Building communities of practice in Peru

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Building communities of practice in Peru

  1. 1. Building communities of practice in Peru Marie Fallon St Columba’s Hospice Chair of Palliative Medicine University of Edinburgh
  2. 2. VARIED POPULATION STARK CULTURAL DIFFERENCES CHALLENGING TERRAIN POLITICAL STRESSES “ SHINING PATH” POOR HEALTH INFRASTRUCTURE ALMOST NO ACCESS TO OPIOIDS FOR ANYONE!!
  3. 3. POSTAS-COAST/ANDES VILLAGES AND SHANTY TOWNS NETWORK OF VOLUNTEERS EDUCATION PROGRAMME
  4. 4. PATIENT WITH ADVANCED CANCER AND SEVERE PAIN 6 CHILDREN-IN FIELDS ALL DAY GENERAL SUSPICION-POLITICAL TENSIONS BUT NETWORK OF LOCAL WOMEN DEVELOPED TO ADMINISTER “ANALGESICS” AND CARE THIS MODEL WAS THEN USED FOR OTHER PATIENTS/SITUATIONS
  5. 5. OUR MANAGED CLINICAL NETWORK!! YOUNG CARERS TRAINING THE TEACHERS GOES TO SOUTH AMERICA!!

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