive Care* to reinforce the person's own strengths, both natural and acquired.

It is at that point that the professional needs to give the sick and their family a master class on what they do, what they offer, where and when. Were they going to be seen by the cardiologist, the question might be "is that for the heart?" The number of questions that come up before accepting *Palliative* or *Supportive Care* are many more and are related to many different facets and it takes time to address each one of them appropriately. It has been the linguistic, semantic and its meaning and their impact on the patient's outcome that has fascinated me after many years working in the field and observing the change in the often the angry, frightened and frustrate people I meet when responding to a colleague's call for help and the relaxed, understanding, grateful and collaborative demeanor in the, by then patient under our care, we leave behind. Often part of our goodbye includes the question "will we see you again?" We have managed to establish a connection with the patient by spending time with them and their family and by talking to them about our role in their situation.

At a time when reassurance, otherness and presence can communicate so much, the power of language is immense in relationships that are short at the same time as they are intense.

Our work confirms the power of words and the importance of exerting the *Active Listening* key in the holistic care promoted by Cicely Sanders to alleviate Total Pain [7]. It pioneers in the recognition of scientific linguistics as fundamental to improve delivery of Palliative Care improving quality of translation to new languages. This will need promoting due care is taken by working towards methodologically scientific ways of conceptualization in language production with languagespecific perspectives and event construal for different cultures who communicate in different languages.

An exciting topic to research, *Palliative Care Linguistics* will need further work in the future because, just as Cicely Saunders said about *pain* "There is so much to learn about explaining palliative concepts and the models of care!"

This chapter invites the reader to recognize the relationship between the expansion of PC and the appropriate conceptualization of the ideas, terminology and words used by those working in what constitutes its "deepest core", where its true significance is.

**Author details**

2 Palliative Care Consultant, UK

4 Columbia University, USA

†

**321**

Maria Teresa Garcia-Baquero Merino1,2\*†, María Victoria Roqué Sánchez1

3 Palliative Care at International Association Hospice Palliative Care (IAHPC), USA

© 2021 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/3.0), which permits unrestricted use, distribution, and reproduction in any medium,

Katherine Pettus3,4,5 and Micaela Menarguez Carreño<sup>1</sup>

*The Challenges Facing Palliative Care Advocacy: What Is in a Name?*

*DOI: http://dx.doi.org/10.5772/intechopen.97367*

\*Address all correspondence to: mtgarcia@ucam.edu

provided the original work is properly cited.

1 Universidad Católica San Antonio de Murcia (UCAM), Spain

5 Health Law and Policy, University of California San Diego, USA

Madrid first Regional Palliative Care Coordinator 2008–2016.

,
