Page 0102

PALLIATIVE CARE

Global change professionals in collaboration with the San Diego Hospice and

At the global level, there have been a number of initiatives to Institute for Palliative Medicine.

influence policy change, programming and public awareness From 2006, the Pain and Policies Studies Group at the

around the issue. University of Wisconsin have run a fellowship to support

national hospice and palliative care champions to change

Policy and guidelines policy and practice around the availability of pain medications

The World Health Organization has republished and reviewed around the world.

the “Ensuring balance in national policies on controlled The Global Access to Pain Relief Initiative is building

substances” which provides clear guidelines to national champions within governments to support access to pain

governments on how to ensure the availability and treatment, beginning with Kenya.

32

accessibility of controlled medicines . These guidelines need

to be utilized by national governments and acted upon. Palliative care in emerging health systems

The World Health Organization also released guidelines on The importance of palliative care as a fundamental part of

the pharmacological treatment of persisting pain in children health and community systems is well argued. As policies and

33

with medical illnesses . The International Children’s Palliative programmes are developed, the following key issues need to

Care Network (ICPCN) have also developed an e-learning be taken into consideration:

34

training module linked to these guidelines .

In 2012, the Worldwide Palliative Care Alliance, in Caring for an ageing population

collaboration with the World Health Organization, published a The need for palliative care continues to grow as the

report on the global mapping of palliative care at the end of population ages and there is an increased incidence of non-

life. This gives a comprehensive picture of the need and the communicable conditions. More needs to be done to promote

availability of palliative care. and ensure dignity and quality of care for older people,

throughout the life course to the end of life. This should

Raising public awareness include emerging health systems and should ensure that the

It has long been recognized that the myths and complex and specific care needs of an ageing population are

preconceptions relating to opioids is affecting their availability. being met.

There are a number of activities specifically aimed at Models of care that look at the training and mentorship of

addressing public perceptions to bring about changes. Two older people’s peer support groups, linking community carers

examples of these kinds of activities include: with health and social services and ensuring the training and

education of health professionals and volunteer caregivers in

World Hospice and Palliative Care Day older people’s care facilities are all vital. Increased

Every year, approximately 70 countries participate in activities consideration should also be given to the many young people

around the world to raise awareness and understanding of who are caring for ageing grandparents, who are co-carers,

hospice and palliative care. Managed by the Worldwide particularly in sub-Saharan Africa, with a focus on their needs

Palliative Care Alliance, the day creates an opportunity for as young carers.

highlighting the issues that affect us35. In addition, there needs to be increased research on the

needs of older people, the benefits of palliative care

Life before Death particularly and effective models of service delivery in

For the past year, the Life Before Death series has generated developing country settings. These issues will be highlighted

short films and a documentary film across 11 countries on World Hospice and Palliative Care Day – 12 October 2013.

highlighting the remarkable health professionals battling the

sweeping epidemic of pain. It highlights the experience of Nurse-prescribing of opioids

palliative care and access to pain treatment from the Task-shifting has been well-reported in relation to nurse-

perspective of patients, family members, health professionals prescribing in Uganda and we are seeing progress in South

36

and advocates . Africa too. In countries, such as Sierra Leone, where there are

0.016 doctors for every 1,000 people37, the importance of task

Engaging champions shifting cannot be over-estimated. Nurses and clinical officers

The Open Society Institute has funded a leadership must be empowered to provide quality care, including the

programme to build the leadership of national palliative care ability to prescribe opioids to those who need them. We have

100 CANCER CONTROL 2013

Index

  1. CANCER CONTROL 2013
  2. Page 0002
  3. Page 0003
  4. Page 0004
  5. Page 0005
  6. Page 0006
  7. Page 0007
  8. Page 0008
  9. Page 0009
  10. Page 0010
  11. Page 0011
  12. Page 0012
  13. Page 0013
  14. Page 0014
  15. Page 0015
  16. Page 0016
  17. Page 0017
  18. Page 0018
  19. Page 0019
  20. Page 0020
  21. Page 0021
  22. Page 0022
  23. Page 0023
  24. Page 0024
  25. Page 0025
  26. Page 0026
  27. Page 0027
  28. Page 0028
  29. Page 0029
  30. Page 0030
  31. Page 0031
  32. Page 0032
  33. Page 0033
  34. Page 0034
  35. Page 0035
  36. Page 0036
  37. Page 0037
  38. Page 0038
  39. Page 0039
  40. Page 0040
  41. Page 0041
  42. Page 0042
  43. Page 0043
  44. Page 0044
  45. Page 0045
  46. Page 0046
  47. Page 0047
  48. Page 0048
  49. Page 0049
  50. Page 0050
  51. Page 0051
  52. Page 0052
  53. Page 0053
  54. Page 0054
  55. Page 0055
  56. Page 0056
  57. Page 0057
  58. Page 0058
  59. Page 0059
  60. Page 0060
  61. Page 0061
  62. Page 0062
  63. Page 0063
  64. Page 0064
  65. Page 0065
  66. Page 0066
  67. Page 0067
  68. Page 0068
  69. Page 0069
  70. Page 0070
  71. Page 0071
  72. Page 0072
  73. Page 0073
  74. Page 0074
  75. Page 0075
  76. Page 0076
  77. Page 0077
  78. Page 0078
  79. Page 0079
  80. Page 0080
  81. Page 0081
  82. Page 0082
  83. Page 0083
  84. Page 0084
  85. Page 0085
  86. Page 0086
  87. Page 0087
  88. Page 0088
  89. Page 0089
  90. Page 0090
  91. Page 0091
  92. Page 0092
  93. Page 0093
  94. Page 0094
  95. Page 0095
  96. Page 0096
  97. Page 0097
  98. Page 0098
  99. Page 0099
  100. Page 0100
  101. Page 0101
  102. Page 0102
  103. Page 0103
  104. Page 0104
  105. Page 0105
  106. Page 0106
  107. Page 0107
  108. Page 0108
  109. Page 0109
  110. Page 0110
  111. Page 0111
  112. Page 0112
  113. Page 0113
  114. Page 0114
  115. Page 0115
  116. Page 0116
  117. Page 0117
  118. Page 0118
  119. Page 0119
  120. Page 0120
  121. Page 0121
  122. Page 0122
  123. Page 0123
  124. Page 0124
  125. Page 0125
  126. Page 0126
  127. Page 0127
  128. Page 0128
  129. Page 0129
  130. Page 0130
  131. Page 0131
  132. Page 0132
  133. Page 0133
  134. Page 0134
  135. Page 0135
  136. Page 0136
  137. Page 0137
  138. Page 0138
  139. Page 0139
  140. Page 0140
  141. Page 0141
  142. Page 0142
  143. Page 0143
  144. Page 0144
  145. Page 0145
  146. Page 0146
  147. Page 0147
  148. Page 0148
  149. Page 0149
  150. Page 0150
  151. Page 0151
  152. Page 0152
  153. Page 0153
  154. Page 0154
  155. Page 0155
  156. Page 0156
  157. Page 0157
  158. Page 0158
  159. Page 0159
  160. Page 0160
  161. Page 0161
  162. Page 0162
  163. Page 0163
  164. Page 0164
  165. Page 0165
  166. Page 0166
  167. Page 0167
  168. Page 0168
  169. Page 0169
  170. Page 0170
  171. Page 0171
  172. Page 0172
  173. Page 0173
  174. Page 0174
  175. Page 0175
  176. Page 0176
  177. Page 0177
  178. Page 0178
  179. Page 0179
  180. Page 0180

powered by PageTiger