Assessing the Impact of Clown Therapy in a Palliative Care Unit: A Prospective, Descriptive Study

Inclusion Criteria: * The patient must have given his/her informed and signed consent * The patient must be insured or beneficiary of a health insurance plan * Patient receiving palliative care, ie with a severe and progressive disease bringing into play vital prognosis, in advanced or terminal phase * Clinically stable patients, regardless of disease type. The existence of clinical symptoms (pain, discomfort, etc.) found at recruitment by the investigator and not affecting the mental clarity of the subject, does not justify the exclusion of the patient * Absence of cognitive disorders; since the protocol provides a clinical interview covering in particular his/her quality of life, included patients will be able to express their feelings * In addition, patients who have undergone this type of intervention (clown therapist) will not be excluded from this study. Exclusion Criteria: * The patient is participating in another study * The patient is an adult under judicial protection * The patient refuses to sign the consent * It is impossible to correctly inform the patient * Patient with an inability to fill our protocol assessment scales * Patients under treatment known to reduce the level of awareness * Patients with major cognitive impairment * Patients with symptoms that bring into question their level of awareness * Patients with significant risk factors and who should benefit from personalized monitoring from the team (clinically unstable patients, emergency situations, …