Palliative care fully represents the paradigm of complexity in conceptual foundations and in their organizational models. Indeed the concept of "total" pain includes all patient’s needs, the work necessarily done by interprofessional teams, the cooperation with general practitioners and with hospital specialists, the organization of local network are markers of complexity that are acting across hospital and home care. Another marker of complexity is the ethical feature of endof- life choices that are furthermore acting in the transition of medicine from medical paternalism to shared decision making model. Palliative care supports the latter model because it fosters patient’s autonomy and is more centered on patient’s need and wills.
Keywords: Palliative care, end-of-life care, simultaneous care, models of medicine, ethical principles, bioethics.