Dr kathleen foley presn to can pain summit 042412


Published on

Published in: Health & Medicine
  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Dr kathleen foley presn to can pain summit 042412

  1. 1. International Initiatives in Cancer Pain Kathleen M. Foley, MD April 24, 2012
  2. 2. New Global Initiatives in Pain and Palliative Care• IASP Montreal Declaration on pain relief as a fundamental human right• A World Medical Association Declaration on access to pain relief• Human Rights Watch reports on access to pain relief and palliative care -India -Kenya -Ukraine
  3. 3. New Global Initiatives in Pain Palliative Care• World Medical Association calls for pain and palliative care services within the right to health framework and supports their integration as human rights issueshttp://www.wma.ne
  4. 4. New Global Initiatives in Pain and Palliative Care• Four Human Rights Watch Country Reports describe the human rights abuses related to lack of access to pain relieving drugs in: India Kenya Ukrainehttp://www.hrw.org/
  5. 5. “Please , do not make us suffer anymore…….” Access to Pain Treatment as a Human RightIn this 47-page report Human Rights Watch said that countries could significantlyimprove access to pain medications by addressing the causes of their poor availability.These often include the failure to put in place functioning supply and distributionsystems; absence of government policies to ensure their availability; insufficientinstruction for healthcare workers; excessively strict drug-control regulations; and fearof legal sanctions among healthcare workers. http://www.hrw.org/en/reports/2009/03/02/please-do-not-make-us-suffer-any-more
  6. 6. http://www.hrw.org/sites/default/files/reports/health1009webwcover.pdf
  7. 7. http://www.hrw.org/features/kenya-government-failure-provide-palliative-care-children
  8. 8. Uncontrolled PainUkraine’s Obligation to Ensure Evidence- Based Palliative Care http://www.hrw.org/reports/2011/05/12/uncontrolled-pain
  9. 9. People with debilitating 50 Milligrams is Not Enoughillnesses are left to die inexcruciating pain as aresult of restrictions onpain medicines. Healthcare workers must beallowed to providepatients with relief fromsevere painVlad is suffering from incurable brain cancer. Despite his chronic pain,doctors in Ukraine are only allowed to prescribe 50 mg of pain medicine.In another country, doctors would typically prescribe more than 2,000mg for a patient like Vlad. http://www.stoptortureinhealthcare.org/
  10. 10. New Global Initiatives in Pain and Palliative Care• The International Association of Hospice and Palliative Care has:• Developed an essential drug list for palliative care medications• Consists of 34 medications, 14 currently on the WHO Essential Drug Listhttp://iahpcnews.com/
  11. 11. New Global Initiatives in Pain and Palliative Care• WHO Essential Drug Program has created an office for addressing Access to Controlled Substances as essential medicines• Appointed Willem Scholten as program director• Has developed a strategic plan with NGO partnerships including the ATOME project
  12. 12. WHO Access to Essential MedicinesProgram for Controlled Substances• To improve access for opioid drugs in low and medium resource countries• Published two recent documents:• “Guidelines for Persistent Pain in Children” “Ensuring Balance in National Policies on Controlled Substances”
  13. 13. New Global Initiatives in Pain and Palliative Care• UN General Assembly Meeting on Non- Communicable Diseases:• Calls for the integration of pain and palliative care into health care services
  14. 14. New Global Initiatives in Pain and Palliative Care• New WHO Collaborating Centers in Palliative Care have been recognized: Barcelona, Spain Kerala, India and Trivandrum, India Kings’ College, London Sir Michael Sobell House, Oxford Pain and Policy Studies Program, the University of Wisconsin,USA
  15. 15. New Global Initiatives in Palliative Care• Lien Foundation: Life Before Death initiative www. lifebeforedeath.com• TREAT THE PAIN Campaign http://www.treatthepain.com/• OSF Campaign: Stop Torture in Healthcare http://stoptortureinhealthcare.org/
  16. 16. Global Access to Pain Relief Initiative (GAPRI)• Supported by International Union Against Cancer (UICC) -global advocacy initiative -raise awareness for policy change -focus on cancer patients (http://www.uicc.org)
  17. 17. GAPRI Strategy Intl policy Suppliers GAPRI Pain Treatment GAPRI Supplier Advocacy Project Network Multi-country global health programsGAPRI Envoy National policies and programs Program GAPRI Facilities Fellowship Program
  18. 18. New Global Initiatives in Pain and Palliative Care• OSF IPCI Leadership Development Initiative: supports 44 leaders in palliative care from resource limited countries to develop skills and knowledge to advance pain and palliative care globally• International Pain and Policy Fellows: 15 healthcare professionals learn drug policy expertise to improve access to palliative care medicines in resource limited countries
  19. 19. Education in Palliative and End-of-Life Care in Oncology (EPEC-O) EPEC-O Content:  Whole Patient Assessment 13 Symptoms, including  Communicating Effectively  Pain  Goals of Care  Nausea / vomiting  Constipation  Withholding withdrawing  Bowel obstruction  Clinical Trials  Dyspnea  Last Hours of Living  Anorexia / cachexia  Loss, Bereavement  Menopausal symptoms  Survivorship  Pleural effusions  Ascites  WoundsThe EPEC Project of Northwestern Universitys Feinberg School of Medicine was created with the support of the AmericanMedical Association and the Robert Wood Johnson Foundation, with continued support from the National Cancer Institute(R25 CA100754). The EPEC-O curriculum is produced by the EPEC Project with major funding provided by the NationalCancer Institute, with supplemental funding provided by the Lance Armstrong Foundation.
  20. 20. New Global Initiatives in Pain and Palliative Care End of Life Nursing Education Program - ELNEC - educates nurses globally in pain and palliative care Has detailed curriculum with translations into 15 languages (http://www.aacn.nche.edu/elnec)
  21. 21. International Palliative Care Resource Center URL Will Be www.IPCRC.net