Palliative care aims to improve quality of life for patients facing life-threatening illness through pain and symptom management. It focuses on relieving suffering rather than curing. The goal is to help patients continue their daily lives and support both patients and their families. Palliative care originated from hospice care, which provides shelter and comfort for travelers. Dame Cicely Saunders established the modern hospice movement in the 1960s based on holistic care for the dying. Palliative care can be provided at any stage of illness alongside curative treatment. A multidisciplinary team typically delivers palliative care services.
Palliative Care Across the Continuum as presented to the The Palliative Care Summit for PeopleFirst Homecare and Hospice that was held in Snowbird Utah on September 15, 2012, following the Rocky Mountain Geriatric Conference.
International Association for Hospice and Palliative Care (IAHPC) – Международная ассоциация хосписной и паллиативной Помощи – некоммерческая организация, которая занимается развитием паллиативной помощи по всему миру.
Одно из приоритетных направлений работы ассоциации - образование. Во многих странах учебники по паллиативной помощи дороги или труднодоступны, поэтому IAHPC бесплатно распространяет руководство по паллиативной помощи.
Пока мы выкладываем это руководство на английском языке, но надеемся вскоре перевести его на русский - с вашей помощью, с помощью жертвователей и наших друзей.
Вы тоже можете помочь фонду - достаточно отправить СМС на номер 3443 со словом Вера и суммой пожертвования. Например, Вера 100.
Также пожертвование можно сделать через Пейпал, Яндекс-деньги, или просто кредитной карточкой - все варианты есть у нас на сайте hospicefund.ru/help
A Palliative Approach in Residential Care Settings (March 2014)Joan Trinh Pham
A basic presentation presentation on the topic of applying a palliative approach to residential care settings for elders + their families. It covers a review of palliative care + terminology then distinguishing between specialized palliative care + an a palliative approach. Emphasis is placed upon goals of care conversations as the primary means to integrate a palliative approach to care for elders.
Palliative Care Across the Continuum as presented to the The Palliative Care Summit for PeopleFirst Homecare and Hospice that was held in Snowbird Utah on September 15, 2012, following the Rocky Mountain Geriatric Conference.
International Association for Hospice and Palliative Care (IAHPC) – Международная ассоциация хосписной и паллиативной Помощи – некоммерческая организация, которая занимается развитием паллиативной помощи по всему миру.
Одно из приоритетных направлений работы ассоциации - образование. Во многих странах учебники по паллиативной помощи дороги или труднодоступны, поэтому IAHPC бесплатно распространяет руководство по паллиативной помощи.
Пока мы выкладываем это руководство на английском языке, но надеемся вскоре перевести его на русский - с вашей помощью, с помощью жертвователей и наших друзей.
Вы тоже можете помочь фонду - достаточно отправить СМС на номер 3443 со словом Вера и суммой пожертвования. Например, Вера 100.
Также пожертвование можно сделать через Пейпал, Яндекс-деньги, или просто кредитной карточкой - все варианты есть у нас на сайте hospicefund.ru/help
A Palliative Approach in Residential Care Settings (March 2014)Joan Trinh Pham
A basic presentation presentation on the topic of applying a palliative approach to residential care settings for elders + their families. It covers a review of palliative care + terminology then distinguishing between specialized palliative care + an a palliative approach. Emphasis is placed upon goals of care conversations as the primary means to integrate a palliative approach to care for elders.
Dr. Elizabeth Paulk gives an excellent review of palliative care topics including end of life discussions, hospice, pain management, and family counseling.
Palliative care beyond cancer. Julia Addington-Hall. I Technical Conference about the Strategy in Palliative Care in The Nacional Health System of Spain. (Madrid, Ministry of Health and Consumer Affairs, 2008)
Hospice care and palliative care: Is there a difference between the two, and if so, what?
Many people still think that palliative care means hospice care. But today, hospice is only a small part of palliative care.
The goal of palliative care is to prevent or treat the symptoms and side effects of a disease; and it should be part of the picture from the first day a serious illness is diagnosed.
Dr. Jim Meadows, Director of Hospice and Palliative Care at Tennessee Oncology, will discuss this important topic. How does a family and a health care team best work together to guide a patient through a terminal illness? How does everyone continue to support quality, patient-centered, end-of-life care?
The lecture I gave for the Indiana University Health Joint Transplant Education and Research Lecture Series on palliative care. That's right, palliative care in transplant patients NOT at the end-of-life.
Hospice Care - Is It Right for You or Your Loved One?Theresa Lynn
This presentation from Wings of Hope Hospice in Allegan, Michigan describes the benefits of hospice care, when hospice care might be appropriate and the geographic area Wings of Hope serves.
I didn't know this option of Palliative care existed prior to my mother's passing earlier this year of colorectal cancer. However, I do now know about it and want to share it with all of you
Dr. Elizabeth Paulk gives an excellent review of palliative care topics including end of life discussions, hospice, pain management, and family counseling.
Palliative care beyond cancer. Julia Addington-Hall. I Technical Conference about the Strategy in Palliative Care in The Nacional Health System of Spain. (Madrid, Ministry of Health and Consumer Affairs, 2008)
Hospice care and palliative care: Is there a difference between the two, and if so, what?
Many people still think that palliative care means hospice care. But today, hospice is only a small part of palliative care.
The goal of palliative care is to prevent or treat the symptoms and side effects of a disease; and it should be part of the picture from the first day a serious illness is diagnosed.
Dr. Jim Meadows, Director of Hospice and Palliative Care at Tennessee Oncology, will discuss this important topic. How does a family and a health care team best work together to guide a patient through a terminal illness? How does everyone continue to support quality, patient-centered, end-of-life care?
The lecture I gave for the Indiana University Health Joint Transplant Education and Research Lecture Series on palliative care. That's right, palliative care in transplant patients NOT at the end-of-life.
Hospice Care - Is It Right for You or Your Loved One?Theresa Lynn
This presentation from Wings of Hope Hospice in Allegan, Michigan describes the benefits of hospice care, when hospice care might be appropriate and the geographic area Wings of Hope serves.
I didn't know this option of Palliative care existed prior to my mother's passing earlier this year of colorectal cancer. However, I do now know about it and want to share it with all of you
The course of death and dying has changed tremendously in the past.docxarnoldmeredith47041
The course of death and dying has changed tremendously in the past few decades because of social and technological advances. Increases in average life expectancy due to advances in medical science and technology (National Center for Health Statistics, 2010) have influenced our beliefs and attitudes about life and death. The course of illness and dying has changed; at one time, the onset of illness and subsequent death from certain illnesses was sudden and rapid, but now the typical death may be more prolonged. The place where death occurs has moved from the home or community to the hospital, nursing home, or institutional setting. These changes have posed enormous challenges in end-of-life and palliative care.
PALLIATIVE CARE
Palliative care is an interdisciplinary care model that focuses on the comprehensive management of physical, psychological, and existential distress. It is defined as “the active total care of patients whose disease is not responsive to curative treatment.” Control of pain and other symptoms and psychological, social, and spiritual problems is paramount. “The goal of palliative care is the achievement of the best possible quality of life for patients and their families” (World Health Organization [WHO], 1990, p. 7). Palliative care aims to improve the patient's quality of life by identifying physical, psychosocial, and spiritual issues while managing pain and other distressing symptoms. Palliative care “affirms life and regards dying as a normal process; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated” (WHO, 2004, p. 3).
The palliative care model applies throughout the entire course of illness and attempts to address the physical, psychosocial, and spiritual concerns that affect both the quality of life and the quality of dying for patients with life-limiting illnesses at any phase of the disease. It includes interventions that are intended to maintain the quality of life of the patient and family. Although the focus intensifies at the end of life, the priority to provide comfort and attend to the patient's and family's psychosocial concerns remains important throughout the course of the illness. In the model's ideal implementation, patient and family values and decisions are respected, practical needs are addressed, psychosocial and spiritual distress are managed, and comfort care is provided as the individual nears the end of life.
Palliative medicine is the medical specialty dedicated to excellence in palliative care. Palliative care specialists, including social workers, typically work on teams and are involved when patients’ disease is advanced, their life expectancy is limited, and medical and psychosocial concerns become complex and more urgent. In practice, these problems ofte.
The course of death and dying has changed tremendously in the past.docxrtodd643
The course of death and dying has changed tremendously in the past few decades because of social and technological advances. Increases in average life expectancy due to advances in medical science and technology (National Center for Health Statistics, 2010) have influenced our beliefs and attitudes about life and death. The course of illness and dying has changed; at one time, the onset of illness and subsequent death from certain illnesses was sudden and rapid, but now the typical death may be more prolonged. The place where death occurs has moved from the home or community to the hospital, nursing home, or institutional setting. These changes have posed enormous challenges in end-of-life and palliative care.
PALLIATIVE CARE
Palliative care is an interdisciplinary care model that focuses on the comprehensive management of physical, psychological, and existential distress. It is defined as “the active total care of patients whose disease is not responsive to curative treatment.” Control of pain and other symptoms and psychological, social, and spiritual problems is paramount. “The goal of palliative care is the achievement of the best possible quality of life for patients and their families” (World Health Organization [WHO], 1990, p. 7). Palliative care aims to improve the patient's quality of life by identifying physical, psychosocial, and spiritual issues while managing pain and other distressing symptoms. Palliative care “affirms life and regards dying as a normal process; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated” (WHO, 2004, p. 3).
The palliative care model applies throughout the entire course of illness and attempts to address the physical, psychosocial, and spiritual concerns that affect both the quality of life and the quality of dying for patients with life-limiting illnesses at any phase of the disease. It includes interventions that are intended to maintain the quality of life of the patient and family. Although the focus intensifies at the end of life, the priority to provide comfort and attend to the patient's and family's psychosocial concerns remains important throughout the course of the illness. In the model's ideal implementation, patient and family values and decisions are respected, practical needs are addressed, psychosocial and spiritual distress are managed, and comfort care is provided as the individual nears the end of life.
Palliative medicine is the medical specialty dedicated to excellence in palliative care. Palliative care specialists, including social workers, typically work on teams and are involved when patients’ disease is advanced, their life expectancy is limited, and medical and psychosocial concerns become complex and more urgent. In practice, these problems ofte.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
3. What is Palliative Care?
The World Health Organization describes palliative care as "an
approach that improves the quality of life 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."
ManookianA3
4. Palliative care
The goal is not to cure.
Palliative care is also called
comfort care,supportive care,
and symptom management.
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6. Palliative care
• Affirms life: Palliative care sustains the quality of life
throughout sickness, helping patients cope with the struggles
of disease.
• Promotes Quality of life: Palliative care helps patients manage
the symptoms of their disease and allows them to continue
with their daily lives.
• Treats the person: Palliative care offers a wide range of help
to patients, including assistance from pharmacists, nurses,
nutritionists, and social workers.
• Supports the family: Palliative care provides a network of
people who can help a patient and their family better
understand treatment options; thus alleviating much of the
stress surrounding illness.
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8. History of palliative care
The term “hospice” (from the same linguistic root as
“hospitality”) can be traced back to medieval times when it
referred to a place of shelter and rest for weary or ill travelers
on a long journey.
The name was first applied to specialized care for dying
patients by physician Dame Cicely Saunders, who began her
work with the terminally ill in 1948 and eventually went on to
create the first modern hospice—St. Christopher’s Hospice—in
London.
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9. History of palliative care
Saunders introduced the idea of specialized care for the dying to
the United States during a 1963 visit with Yale University. Her
lecture, given to medical students, nurses, social workers, and
chaplains about the concept of holistic hospice care, included
photos of terminally ill cancer patients and their families,
showing the dramatic differences before and after the symptom
control care.
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10. Palliative vs. Hospice Care
Palliative care can be provided from the time of diagnosis.
Palliative care can be given simultaneously with curative treatment.
Both services have foundations in the same philosophy of reducing
the severity of the symptoms of sickness. Hospice care could be
considered as a part of palliative care.
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14. Aspects of palliative care
Provides relief from pain and other distressing symptoms;
Affirms life and regards dying as a normal process;
Intends neither to hasten or postpone death;
Integrates the psychological and spiritual aspects of patient
care;
Offers a support system to help patients live as actively as
possible until death;
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15. Aspects of palliative care
Offers a support system to help the family cope during the
patients illness and in their own bereavement;
Will enhance quality of life, and may also positively influence
the course of illness;
Is applicable early in the course of illness, in conjunction with
other therapies that are intended to prolong life, such as
chemotherapy or radiation therapy.
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16. Who receives Palliative Care?
Individuals struggling with various diseases
Individuals with chronic diseases such as cancer, cardiac
disease, kidney failure, Alzheimer's, HIV/AIDS and Amyotrophic
Lateral Sclerosis (ALS)
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17. Who gives palliative care?
Palliative care specialists work as part of a multidisciplinary team
to coordinate care.
This palliative care team may consist of doctors, nurses,
registered dieticians, pharmacists, and social workers. Many
teams include psychologists or a hospital chaplain as well.
Palliative care specialists may also make recommendations to
primary care physicians about the management of pain and
other symptoms. People do not give up their primary care
physician to receive palliative care.
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19. Palliative care and cancer
It is generally estimated that roughly 7.2 to 7.5 million people
worldwide die from cancer each year.
More than 70% of all cancer deaths occur in developing
countries, where resources available for prevention, diagnosis
and treatment of cancer are limited or nonexistent.
More than 40% of all cancers can be prevented. Others can be
detected early, treated and cured. Even with late-stage cancer,
the suffering of patients can be relieved with good palliative
care.
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20. Family members and palliative care
Family members are an important part of cancer care, and,
like the patient, they have a number of changing needs.
It’s common for family members to become overwhelmed by
the extra responsibilities placed upon them.
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21. Many find it difficult to care for a relative who is ill while
trying to handle other obligations, such as work and caring for
other family members. Other issues can add to the stress,
including uncertainty about how to help their loved one with
medical situations, inadequate social support, and emotions
such as worry and fear.
These challenges can compromise their own health. Palliative
care can help families and friends cope with these issues and
give them the support they need.
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