Global Palliative Care

2019 ◽  
pp. 868-876
Author(s):  
Virginia LeBaron ◽  
Annette Galassi
Keyword(s):  
Palliative Care ◽  
Universal Access ◽  
Emerging Infectious Diseases ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Human Right ◽  
Middle Income ◽  
Care Services ◽  
The World ◽  
Palliative Care Services

Access to quality palliative care and pain relief is increasingly viewed as a fundamental human right, as evidenced by the landmark Palliative Care Resolution passed by the World Health Assembly in 2014. Despite this, millions of people around the world continue to suffer without access to palliative care services—especially if they are poor, members of minority or marginalized groups, or live in low- and middle-income countries. The aging of the world’s population, combined with the rising incidence of noncommunicable diseases and the uncertainty of new, emerging infectious diseases, make the need for universal access to quality palliative care a global imperative. All nurses, regardless of their role or where they practice, can play a critical part in palliative care at the global level through advocacy, training, research, cultural exchange, and mentorship and by advocating for vulnerable populations.

Barriers to the delivery of palliative care

2015 ◽  
Author(s):  
Barry J.A. Laird
Keyword(s):  
Palliative Care ◽  
Clinical Care ◽  
World Health ◽  
Human Right ◽  
Care Services ◽  
The World ◽  
Effective Delivery ◽  
Palliative Care Services ◽  
The Many ◽  
Health Organization

This chapter discusses several key barriers to the delivery of palliative care, firstly considering the definition of ‘palliative care’. It describes the World Health Organization (WHO) definition and notes that the ideology of palliative care being a concept with which to approach management of patients may still not be fully understood. Furthermore, the differences between generalist and specialist palliative care may also contribute to confusion. Although palliative care as a concept has largely been embraced throughout the world, its implementation into routine clinical care is lacking. Essential to the change from palliative care being a principle available to the few, to being available to all, and a human right, is the need to address the many barriers to the efficient and effective delivery of high-quality palliative care. The chapter argues that the WHO is the key group necessary to develop palliative care worldwide and, together with international palliative care organizations, to help countries advance palliative care services.

scholarly journals 'Palliative care is a human right'

2009 ◽  
Vol 21 (2) ◽  
pp. 76-79 ◽  
Author(s):  
Farzana Khan ◽  
Nezumuddin Ahmad ◽  
Mostak Anwar
Keyword(s):  
Palliative Care ◽  
Unmet Needs ◽  
Human Right ◽  
Care Services ◽  
The World ◽  
Care Policies ◽  
Palliative Care Services ◽  
The Right ◽  
Basic Standard

Palliative care is about achieving the highest quality of life (QOL) and promoting comfort and dignity for patients with incurable and life limiting diseases. Palliative care advocacy has been strengthened by pronouncing that ‘the provision of palliative care is a human right'. International covenants have agreed upon this. There are huge unmet needs of patients with life-limiting illnesses in Bangladesh as well as in the world. The majority of countries have neither formal palliative care policies nor integrated palliative care services to meet basic standard guidelines in the provision of palliative care. The nature of the right in the context of international and Bangladesh perspective is discussed here. Journal of BSA, 2008; 21(2): 76-79

What is palliative care?

2020 ◽  
Vol 14 (1) ◽  
pp. 19-26
Author(s):  
Francis Odukwe ◽  
Francis Ezeh
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
World Health Organisation ◽  
World Health ◽  
Care Services ◽  
Care Specialist ◽  
The World ◽  
Palliative Care Services ◽  
Serious Injuries

In 1990, the World Health Organisation (WHO) recognised palliative care as a distinct specialty dedicated to relieving suffering and improving quality of life for patients with life-limiting illnesses or serious injuries. Fourteen years later, the WHO in its publication ‘ Global Atlas of Palliative Care at the End of Life’, projected that, ‘each year in the world, around 377 per 100,000 of the adult (over 15 years of age) population and 63 per 100,000 of the child population (under 15 years of age) will require “palliative care at the end of life’. This article will discuss what constitutes palliative care, the different elements of palliative care, the approaches to palliative care, specialist palliative care services, end of life care and where GPs fit into this area. We will also be sharing tips on providing palliative care as a GP and for GP trainees.

scholarly journals Palliative care services for cancer patients in Nepal, a lower-middle-income country

2021 ◽  
Vol 15 ◽  
pp. 263235242110211
Author(s):  
Deepa Gautam ◽  
Sudhir Adhikari
Keyword(s):  
Palliative Care ◽  
Human Resource Development ◽  
Capital City ◽  
National Guidelines ◽  
Optimal Care ◽  
Middle Income ◽  
Care Services ◽  
Non Governmental Organizations ◽  
Palliative Care Services ◽  
Difficult Terrain

With the rise in cancer burden, need for palliative care services has increased simultaneously and majority of people requiring services are from low- and middle-income countries where palliative care is in primitive stage. Nepal is also facing similar challenges of dealing with cancer care and end-of-life care. From its initiation in the early 1990s, there has been gradual progress in the development of palliative care with joint effort of government as well as non-governmental organizations. Morphine, a major milestone for pain management, is being manufactured in the country for nearly a decade, yet morphine equivalence mg per capita is far below the global average. Currently, Nepal has been placed under ‘Category 3a’ with isolated care provision and there are a lot of challenges to overcome to improve the existing services. Majority of hospice and palliative care centres are located in the capital city and only a few in the periphery. Scarcity of treatment centres and expertise, limited finances, lack of awareness among patients and health care workers, and difficult terrain are major barriers for optimal care. Proper implementation of national guidelines, human resource development and integration of palliative care to primary healthcare level would be crucial steps for further improvement.

Policy in palliative care

2015 ◽  
Author(s):  
David C. Currow ◽  
Stein Kaasa
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Health Care Providers ◽  
World Health ◽  
Care Providers ◽  
Care Services ◽  
Palliative Care Services ◽  
Organization Policy ◽  
Health Organization ◽  
Hospice Palliative Care

Hospice and palliative care services have developed in very different ways around the world. Most have been built on the momentum of visionary clinicians and funders who have responded to perceived needs from health-care providers, patients, families, and communities rather than in response to well-formed national policies with an adequately funded planning and development phase. This chapter describes the work that is being done at pan-national, national, and sub-national levels to create effective policies that can further the key work of hospice/palliative care, often after a large number of apparently unconnected local services have been well established. The chapter highlights that there are particular challenges in forming public policy on hospice/palliative care, especially the end-of-life component, and notes the importance of ‘patients’ voices’-the voice of the community which helps to inform health policies including end-of-life care. The chapter ends by describing a variety of country-specific and World Health Organization policy documents and legislation.

scholarly journals Analytical review of the demand and satisfaction of the population with in-home palliative care services provided by mobile teams for cancer patients in Almaty

2020 ◽  
Vol 56 (2) ◽  
pp. 3-6
Author(s):  
T. N. ANSATBAEVA ◽  
D. R. KAIDAROVA ◽  
G. Zh. KUNIROVA ◽  
N. А. IZMAGAMBETOV
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Cancer Patients ◽  
Malignant Neoplasms ◽  
Middle Income ◽  
Middle Income Countries ◽  
Care Services ◽  
Palliative Care Services ◽  
Analytical Review ◽  
The Republic

Relevance: Patients with advanced malignant neoplasms require constant monitoring and care. Mobile palliative care (PC) is one of the modern humanistic methods of supporting terminal cancer patients, as well as their relatives. The purpose of this study was to analyze the demand and satisfaction of the population with in-home PC services for cancer patients provided by mobile teams. Results: According to WHO, the number of people who need PС services at the end of life is 20.4 million, of whom 94% are adults (69% are over 60 years, 25% are at the age of 15 to 59), and 6% are children. 34% of patients dying from cancer need PC services at the end of life. 80% of people in need of PC services live in lower-middle-income countries. At the end of 2018, the total number of palliative beds deployed in the Republic of Kazakhstan amounted to 415 (vs 373 in 2017). Conclusion: Given the practical relevance and topicality, there is an urgent need to develop evidence-based recommendations for optimizing the provision of PC services, as well as improving the quality of life of cancer patients.

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