Kesho Conference

1. Overview of Palliative Care
Dr. Muinga

3. PPaalllliiaattiivvee CCaarree
Palliative Care is an approach that improves the
QQuuaalliittyy ooff LLiiffee of Patients and their Families
facing the problems associated with life-threatening
illness, through the Prevention and
Relief of Suffering by means of early
identification and impeccable Assessment and
Treatment of Pain and other problems, Physical,
Psychosocial and Spiritual.
Revised 2002. Sepulveda et al. JPSM 2002; 24: 91-96

4. PALLIATIVE CARE
Its origin is in the Latin word pallium, meaning a cloak.
It means to mitigate the sufferings of the patient,
not to necessarily effect cure.
HOSPICE: Is a philosophy
of care to meet the gap for those
seriously ill or dying
• Was researched fully by
Dame Cicely Saunders
and commenced in modern
sense in 1967.
• Incorporates pain and
symptom relief allowing
the patient to die with dignity

5. From a traditional towards a new care model:
From cure towards Care
Old concept
Curative treatment Palliative Care
Death
T
R
E
A
T
M
E
N
T
Curative
treatment
Palliative Care
5 Lynn and Adamson, 2003
5
New Care concept
Post
Care
Time
Terminal Care

6. Essential components of
palliative care
• Pain and Symptom control
• Effective communication
• Rehabilitation
• Continuity of care
• Breaking bad news
• Psychosocial care
• Spiritual care
• Social care
• End of life care
• Support in bereavement
• Education
• Research

8. 2013-2014?
• Inclusion of pharmacists in palliative care
training
• Involving 30 level 4 hospitals in palliative care
training so as to make the services accessible
to patients.
• Provision of oral morphine through KEMSA.
• Inclusion of palliative care in undergraduate
training
• PFHI

9. Nakuru
Hospice
Kakamega
Hospice
Embu-Mberee Hospice

10. Finally
• "You matter because you are you. You
matter to the last moment of your life,
and we will do all we can, not only to help
you die peacefully, but also to live until
you die." ~ (Dame Cicely Saunders)_

11. Thank you!