‘Freedom from pain should be seen as a right of every cancer patient and access to pain therapy as a measure of respect for the right in Lesotho
There are several barriers to effective pain control in both A focus on essential pain medicationaccessibility and Pain management cancer and / or HIV/AIDS. Such barriers could be patient related; clinician-related; societal/health system; and political and/or legal-related.
Rebecca Rosen: Trends and drivers of change in primary careNuffield Trust
This document discusses trends and drivers of change in European primary care. It outlines that primary care serves as the first point of access to health services through generalist clinicians working in teams. The scope of primary care is expanding to include care coordination, specialist services, and new forms of access like e-consultations. There are multiple drivers of increasing demand, like aging populations and rising chronic disease prevalence. Primary care systems vary significantly across Europe in inputs like physician numbers and expenditures. The document examines political, economic, and policy trends shaping primary care reforms around integration, new payment models, and delivery innovations.
HLN004 Lecture 3 Primary healthcare and introduction to strategies and approa...ramseyr
The document discusses primary health care and major frameworks. It defines primary health care as essential health care that is universally accessible, scientifically sound, and socially acceptable. The WHO defined primary health care in the Alma-Ata Declaration. Primary health care focuses on health promotion, illness prevention, care of the sick, advocacy, and community development. It discusses frameworks for primary health care including the chronic care model and people-centered primary care. It also identifies challenges in access, coordination of care, and prevention in Australian primary health care.
AIDSTAR-One HIV Treatment Guidelines in Guyana - The Fast Track to Diagnosis ...AIDSTAROne
This case study details Guyana's process for revision of their national HIV treatment guidelines, based on WHO's 2010 revised recommendations . While many countries are still working to revise their national guidelines in response to WHO's latest guidance, the National AIDS Programme in Guyana has been implementing elements of WHO's 2010 recommendations since 2006.
www.aidstar-one.com/focus_areas/treatment/resources/case_study/guyana_treatment_guidelines
Application of the Management Process in Thyroid NodulesReynaldo Joson
16th Chancellor Alfredo T. Ramirez Memorial Lecture
Application of the Management Process in Thyroid Nodules: Thirty Years of Experience.
Reynaldo O. Joson
September 7, 2016
Diamond Hotel, Manila
https://rojosonmedicalclinic.wordpress.com/2016/09/07/application-of-the-management-process-in-thyroid-nodules-thirty-years-of-experience/
The Worldwide Hospice Palliative Care Alliance (WHPCA) is a global alliance of 207 organizations representing 77 countries that promotes universal access to affordable, quality palliative care. Its vision is for palliative care to be available worldwide. WHPCA advocates for palliative care integration into international health policies and works with partners like the World Health Organization. It coordinates World Hospice and Palliative Care Day, developed the Global Atlas of Palliative Care, and provides training materials to support palliative care development globally using a public health model focused on policy, education, medication access, and implementation support.
This document provides a summary of a guideline on person-centred care in cancer care. It includes 29 recommendations focused on knowing the patient as an individual, ensuring essential requirements of care like respect, managing symptoms, and tailoring care to individual needs. The recommendations emphasize developing an understanding of each patient, respecting their preferences, and involving family/caregivers with patient consent. The goal is to establish standardized recommendations for providing person-centred care across adult oncology services in Ontario.
The document discusses quality cancer care and outlines several principles and recommendations. It presents 12 principles for quality cancer care established by the National Coalition for Cancer Survivorship, including the rights of cancer patients and survivors to access affordable care, clinical trials, psychosocial services and follow up care. It also summarizes 10 recommendations from the Institute of Medicine to improve cancer care quality, such as ensuring treatment at high-volume facilities, using evidence-based guidelines, measuring quality, coordinating care, investing in research and addressing disparities.
This document discusses the importance of preventive healthcare and screening for early detection of diseases. It provides guidance on screening recommendations and intervals for various common conditions like cancer, cardiovascular disease, diabetes, osteoporosis and others. The risks and benefits of different screening tests are presented to facilitate informed decision making. Emphasis is placed on integrating preventive services and chronic disease management into primary care to improve outcomes and reduce healthcare costs.
Rebecca Rosen: Trends and drivers of change in primary careNuffield Trust
This document discusses trends and drivers of change in European primary care. It outlines that primary care serves as the first point of access to health services through generalist clinicians working in teams. The scope of primary care is expanding to include care coordination, specialist services, and new forms of access like e-consultations. There are multiple drivers of increasing demand, like aging populations and rising chronic disease prevalence. Primary care systems vary significantly across Europe in inputs like physician numbers and expenditures. The document examines political, economic, and policy trends shaping primary care reforms around integration, new payment models, and delivery innovations.
HLN004 Lecture 3 Primary healthcare and introduction to strategies and approa...ramseyr
The document discusses primary health care and major frameworks. It defines primary health care as essential health care that is universally accessible, scientifically sound, and socially acceptable. The WHO defined primary health care in the Alma-Ata Declaration. Primary health care focuses on health promotion, illness prevention, care of the sick, advocacy, and community development. It discusses frameworks for primary health care including the chronic care model and people-centered primary care. It also identifies challenges in access, coordination of care, and prevention in Australian primary health care.
AIDSTAR-One HIV Treatment Guidelines in Guyana - The Fast Track to Diagnosis ...AIDSTAROne
This case study details Guyana's process for revision of their national HIV treatment guidelines, based on WHO's 2010 revised recommendations . While many countries are still working to revise their national guidelines in response to WHO's latest guidance, the National AIDS Programme in Guyana has been implementing elements of WHO's 2010 recommendations since 2006.
www.aidstar-one.com/focus_areas/treatment/resources/case_study/guyana_treatment_guidelines
Application of the Management Process in Thyroid NodulesReynaldo Joson
16th Chancellor Alfredo T. Ramirez Memorial Lecture
Application of the Management Process in Thyroid Nodules: Thirty Years of Experience.
Reynaldo O. Joson
September 7, 2016
Diamond Hotel, Manila
https://rojosonmedicalclinic.wordpress.com/2016/09/07/application-of-the-management-process-in-thyroid-nodules-thirty-years-of-experience/
The Worldwide Hospice Palliative Care Alliance (WHPCA) is a global alliance of 207 organizations representing 77 countries that promotes universal access to affordable, quality palliative care. Its vision is for palliative care to be available worldwide. WHPCA advocates for palliative care integration into international health policies and works with partners like the World Health Organization. It coordinates World Hospice and Palliative Care Day, developed the Global Atlas of Palliative Care, and provides training materials to support palliative care development globally using a public health model focused on policy, education, medication access, and implementation support.
This document provides a summary of a guideline on person-centred care in cancer care. It includes 29 recommendations focused on knowing the patient as an individual, ensuring essential requirements of care like respect, managing symptoms, and tailoring care to individual needs. The recommendations emphasize developing an understanding of each patient, respecting their preferences, and involving family/caregivers with patient consent. The goal is to establish standardized recommendations for providing person-centred care across adult oncology services in Ontario.
The document discusses quality cancer care and outlines several principles and recommendations. It presents 12 principles for quality cancer care established by the National Coalition for Cancer Survivorship, including the rights of cancer patients and survivors to access affordable care, clinical trials, psychosocial services and follow up care. It also summarizes 10 recommendations from the Institute of Medicine to improve cancer care quality, such as ensuring treatment at high-volume facilities, using evidence-based guidelines, measuring quality, coordinating care, investing in research and addressing disparities.
This document discusses the importance of preventive healthcare and screening for early detection of diseases. It provides guidance on screening recommendations and intervals for various common conditions like cancer, cardiovascular disease, diabetes, osteoporosis and others. The risks and benefits of different screening tests are presented to facilitate informed decision making. Emphasis is placed on integrating preventive services and chronic disease management into primary care to improve outcomes and reduce healthcare costs.
1) Chronic diseases like cardiovascular disease, diabetes and mental health conditions account for a large proportion of the disease burden among Aboriginal and Torres Strait Islander people.
2) Several government policies aim to reduce health gaps by addressing social determinants, risk factors and improving access to healthcare.
3) Two case studies found some improvements in disease management and outcomes from quality improvement initiatives and specialized treatment programs, but sustaining these gains over the long term remains a challenge.
Συχνότερα χρόνια νοσήματα, καταστάσεις υγείας, συχνότερα συμπτώματα στην κοιν...Evangelos Fragkoulis
Σεμινάριο εισαγωγής στην ΠΦΥ- Εκπαιδευτικό πρόγραμμα ειδικευόμενων Γενικών Οικογενειακών Ιατρών σε συνεργασία με το Τμήμα Πολιτικών Δημόσιας Υγείας του Πανεπιστημίου Δυτικής Αττικής
This presents the trends, issues, and challenges in the Philippine Health Care Delivery System. The data were mostly taken from the Philippine Department of Health (DOH) website and DOH Region VI Office.
Putting it all together: Personalized care for cancer survivors Carevive
This document discusses barriers to quality cancer survivorship care and potential solutions. It notes that there are over 13 million cancer survivors in the US who face long-term effects of treatment and prevalent unmet needs. The Institute of Medicine recommends that survivors receive a comprehensive treatment summary and care plan. However, creating these plans can be time-consuming. New technologies like the On Q Health system aim to generate personalized care plans more efficiently based on patient-reported outcomes and guidelines. The system covers symptoms, surveillance, late effects and aims to improve quality and coordination of care across the cancer journey.
Statistics show that as of 2017, more than one million Canadians have survived cancer for more than 10 years. Yet, the physical rehabilitation needs of cancer survivors in Canada have received little attention and few services.
Dr. Jennifer M. Jones, PhD, is a senior Scientist and Director of the Cancer Rehabilitation & Survivorship Program at the Princess Margaret Cancer Centre in Toronto. Along with her colleague Stephanie Phan, Clinical Lead for the program, they provided an overview of her program, one of the best in the world and the only one of its kind in Canada.
Canadian Cancer Survivor Network staff Allison MacAlister and Jaymee Maaghop joined in the conversation to discuss the current national landscape, and what CCSN is doing to raise awareness for cancer rehabilitation in Canada.
Challenges in Expanding the Role of Health Care Providers and Delivering Trea...Global Bridges
Presentation by Jagdish Kaur, MBBS, Union Health Ministry, India, at the Global Bridges Preconference at the 15th World Conference on Tobacco OR Health in Singapore.
Encountering a Neglected Area of a Healthcare System: A Decade of Improvement...Saeid Safari
1st Mahak International Cancer Pain management Congress
3 Feb 2016
Published in https://pubmed.ncbi.nlm.nih.gov/27515841/
cancer pain in developing countries
- An estimated 33 million people are living with HIV globally, with 2.7 million new infections in 2007, mostly in sub-Saharan Africa. By 2007, only 3 million people had access to antiretroviral (ARV) therapy, while 6.7 million were in immediate need of treatment.
- There is recognition that ARV therapy may play a role in HIV prevention through post-exposure prophylaxis, pre-exposure prophylaxis, and treatment of HIV-positive individuals. However, WHO does not currently have a specific policy on using ARV therapy for prevention due to many unanswered questions.
- WHO will convene a meeting of stakeholders in May 2009 to discuss the feasibility,
From experimentation to research : screening for patient’s distress and supportive care needs
Présentation de Sylvie Dolbeault au colloque "Recherche interventionnelle contre le cancer : Réunir chercheurs, décideurs et acteurs de terrain » - 17 et 18 novembre 2014, BnF, Paris
The document provides an agenda and background information for a stakeholder scoping workshop on long term conditions. The workshop aims to define the scope of a joint strategic needs assessment on long term conditions by gaining consensus on key conditions and cross-cutting themes to focus on. Presentations will cover the changing landscape of long term conditions, definitions and prevalence locally, and identifying priority conditions and common issues. Breakout groups will discuss potential conditions and themes to prioritize. Understanding local data availability and stakeholder priorities will help shape the needs assessment.
Health policy plan. 2007-lönnroth-156-66Reaksmey Pe
This study assessed the impact of a social franchise model for tuberculosis (TB) care delivered through private general practitioners (GPs) in Myanmar. The key findings were:
1) The franchisees contributed around 20% of newly diagnosed smear-positive TB cases notified to the national TB program, helping to improve case detection.
2) Lower socioeconomic groups represented 68% of TB patients accessing care through the franchise, indicating it helped reach the poor.
3) The treatment success rate for new smear-positive cases through the franchise was 84%, close to the WHO target of 85% and similar to the national program rate.
4) While overall costs of TB care were high for poor patients, comprising on
The document discusses the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) in India. It summarizes that NPCDCS aims to prevent and control four major non-communicable diseases through strengthening infrastructure, human resource development, health promotion, early diagnosis, and management/referral. It also briefly outlines the burden and risk factors of cardiovascular diseases, highlighting they are a leading cause of death in India and globally.
The document discusses cancer survivorship and the needs of cancer patients after primary treatment. It notes that as cancer treatments have improved, more patients are living longer after a cancer diagnosis. However, survivors still face complex medical, psychological and social challenges. The document calls for improved education, screening and support services to help survivors address long-term effects of cancer and its treatment and live healthy, productive lives. Health systems need coordinated survivorship care plans and providers need guidelines to help survivors manage issues that may arise years after diagnosis and treatment.
Universal Health Coverage (UHC) Day 12.12.14, NepalDeepak Karki
This presentation is made on the first ever Universal Health Coverage (UHC) Day 12.12.14 celebration in Nepal by Nepal Health Economics Association (NHEA).
The document discusses primary health care (PHC) and its importance in the Canadian health system. It outlines the key principles of PHC, including accessibility, public participation, health promotion, appropriate technology, and intersectoral cooperation. While primary care focuses on clinical services and treatment, PHC takes a more holistic approach to consider various social and environmental factors that influence health. The Canadian Nurses Association has advocated for a health system based on PHC and involved nurses in various initiatives to better integrate PHC in practice.
Designing and implementing pathways to benefit patient aftercare: Continuing ...NHS Improvement
This document outlines three standardized pathways for providing aftercare to children and young people who have undergone cancer treatment. The pathways include risk assessment, development of a treatment summary and care plan, long-term follow-up care, and transitioning between clinical levels of care or back to the primary treatment center if needed. The pathways are meant to ensure consistent high quality care for cancer survivors. Evidence from testing different models of aftercare is provided to support implementation of the pathways."
Cancer Survivorship Care: Global Perspectives and Opportunities for Nurse-Le...Carevive
The 18th CNSA Annual Winter Congress, held Perth, Australia will featured On Q Health’s co-founder Dr. Carrie Stricker as a keynote speaker. The theme for this year’s edition is “Cancer Nursing: Expanding the Possibilities” and will focus on exploring the opportunities that exist in cancer nursing in 2015 and beyond.
Understanding The Principles Multi-Disciplinary Approach To Cancer Treatment ...flasco_org
Providing a course that is relevant, practical and patient-centered that will positively impact the speed in which entry-level oncology specialists integrate into the oncology practice setting.
This document discusses pain prevalence and treatment in cancer patients. It finds that:
1. Pain affects 33-59% of patients after curative cancer treatment and 64-70% of patients with advanced or terminal cancer.
2. Cancer is the cause of 77-80% of pain in these patients, often due to bone metastases or nerve damage from the cancer or its treatment.
3. The WHO analgesic ladder recommends treating mild pain with non-opioids like acetaminophen, moderate pain with weak opioids like codeine, and severe pain with strong opioids like morphine. Adjuvant medications and interventional approaches may also help.
This document discusses pain management in the emergency department. It defines acute versus chronic pain and outlines four general groups of chronic pain. For acute pain, it recommends reducing severity through IV opioids while keeping the patient responsive for exams. It provides guidance on treating common headache types like migraine, cluster, and tension headaches. It also discusses chest pain management and ensuring adequate analgesia for pediatrics and procedures.
1) Chronic diseases like cardiovascular disease, diabetes and mental health conditions account for a large proportion of the disease burden among Aboriginal and Torres Strait Islander people.
2) Several government policies aim to reduce health gaps by addressing social determinants, risk factors and improving access to healthcare.
3) Two case studies found some improvements in disease management and outcomes from quality improvement initiatives and specialized treatment programs, but sustaining these gains over the long term remains a challenge.
Συχνότερα χρόνια νοσήματα, καταστάσεις υγείας, συχνότερα συμπτώματα στην κοιν...Evangelos Fragkoulis
Σεμινάριο εισαγωγής στην ΠΦΥ- Εκπαιδευτικό πρόγραμμα ειδικευόμενων Γενικών Οικογενειακών Ιατρών σε συνεργασία με το Τμήμα Πολιτικών Δημόσιας Υγείας του Πανεπιστημίου Δυτικής Αττικής
This presents the trends, issues, and challenges in the Philippine Health Care Delivery System. The data were mostly taken from the Philippine Department of Health (DOH) website and DOH Region VI Office.
Putting it all together: Personalized care for cancer survivors Carevive
This document discusses barriers to quality cancer survivorship care and potential solutions. It notes that there are over 13 million cancer survivors in the US who face long-term effects of treatment and prevalent unmet needs. The Institute of Medicine recommends that survivors receive a comprehensive treatment summary and care plan. However, creating these plans can be time-consuming. New technologies like the On Q Health system aim to generate personalized care plans more efficiently based on patient-reported outcomes and guidelines. The system covers symptoms, surveillance, late effects and aims to improve quality and coordination of care across the cancer journey.
Statistics show that as of 2017, more than one million Canadians have survived cancer for more than 10 years. Yet, the physical rehabilitation needs of cancer survivors in Canada have received little attention and few services.
Dr. Jennifer M. Jones, PhD, is a senior Scientist and Director of the Cancer Rehabilitation & Survivorship Program at the Princess Margaret Cancer Centre in Toronto. Along with her colleague Stephanie Phan, Clinical Lead for the program, they provided an overview of her program, one of the best in the world and the only one of its kind in Canada.
Canadian Cancer Survivor Network staff Allison MacAlister and Jaymee Maaghop joined in the conversation to discuss the current national landscape, and what CCSN is doing to raise awareness for cancer rehabilitation in Canada.
Challenges in Expanding the Role of Health Care Providers and Delivering Trea...Global Bridges
Presentation by Jagdish Kaur, MBBS, Union Health Ministry, India, at the Global Bridges Preconference at the 15th World Conference on Tobacco OR Health in Singapore.
Encountering a Neglected Area of a Healthcare System: A Decade of Improvement...Saeid Safari
1st Mahak International Cancer Pain management Congress
3 Feb 2016
Published in https://pubmed.ncbi.nlm.nih.gov/27515841/
cancer pain in developing countries
- An estimated 33 million people are living with HIV globally, with 2.7 million new infections in 2007, mostly in sub-Saharan Africa. By 2007, only 3 million people had access to antiretroviral (ARV) therapy, while 6.7 million were in immediate need of treatment.
- There is recognition that ARV therapy may play a role in HIV prevention through post-exposure prophylaxis, pre-exposure prophylaxis, and treatment of HIV-positive individuals. However, WHO does not currently have a specific policy on using ARV therapy for prevention due to many unanswered questions.
- WHO will convene a meeting of stakeholders in May 2009 to discuss the feasibility,
From experimentation to research : screening for patient’s distress and supportive care needs
Présentation de Sylvie Dolbeault au colloque "Recherche interventionnelle contre le cancer : Réunir chercheurs, décideurs et acteurs de terrain » - 17 et 18 novembre 2014, BnF, Paris
The document provides an agenda and background information for a stakeholder scoping workshop on long term conditions. The workshop aims to define the scope of a joint strategic needs assessment on long term conditions by gaining consensus on key conditions and cross-cutting themes to focus on. Presentations will cover the changing landscape of long term conditions, definitions and prevalence locally, and identifying priority conditions and common issues. Breakout groups will discuss potential conditions and themes to prioritize. Understanding local data availability and stakeholder priorities will help shape the needs assessment.
Health policy plan. 2007-lönnroth-156-66Reaksmey Pe
This study assessed the impact of a social franchise model for tuberculosis (TB) care delivered through private general practitioners (GPs) in Myanmar. The key findings were:
1) The franchisees contributed around 20% of newly diagnosed smear-positive TB cases notified to the national TB program, helping to improve case detection.
2) Lower socioeconomic groups represented 68% of TB patients accessing care through the franchise, indicating it helped reach the poor.
3) The treatment success rate for new smear-positive cases through the franchise was 84%, close to the WHO target of 85% and similar to the national program rate.
4) While overall costs of TB care were high for poor patients, comprising on
The document discusses the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) in India. It summarizes that NPCDCS aims to prevent and control four major non-communicable diseases through strengthening infrastructure, human resource development, health promotion, early diagnosis, and management/referral. It also briefly outlines the burden and risk factors of cardiovascular diseases, highlighting they are a leading cause of death in India and globally.
The document discusses cancer survivorship and the needs of cancer patients after primary treatment. It notes that as cancer treatments have improved, more patients are living longer after a cancer diagnosis. However, survivors still face complex medical, psychological and social challenges. The document calls for improved education, screening and support services to help survivors address long-term effects of cancer and its treatment and live healthy, productive lives. Health systems need coordinated survivorship care plans and providers need guidelines to help survivors manage issues that may arise years after diagnosis and treatment.
Universal Health Coverage (UHC) Day 12.12.14, NepalDeepak Karki
This presentation is made on the first ever Universal Health Coverage (UHC) Day 12.12.14 celebration in Nepal by Nepal Health Economics Association (NHEA).
The document discusses primary health care (PHC) and its importance in the Canadian health system. It outlines the key principles of PHC, including accessibility, public participation, health promotion, appropriate technology, and intersectoral cooperation. While primary care focuses on clinical services and treatment, PHC takes a more holistic approach to consider various social and environmental factors that influence health. The Canadian Nurses Association has advocated for a health system based on PHC and involved nurses in various initiatives to better integrate PHC in practice.
Designing and implementing pathways to benefit patient aftercare: Continuing ...NHS Improvement
This document outlines three standardized pathways for providing aftercare to children and young people who have undergone cancer treatment. The pathways include risk assessment, development of a treatment summary and care plan, long-term follow-up care, and transitioning between clinical levels of care or back to the primary treatment center if needed. The pathways are meant to ensure consistent high quality care for cancer survivors. Evidence from testing different models of aftercare is provided to support implementation of the pathways."
Cancer Survivorship Care: Global Perspectives and Opportunities for Nurse-Le...Carevive
The 18th CNSA Annual Winter Congress, held Perth, Australia will featured On Q Health’s co-founder Dr. Carrie Stricker as a keynote speaker. The theme for this year’s edition is “Cancer Nursing: Expanding the Possibilities” and will focus on exploring the opportunities that exist in cancer nursing in 2015 and beyond.
Understanding The Principles Multi-Disciplinary Approach To Cancer Treatment ...flasco_org
Providing a course that is relevant, practical and patient-centered that will positively impact the speed in which entry-level oncology specialists integrate into the oncology practice setting.
This document discusses pain prevalence and treatment in cancer patients. It finds that:
1. Pain affects 33-59% of patients after curative cancer treatment and 64-70% of patients with advanced or terminal cancer.
2. Cancer is the cause of 77-80% of pain in these patients, often due to bone metastases or nerve damage from the cancer or its treatment.
3. The WHO analgesic ladder recommends treating mild pain with non-opioids like acetaminophen, moderate pain with weak opioids like codeine, and severe pain with strong opioids like morphine. Adjuvant medications and interventional approaches may also help.
This document discusses pain management in the emergency department. It defines acute versus chronic pain and outlines four general groups of chronic pain. For acute pain, it recommends reducing severity through IV opioids while keeping the patient responsive for exams. It provides guidance on treating common headache types like migraine, cluster, and tension headaches. It also discusses chest pain management and ensuring adequate analgesia for pediatrics and procedures.
1. Deborah Boylen Professional Leadership Presentation HCC PDBoylen Deborah
The presentation discusses strategies to support students with reading difficulties like dyslexia. It explains that approximately 3-5% of students have a learning difficulty and provides data on reading age groups. The document then discusses challenges some students face in learning to read and provides teaching strategies like using assistive technology, modifying assessments, and incorporating close reading to improve comprehension.
This document provides tips for creating a physician curriculum vitae (CV). It recommends keeping the CV concise at 2-4 pages using reverse chronological order. Key sections to include are education, training, experience, publications, presentations, licenses and certifications. Achievements should be highlighted using bullet points. The formatting should be consistent with headings that stand out and limited use of bolding and fonts. The CV should be reviewed by others and kept updated.
SHARE Presentation: Palliative Care for Womenbkling
Dr. Michael Pearl discusses supportive palliative care for women with cancer, how it differs from hospice care, and the New York Palliative Care Information Act. Dr. Michael Pearl is Professor and Director of the Division of Gynecologic Oncology in the Department of Obstetrics, Gynecology and Reproductive Medicine at Stony Brook University Hospital.
This document discusses palliative care, particularly for cancer patients. It defines palliative care as medical care focused on relieving symptoms and improving quality of life for patients with serious illnesses. The goal of palliative care is to minimize suffering and improve quality of life by comprehensively addressing physical, psychosocial and spiritual needs. Palliative care teams include doctors, nurses, social workers and other specialists working together to provide relief from pain and other symptoms for patients and support for their families.
Monoclonal antibodies have potential as anti-cancer therapies by specifically targeting tumor cells. They can induce apoptosis through several mechanisms, including antigen cross-linking, activating death receptors, or delivering cytotoxic agents directly to tumors. Challenges include insufficient drug delivery to solid tumors and heterogeneous antigen expression limiting targeted cells. New strategies involve using monoclonal antibodies to activate enzymes that convert locally administered pro-drugs into anti-tumor agents at the tumor site. The first approved therapeutic monoclonal antibody Rituximab treats B-cell lymphomas with high response rates. Future research aims to optimize combinations with chemotherapy and determine best candidates.
This document discusses pain management in elderly patients. It notes that pain is subjective and common in older adults due to various age-related conditions. It addresses misconceptions about pain in the elderly and consequences of untreated pain like poor appetite and social withdrawal. It categorizes pain by duration (acute, chronic cancer, chronic non-malignant) and type (somatic, visceral, bone, neuropathic). Treatment involves using the lowest effective dose of pain medications through the simplest route. Opioids require smaller starting doses in elderly patients due to increased sensitivity. Proper assessment and an interdisciplinary approach are important for effective pain relief in older adults.
The document provides an introduction to palliative care and a holistic approach. It defines palliative care according to the WHO as improving quality of life for patients facing life-threatening illness through preventing and relieving suffering. Key principles of palliative care discussed include taking a holistic, patient-centered approach and using a multidisciplinary team. Factors affecting provision of palliative care and strategies for improving services are also outlined.
The document discusses end-of-life care for pediatric oncology patients, including an overview of treatments like chemotherapy and radiation. It then covers the process of death and available palliative care resources. Key perspectives discussed include those of patients, parents, siblings, and hospital staff.
This document discusses the basic principles of palliative care, including definitions, goals, ethical issues and barriers. It provides statistics on palliative care needs in Palestine, including causes of death, cancer rates and lack of services. Recommendations are made to establish national palliative care policies and programs, train healthcare workers, ensure availability of pain medications, and incorporate palliative care into existing healthcare systems to improve end of life care.
The document discusses principles of chemotherapy including stages of mitosis, classification of cytotoxic agents, their action sites in the cell cycle and at the cellular level, metabolism and resistance mechanisms of cyclophosphamide as an example, and combination therapy aims to increase efficacy while managing side effects.
Principles of cancer chemotherapy and its clinical evaluationjyotimannath
Dr. Jyotiman Nath presented on the history and development of cancer chemotherapy. Some key points include:
- Chemotherapy originated in the early 20th century with Paul Ehrlich's work on "magic bullets" to treat infections. Sidney Farber is considered the father of modern chemotherapy.
- During World Wars I and II, exposure of soldiers to mustard gas led to the observation that alkylating agents suppressed bone marrow, laying the foundations for using similar agents to treat cancers.
- In the 1940s and 50s, drugs like methotrexate and combinations of drugs were used successfully to treat various cancers, representing major advances in the field.
- Current chemotherapy typically involves combinations of
- German chemist Paul Ehrlich coined the term "chemotherapy" to refer to treatment of disease with chemical drugs. By the 1950s, the term was primarily used to refer to drugs used to treat cancer.
- Chemotherapy involves using drugs to treat cancer and typically involves drugs that interfere with cell division, such as methotrexate or fluorouracil.
- The choice of chemotherapy depends on factors like the location and stage of the tumor and the patient's health. While it can cure some cancers, it is most effective against cancer before metastasis.
CANCER: A group of disease involving abnormal cell growth with the potential to invade or spread to other part of the body.
CHEMOTHERAPY: the term chemotherapy is describe as the use of chemicals or drugs to treat cancer.
CYTOTOXIC DRUG: lysis both normal and cancer cells
Norbert Sipos: Principles of cancer therapyKatalin Cseh
The document discusses principles of cancer therapy including chemotherapy and radiation therapy. It covers topics like evaluating malignancies, determining likelihood of response to treatment, cell cycle specifics of chemotherapy, and principles of combination chemotherapy. The document also provides details on treating specific cancers like vulvar cancer through surgery, radiation, and chemotherapy.
Basic principles of chemotherapy/ AMAs covers definition, history of AMAs development, principles of AMAs, problems associated with AMAs, failure of therapy with examples.
The ESMO-ECPC Cancer Survivorship Guide and Cancer Survivorship Plan is a unique care and cancer advocacy tool.
Cancer patient advocates can include it in their work.
The document discusses palliative care, providing definitions and describing its goals, history, and key aspects. It defines palliative care as improving quality of life for patients facing life-threatening illness by preventing and relieving suffering. Palliative care aims to treat physical, psychosocial, and spiritual problems without hastening or postponing death. It is ideally provided early in conjunction with curative treatment by an interdisciplinary team and continues through end of life. The document contrasts palliative and hospice care and explores palliative care approaches, settings, costs, and growth. It addresses palliative care for cancer specifically and describes how the approach supports patients and families.
Cancer• What is cancer• Cancer statistics• Risk Fac.docxbartholomeocoombs
Cancer
• What is cancer?
• Cancer statistics
• Risk Factors
• Reducing burden and preventing cancer
• Cancer Treatment
• WHO/International Response
What is cancer?
• Large group of diseases where abnormal cells divide without control and are able to
spread to other tissues and organs
• The latter process is called metastasis
• More than 100 types of cancer
• No two cancers are the same.
• Globally, 18.1 million cases of cancer were diagnosed in 2020
• Nearly 10 million deaths
• Each year approximately 400,000 children are diagnosed
What Causes Cancer?
• Changes result from interaction of a person's genetic factors and external agents,
including:
• Physical carcinogens, such as ultraviolet and ionizing radiation;
• Chemical carcinogens, such as asbestos, components of tobacco smoke, alcohol, aflatoxin (a
food contaminant), and arsenic (a drinking water contaminant); and
• Biological carcinogens, such as infections from certain viruses, bacteria, or parasites
• Cancer incidence rises dramatically with age
• Likely due to a build-up of risks for specific cancers that increase with age
• Combined with the tendency for cellular repair mechanisms to be less effective as a person
ages
Risk Factors
• Tobacco use, alcohol consumption, unhealthy diet, physical inactivity and air pollution
• Some chronic infections
• In particular, low- and middle-income countries
• Approximately 13% of cancers diagnosed in 2018 globally were attributed to carcinogenic infections,
including Helicobacter pylori, human papillomavirus (HPV), hepatitis B virus, hepatitis C virus, and
Epstein-Barr virus.
• Hepatitis and some types of HPV increase the risk for liver and cervical cancer,
respectively
• Infection with HIV increases the risk of developing cervical cancer six-fold and
substantially increases the risk of developing select other rare cancers such as Kaposi
sarcoma
Cancer Global Statistics
Worldwide Cancer Diagnoses in 2020
2.26 2.21
1.93
1.41
1.2
1.09
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2
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Cancer Type
Worldwide Cancer Deaths in 2020
1.8
0.92
0.83 0.77
0.69
0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.8
2
Lung Colon and Rectum Liver Stomach Breast
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Cancer Type
Cancer Prevalence
• Who has cancer at a specific moment in time out of everyone in the population
• Includes people who are living with cancer
• Incidence and survival impact specific cancer prevalence
• Increasing incidence increases prevalence
• Increased survival time increases prevalence
• More people are living with the disease
Cancer Prevalence
• Globally 43.8 million persons were living with cancer at the end of 2018
• Asia - 17.4M (39.7%)
• Europe - 11.87M (27.7%)
• The Americas – 11.43M (26.1%)
Prevalence of Cancer by Type
• Breast cancer globally the
most prevalent form
• 2nd & 3rd most co.
This document discusses survivorship care and quality of life for cancer patients. It identifies gaps in survivorship care and outlines key aspects to address like the role of general practitioners, tertiary prevention of comorbidities, and managing late effects of treatment. It emphasizes the need for improved long-term follow up, screening, and management of issues like secondary cancers, metabolic syndrome, sexual dysfunction, and psychological distress. It also discusses the importance of professional rehabilitation and reintegration into the workplace. Overall, the document argues for more comprehensive survivorship care that addresses both medical and psychosocial needs in order to improve quality of life for cancer survivors.
The document discusses end of life care and palliative care, specifically for cancer patients. It describes what palliative care is, including managing physical, emotional, practical and spiritual needs of patients. It discusses causes of pain in cancer patients, including from tumor growth, treatments, and procedures. It also covers assessing and managing pain through both pharmacological and non-pharmacological methods. The goal of palliative care is to prevent or treat symptoms to improve quality of life, rather than cure the disease.
End of life care involves providing palliative care to improve patient quality of life during their final stages. Palliative care aims to prevent and treat physical, emotional, and spiritual suffering for both patients and their families. It focuses on managing symptoms like pain while also addressing psychosocial needs. Palliative care begins at diagnosis and continues through treatment and end of life to improve comfort.
End of life care involves providing palliative care to improve patient quality of life during their final stages. Palliative care aims to prevent and treat physical, emotional, and spiritual suffering for both patients and their families. It focuses on managing symptoms like pain while also addressing psychosocial needs. Some key aspects of palliative care include respecting patient preferences, attending to medical and non-medical needs, and acknowledging caregiver concerns. Palliative care is applicable throughout the cancer experience from diagnosis through end of life.
Palliative care aims to improve quality of life and mitigate suffering for patients facing life-threatening illnesses and their families. It focuses on early identification and treatment of pain and other distressing symptoms through a holistic, multidisciplinary approach. Cancer and HIV/AIDS are leading causes of death in Kenya and sub-Saharan Africa, and most patients experience moderate to severe pain from their disease or treatment. Palliative care provides an essential service for these patients through comprehensive symptom management, psychosocial support, and care of the whole person's physical, emotional, social, and spiritual needs.
Management of disease and person – palliative care in nigeriaJPM.socialmedia
This document discusses the management of disease and the person in modern medicine. It argues that healthcare should focus on both curing disease and caring for the whole person. The author shares their experience starting palliative care services at a hospital in Nigeria using a multidisciplinary team approach. They discuss challenges like inadequate staffing but also achievements like introducing morphine and establishing a day care hospice. The document concludes by calling for more support and collaboration to improve palliative care.
The document provides information on palliative care, including:
- Palliative care aims to improve quality of life and relieve suffering for patients with life-limiting illnesses and their families.
- It focuses on pain management and other symptom relief without hastening or postponing death.
- Palliative care is appropriate at any stage of illness and can be provided alongside curative treatment.
In this webinar, Dr. Popp will discuss everything you need to know about palliative care! This is an important webinar for colorectal cancer patients and their loved ones.
Palliative care aims to improve quality of life for patients facing life-threatening illness and their families. It does this through a holistic approach that addresses physical, psychological, social, and spiritual needs. A multidisciplinary team provides relief from symptoms, support systems for patients and families, and care from early illness through bereavement. The goals are to neither hasten nor postpone death, but to help patients live as well as possible until the end of life.
This document discusses the scope and characteristics of nurse-led clinics in cancer care. It defines nurse-led clinics as autonomous clinics managed by registered nurses, often nurse practitioners or clinical nurse specialists. The document outlines the core roles and competencies of nurse-led clinics, including health education, screening, basic cancer care, emergency care, chemotherapy support, side effect management, and palliative care. Nurse-led clinics can provide a more coordinated continuum of cancer care from diagnosis through treatment and rehabilitation. Their benefits include improved patient outcomes, enhanced care coordination, and increased job satisfaction for nurses. The document advocates expanding nursing education to strengthen the role of nurse-led clinics.
This document discusses palliative and supportive care in oncology. It defines palliative care as preventing and relieving suffering through early management of pain and other physical, psychosocial, and spiritual problems across the cancer experience. The goals of palliative care are to anticipate, prevent, and reduce suffering and support the best possible quality of life regardless of disease stage. Early palliative care involvement has benefits like improved quality of life and mood over traditional late palliative care. An interdisciplinary team approach to palliative care is recommended.
PALLIATIVE CARE BY NIRBHAYKUMAR TRADA 531A.pptxssusercbc9e61
Palliative care aims to improve quality of life for patients with serious illnesses through early identification and treatment of pain and other distressing symptoms. It takes a holistic approach addressing physical, psychosocial and spiritual suffering of patients and their families. Palliative care can be provided alongside curative treatment and continues during bereavement. It is delivered by an interdisciplinary team for patients of any age and illness type.
The document discusses barriers to accessing hepatitis C cure for people who inject drugs in Australia. It outlines that people who inject drugs experience stigma and stereotyping that prevents them from seeking and completing treatment. While medication is now available, elimination of hepatitis C by 2028 will be challenging due to barriers like cost, lack of education, discrimination, and poor access to healthcare especially in Aboriginal communities where hepatitis C rates are highest. Peer-led organizations like NUAA aim to support patients through education and harm reduction to help more people access treatment.
A protocol for the management of breast cancer developed by the multidisciplinary oncology team at University of Nigeria Teaching Hospital, fully adapted to our environment
Palliative care focuses on reducing the intensity and severity of symptoms from disease to improve quality of life. It is provided by an interdisciplinary team and addresses physical, emotional, and spiritual needs through pain and symptom management. Palliative care can be provided alongside curative treatment from the time of diagnosis for diseases like cancer, organ failure, Alzheimer's, and AIDS. Radiotherapy can help manage bone metastases, spinal cord compression, and other symptoms in palliative care.
CANCER PALLIATIVE CARE.pdf last resort eogMukhtarIrbad
The document provides an introduction to supportive and palliative care in cancer. It discusses what cancer is, what causes cancer, types of cancer, detecting cancer, cancer diagnosis and monitoring, cancer treatments including surgery, radiotherapy, chemotherapy and hormone therapy. It also discusses supportive and palliative care, cancer pain and symptoms, communication, dying and bereavement, and spirituality and equality. The document is intended to provide a common core of introductory information about cancer and palliative care to healthcare professionals.
Similar to Status of Palliative care in Lesotho (20)
SICKELE CELL DISEASE MANAGEMENT INITIATIVE FOR LESOTHOSEJOJO PHAAROE
Sickle cell disease (SCD) is highly prevalent in sub-Saharan Africa, including Lesotho where it accounts for substantial morbidity and mortality. SCD is a life-threatening genetic disorder that is best managed when diagnosed early by newborn screening. The incidence and cases are not reported in Lesotho. Newborn screening which is paramount for early diagnosis and enrolment of affected children into a comprehensive care programme is not available in Lesotho. Up to now, this strategy has been greatly impaired in resource-poor countries, because screening methods are technologically and financially intensive; affordable, reliable, and accurate methods are needed. We aimed to test the feasibility of implementing a sickle cell disease screening programme using innovative point-of-care test devices into existing immunization programmes in primary health-care settings.
Goal; increase sickle cell disease awareness, diagnosis and management in Lesotho from 0- 20% by 25%
Mission: To improve care of all Sickle Cell Disease patients for their better future and to lower the prevalence of the disease through multi=sectoral, multi-faced coordinated approach towards screening and awareness strategies
Vision: Eliminate sickle cell disease as a public health problem in Lesotho. There is need for increasing the awareness about the disease in the community, implementation of mass screening activities for early identification, building a strong network of diagnosis and linkages, implementing robust monitoring system, strengthening the existing primary health care mechanism to incorporate SCD related strategies, capacity building of primary, secondary and tertiary health care teams and building cost-effective intensive interventions at higher care facilities.
SICKELE CELL DISEASE MODULE 3 SEJOJO.pptx TO BE PRESENTED. IN TRAININGS.pptxSEJOJO PHAAROE
Sickle cell anemia is a genetic disorder whereby red blood cells are abnormally shaped, causing problems with the flow of blood through the body as well as transport of oxygen throughout the body
inheritance is Autosomal because its a blood disorder and systemic disorder
its caused by mutation on B-chain of the globulin chain , where red blood cells (RBCs) become sickle/crescent shaped
Cells get destroyed in narrowed thin blood capillaries , RE system and cause anaemia Blockage in thin layers body
OVEARVIEW OF NON-COMMUNICABLE DISEASES IN LEOTHO SEJOJO PHAAROE
Chronic non infectious diseases that are silent and persecute mankind . non-communicable disease (NCD) is a disease that is not transmissible directly from one person to another. NCDs include Parkinson's disease, autoimmune diseases, strokes, heart diseases, cancers, diabetes, chronic kidney disease, osteoarthritis, osteoporosis, Alzheimer's disease, cataracts, and other
Demands for Haemophilia tratment centres to fullfull universal health access...SEJOJO PHAAROE
Haemophilia ia a rare disease that affect 1: 10 000 people. Demands for services, medication and access to cheap effective clotting factors is a human right for people living with haemophilia. A haemophilia registry is a demand from the Government at large .. Essential drug list should also contain haemophilia medication.
we need to be contacted for more information
www.thinktankent.com
resilience is the order of the day when life knocks you down
If you have been experiencing some of the following signs and symptoms most of the day, nearly every day, for at least two weeks, you may be suffering from depression:
Persistent sad, anxious, or “empty” mood
Feelings of hopelessness, or pessimism
Irritability
Feelings of guilt, worthlessness, or helplessness
Loss of interest or pleasure in hobbies and activities
Decreased energy or fatigue
Moving or talking more slowly
Feeling restless or having trouble sitting still
Difficulty concentrating, remembering, or making decisions
Difficulty sleeping, early-morning awakening, or oversleeping
Appetite and/or weight changes
Thoughts of death or suicide, or suicide attempts
Aches or pains, headaches, cramps, or digestive problems without a clear physical cause and/or that do not ease even with treatment
pump up your energy
www.thinktankent.com
info@thinktankent.com
The role of the government in strengthening accreditation readySEJOJO PHAAROE
June 9, 2015 marks World Accreditation Day as a global initiative, jointly established by the International Accreditation Forum (IAF) and the International Laboratory Accreditation Cooperation (ILAC), to raise awareness of the importance of accreditation.
This year’s theme focuses on how accreditation can support the delivery of health and social care.
the day was celebrated across the world with the hosting of major national events, seminars, and press and media coverage, to communicate the value of accreditation to Government, Regulators and the leaders of the business community.
What international support for quality improvement is available to Lesotho national health care initiatives?
• To what extent do national governments around the world specify quality improvement in legislation and published policy?
• What are the distinguishing structures and activities of national approaches to quality improvement within countries?
• What resources (in the form of organizations, funding, training and information) are available nationally?
What maintenance or implementation pathways are available , to prove to the world that Lesotho health care services are of excellence???
Vector borne infectious diseases in the face of climate changeSEJOJO PHAAROE
To understand how climate might affect the incidence of vector-borne diseases, one must first examine the life cycles of the diseases and the environmental parameters associated with each stage
A vector-borne disease is one in which the pathogenic microorganism is transmitted from an infected individual to another individual by an arthropod or other agent, sometimes with other animals serving as intermediary hosts.
The transmission depends upon the attributes and requirements of at least three different living organisms:
- the pathologic agent,
-the vector, and the human host.
intermediary hosts such as domesticated and/or wild animals often serve as a reservoir for the pathogen until susceptible human populations are exposed
We recommend proactive planning
more surveillance of direct impacts, such as changes in the reproduction rate of the vector or the agent, the biting frequency of the vector, and the amount of time the host is exposed to the vector due to changes in temperature, rainfall, humidity, or storm patterns.
Even less information is available to evaluate the impacts of societal and individual activities on the transmission of vector-borne diseases.
Changes in hydrology, agriculture, forestry, and infrastructure in response to global warming may also indirectly affect the interrelationship among the disease agent, vectors, and hosts
Ist Think Tank Entreprenuers Forum in Lesotho ( invitation , call for papers ...SEJOJO PHAAROE
In front of the current main disruptive changes the world is facing, entrepreneurship, creating both wealth and social justice, is key for shaping the world.
It embraces the regionality of the entrepreneurial ecosystem
•Business Entrepreneurs
•Social Entrepreneurs
•Philosophers
•Policy Makers
•Experts
•Academics
•Youth empowerment
•Research scientists
•Health professionals
It is altogether a Think Tank and a Do Tank
•We will share the latest trends and issues about global entrepreneurship.
•We will develop ideas and recommendations aimed at promoting and spreading entrepreneurship regionally .
•We will facilitate and implement entrepreneurial initiatives on a local or global scale
•By Creating Innovative and High-Growth Companies, to generate millions of jobs around the planet;
•Developing Entrepreneurship at the Bottom of the Pyramid, to alleviate poverty and create new markets;
•Implementing Entrepreneurial Education, to disseminate entrepreneurial mindset, skills and competencies throughout society, on a lifelong basis
WE ARE CALLING FOR PAPERS, AND USE THE REGISTRATION FORM ATTACHED FOR YOUR TRAVEL , AND LEETES OF RELEASE AND ACCOMODATION
Post exposure prophylaxis- HEALTH SECTOR WELLNESS SERVICES SEJOJO PHAAROE
HIV and HIV transmission
Indicators for PEP
Pre—requisite for PEP
-baseline and follow up tests
Pre-requisite for PEP Provision
PEP package
ARV- Treatment and adherence
Formative study on hiv workplace for health workers - copySEJOJO PHAAROE
Heterogeneity of the HIV epidemic in Lesotho
Formative Assessment: MOHSW
SECTORAL RESPONSE -MOHSW
ACTIONS TAKEN AND TOOLS AVAILABLE - TO DATE
DISSEMINATION- tools
ADVOCACY FOR BUY IN- - PPP
WELLNESS CHAMPIONS AND STRUCTURES
ADVOCACY-WELLNESS ACTIVITIES
M/E Tools
Cost benefit analysis
Learning and sharing
Action Research : Sejojo Phaaroe
3D MEDIA
Intorduction of work place policy lesotho sensitization paperSEJOJO PHAAROE
This document provides background on the development of a workplace HIV/AIDS policy for health sector facilities in Lesotho. It discusses findings from a formative assessment that identified high rates of HIV infection vulnerability among health workers. The policy aims to manage HIV/AIDS among health sector employees through strengthening prevention, treatment, care and support. It outlines key principles like non-discrimination and confidentiality. The roles and responsibilities of employees, management and affiliated associations in implementing HIV/AIDS programs are also defined.
Management and managing aspects of a wellness service in a health systemSEJOJO PHAAROE
This document discusses management and managing aspects of wellness services in health systems. It describes management as planning, organizing, staffing, leading, and controlling to accomplish goals, while managing refers to putting management theories into practice through business and organizational activities. Good management requires understanding people as coaches and mentors. Key components of an effective management system include policies, systems, programs, procedures, and instructions. Specific personnel are needed to perform tasks like sampling, testing, keeping records, and issuing reports. Managers require knowledge of psychology, business, organizations, and coaching to be effective.
The document summarizes the cytopathology report from March 2013. It outlines achievements, challenges, and the way forward for the cytology section. Key achievements included reducing turnaround time with a new staining machine. Challenges involved poor quality smears from some areas, lack of funding for external quality assurance, and lack of equipment like laptops needed for training. The way forward includes improving client satisfaction surveys, training for smear takers, purchasing laptops for training, providing refresher courses for cytology staff, and evaluating national cancer guidelines. The report calls for strengthening management systems and defining career paths for cytologists.
Overview of medical laboratory regulatory council, objectives 2013SEJOJO PHAAROE
There is an urgent need for professional regulation in the region , because of staff mobilty, and professional demands and aspirations for continous professional development and harmony in ethical practices. Lesotho Medical Regulatory Council is advocated , and this will operate within the Legal Framework of the Health Professional Council
This document discusses cervical cancer prevention strategies in Lesotho. It provides an overview of international conventions on cervical cancer and Lesotho's response. Key points include high rates of cervical cancer in Lesotho compared to other Southern African countries. Prevention strategies discussed include HPV vaccination, screening programs like VIA and Pap smears, and education initiatives targeting policymakers, health workers, and communities. Human papillomavirus (HPV) is identified as the cause of most cervical cancer cases worldwide.
Salivary Gland Cytology case of adenoid cyst carcinoma SEJOJO PHAAROE
This document discusses a case of adenoid cystic carcinoma in the parotid gland based on cytology findings. It describes the smear as showing cellular pleomorphism, anisonucleosis, nuclear notches, pulled out tadpole shapes and chromatin granulation. Syncytial groups and rosettes were also seen. The diagnosis was adenoid cystic carcinoma. The discussion section provides overview information on salivary gland tumors, including classification of malignant and benign tumors, epidemiology, risk factors, presentation and signs of salivary gland masses.
This document describes a case of adenoid cystic carcinoma in the parotid gland of a 52-year-old male based on cytology findings. Cytology of the fine needle aspirate showed cellular pleomorphism, anisonucleosis, nuclear notches, pulled out tadpole cells and coarse chromatin with mitotic figures. The final diagnosis was malignant adenoid cystic carcinoma.
Innovative Medicines Initiative, Call for Proposal 2013 for Health , Pharmacueticals, Nursing , and Laboratory Medicines in Lesotho- EU Horizon 2020 and FP7 Funding
General intro-presentation-of-2013-call-orientations en sejojo disseminateSEJOJO PHAAROE
The document outlines the European Commission's 2013 work programme for collaborative health research, including two calls focusing on innovation to translate research into new therapies, diagnostics, and medical technologies. Key areas of focus include brain diseases, antimicrobial resistance, and comparative effectiveness research. The programme has a budget of over €800 million and encourages cross-border collaboration between researchers, industries, and small- and medium-sized enterprises.
At Malayali Kerala Spa Ajman, Full Service includes individualized care for every client. We specifically design each massage session for the individual needs of the client. Our therapists are always willing to adjust the treatments based on the client's instruction and feedback. This guarantees that every client receives the treatment they expect.
By offering a variety of massage services, our Ajman Spa Massage Center can tackle physical, mental, and emotional illnesses. In addition, efficient identification of specific health conditions and designing treatment plans accordingly can significantly enhance the quality of massaging.
At Malayali Kerala Spa Ajman, we firmly believe that everyone should have the option to experience top-quality massage services regularly. To achieve that goal we offer cheap massage services in Ajman.
If you are interested in experiencing transformative massage treatment at Malayali Kerala Spa Ajman, you can use our Ajman Massage Center WhatsApp Number to schedule your next massage session.
Contact @ +971 529818279
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The Ultimate Guide in Setting Up Market Research System in Health-TechGokul Rangarajan
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
"Market Research it too text-booky, I am in the market for a decade, I am living research book" this is what the founder I met on the event claimed, few of my colleagues rolled their eyes. Its true that one cannot over look the real life experience, but one cannot out beat structured gold mine of market research.
Many 0 to 1 startup founders often overlook market research, but this critical step can make or break a venture, especially in health tech.
But Why do they skip it?
Limited resources—time, money, and manpower—are common culprits.
"In fact, a survey by CB Insights found that 42% of startups fail due to no market need, which is like building a spaceship to Mars only to realise you forgot the fuel."
Sudharsan Srinivasan
Operational Partner Pitchworks VC Studio
Overconfidence in their product’s success leads founders to assume it will naturally find its market, especially in health tech where patient needs, entire system issues and regulatory requirements are as complex as trying to perform brain surgery with a butter knife. Additionally, the pressure to launch quickly and the belief in their own intuition further contribute to this oversight. Yet, thorough market research in health tech could be the key to transforming a startup's vision into a life-saving reality, instead of a medical mishap waiting to happen.
Example of Market Research working
Innovaccer, founded by Abhinav Shashank in 2014, focuses on improving healthcare delivery through data-driven insights and interoperability solutions. Before launching their platform, Innovaccer conducted extensive market research to understand the challenges faced by healthcare organizations and the potential for innovation in healthcare IT.
Identifying Pain Points: Innovaccer surveyed healthcare providers to understand their difficulties with data integration, care coordination, and patient engagement. They found widespread frustration with siloed systems and inefficient workflows.
Competitive Analysis: Analyzed competitors offering similar solutions in healthcare analytics and interoperability. Identified gaps in comprehensive data aggregation, real-time analytics, and actionable insights.
Regulatory Compliance: Ensured their platform complied with HIPAA and other healthcare data privacy regulations. This compliance was crucial to gaining trust from healthcare providers wary of data security issues.
Customer Validation: Conducted pilot programs with several healthcare organizations to validate the platform's effectiveness in improving care outcomes and operational efficiency. Gathered feedback to refine features and user interface.
Digital Health in India_Health Informatics Trained Manpower _DrDevTaneja_15.0...DrDevTaneja1
Digital India will need a big trained army of Health Informatics educated & trained manpower in India.
Presently, generalist IT manpower does most of the work in the healthcare industry in India. Academic Health Informatics education is not readily available at school & health university level or IT education institutions in India.
We look into the evolution of health informatics and its applications in the healthcare industry.
HIMMS TIGER resources are available to assist Health Informatics education.
Indian Health universities, IT Education institutions, and the healthcare industry must proactively collaborate to start health informatics courses on a big scale. An advocacy push from various stakeholders is also needed for this goal.
Health informatics has huge employment potential and provides a big business opportunity for the healthcare industry. A big pool of trained health informatics manpower can lead to product & service innovations on a global scale in India.
Emotional and Behavioural Problems in Children - Counselling and Family Thera...PsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Test bank clinical nursing skills a concept based approach 4e pearson educati...rightmanforbloodline
Test bank clinical nursing skills a concept based approach 4e pearson education
Test bank clinical nursing skills a concept based approach 4e pearson education
Test bank clinical nursing skills a concept based approach 4e pearson education
India Home Healthcare Market: Driving Forces and Disruptive Trends [2029]Kumar Satyam
According to the TechSci Research report titled "India Home Healthcare Market - By Region, Competition, Forecast and Opportunities, 2029," the India home healthcare market is anticipated to grow at an impressive rate during the forecast period. This growth can be attributed to several factors, including the rising demand for managing health issues such as chronic diseases, post-operative care, elderly care, palliative care, and mental health. The growing preference for personalized healthcare among people is also a significant driver. Additionally, rapid advancements in science and technology, increasing healthcare costs, changes in food laws affecting label and product claims, a burgeoning aging population, and a rising interest in attaining wellness through diet are expected to escalate the growth of the India home healthcare market in the coming years.
Browse over XX market data Figures spread through 70 Pages and an in-depth TOC on "India Home Healthcare Market”
https://www.techsciresearch.com/report/india-home-healthcare-market/15508.html
Health Tech Market Intelligence Prelim Questions -Gokul Rangarajan
The Ultimate Guide to Setting up Market Research in Health Tech part -1
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
This lays foundation of scoping research project what are the
Before embarking on a research project, especially one aimed at scoping and defining parameters like the one described for health tech IT, several crucial considerations should be addressed. Here’s a comprehensive guide covering key aspects to ensure a well-structured and successful research initiative:
1. Define Research Objectives and Scope
Clear Objectives: Define specific goals such as understanding market needs, identifying new opportunities, assessing risks, or refining pricing strategies.
Scope Definition: Clearly outline the boundaries of the research in terms of geographical focus, target demographics (e.g., age, socio-economic status), and industry sectors (e.g., healthcare IT).
3. Review Existing Literature and Resources
Literature Review: Conduct a thorough review of existing research, market reports, and relevant literature to build foundational knowledge.
Gap Analysis: Identify gaps in existing knowledge or areas where further exploration is needed.
4. Select Research Methodology and Tools
Methodological Approach: Choose appropriate research methods such as surveys, interviews, focus groups, or data analytics.
Tools and Resources: Select tools like Google Forms for surveys, analytics platforms (e.g., SimilarWeb, Statista), and expert consultations.
5. Ethical Considerations and Compliance
Ethical Approval: Ensure compliance with ethical guidelines for research involving human subjects.
Data Privacy: Implement measures to protect participant confidentiality and adhere to data protection regulations (e.g., GDPR, HIPAA).
6. Budget and Resource Allocation
Resource Planning: Allocate resources including time, budget, and personnel required for each phase of the research.
Contingency Planning: Anticipate and plan for unforeseen challenges or adjustments to the research plan.
7. Develop Research Instruments
Survey Design: Create well-structured surveys using tools like Google Forms to gather quantitative data.
Interview and Focus Group Guides: Prepare detailed scripts and discussion points for qualitative data collection.
8. Sampling Strategy
Sampling Design: Define the sampling frame, size, and method (e.g., random sampling, stratified sampling) to ensure representation of target demographics.
Participant Recruitment: Plan recruitment strategies to reach and engage the intended participant groups effectively.
9. Data Collection and Analysis Plan
Data Collection: Implement methods for data gathering, ensuring consistency and validity.
Analysis Techniques: Decide on analytical approaches (e.g., statistical
English Drug and Alcohol Commissioners June 2024.pptxMatSouthwell1
Presentation made by Mat Southwell to the Harm Reduction Working Group of the English Drug and Alcohol Commissioners. Discuss stimulants, OAMT, NSP coverage and community-led approach to DCRs. Focussing on active drug user perspectives and interests
India Medical Devices Market: Size, Share, and In-Depth Competitive Analysis ...Kumar Satyam
According to TechSci Research report, “India Medical Devices Market Industry Size, Share, Trends, Competition, Opportunity and Forecast, 2019-2029,” the India Medical Devices Market was valued at USD 15.35 billion in 2023 and is anticipated to witness impressive growth in the forecast period, with a Compound Annual Growth Rate (CAGR) of 5.35% through 2029. This growth is driven by various factors, including strategic collaborations and partnerships among leading companies, a growing population, and the increasing demand for advanced healthcare solutions.
Recent Trends
Strategic Collaborations and Partnerships
One of the most significant trends driving the India Medical Devices Market is the increasing number of collaborations and partnerships among leading companies. These alliances aim to merge the expertise of individual companies to strengthen their market position and enhance their product offerings. For instance, partnerships between local manufacturers and international companies bring advanced technologies and manufacturing techniques to the Indian market, fostering innovation and improving product quality.
Browse over XX market data Figures and spread through XX Pages and an in-depth TOC on " India Medical Devices Market.” - https://www.techsciresearch.com/report/india-medical-devices-market/8161.html
1. Status of Palliative
Care in Lesotho
A focus on essential pain medication
accessibility and Pain management
Sejojo Phaaroe
Google+
President of LBCN
Policy, Palliative care and Cancer Advocacy-
-APCA
2. Presentation layout
Goal
Concept of Palliative Care and its principles in Cancer patients
and people with chronic illnesses .
continuum of care and pain management in Cancer
Tools for palliative care assessment and management
Psychological aspects of Palliative care
Structures in place for strengthening Palliative care regionally
supporting Lesotho otho response/status of Palliative care
Opiods availability
Achievements
Challenges
Way forward
3. Advocacy
• *Palliative care services in a programme
must be designed to enable change by
providing Health professional and
communities with tools that encourage and
support those with terminal illnesses like
cancer to live a functional and productive
life- These are our People *- Sejojo Phaaroe
2008
4. There is no need to catch the Ball if you do not Know
where you are and- where you are going
5. Concept
• •Palliative care is the total care of individuals
with incurable diseases, and their families,
and embraces ….:
• •all physical,
• •Emotional
• •Social
• •Spiritual needs,
• • rather than purely Medical needs
6. Palliative care involves
• •Appropriate use of a range of therapies which do
not aim to cure, but rather help to control
symptoms, and preserve quality of life while
minimizing adverse effects
• •Supporting the family and friends of the patient,
and involving healthcare personel, other
professionals and the community members who
are skilled in communicating & helping with the
psychological and social dimensions of the illness
• •Giving individuals with cancer and their families
control over their own treatment and involving
them in care management decisions.
7. Palliative care
• Provides relief from pain and other distressing
symptoms;
• Affirms life and regards dying as a normal
process;
• Integrates the psychological and spiritual
aspects of patient care;
• Offers a support system to help patients live
as actively as possible until death;
8. Distinctive features of palliative care
• A younger affected age group in extremely emotive issues
such as sexuality, death, reproduction, guilt and loss of
vitality
• Multisystem disorders more common- more than one
disease process may be occurring.[
• More variable disease patterns-
• care givers must be aware of a range of new presentations
of other diseases e.g Anemia
• MORE UNPREDICTABLE TERMINAL PHASE
• Greater use of multiple drug treatments, with many new therapies
emerging
• Higher incidence of psychosocial problems- with often the worry of
young families and loss of income and unfinished business
9. Palliative care and Pain Management
across the continuum of cancer care
Diagnosi
s
Death
Palliative Care
Treatments
aimed at
prolonging life
Continuum of
Care
Palliative care & Pain Mgt across the
continuum of care
Bereavemen
t
10.
11. Classification of Pain
• Pain is generally classified as either
norciceptive or neuropathic.
• Norciceptive pain is caused by tissue injury
resulting in direct stimulation of intact
afferent nerve endings and it is either
• somatic or visceral.
• Somatic is usually well localised (described as
dull, aching, throbbing, sharp, or gnawing in
nature) whereas visceral pain is usually poorly
localized (described as deep, aching, crampy,
or a sensation of pressure).
12. Neuropathic pain
• is as a result of damage to the nerve pathways and a
normal stimulus can result in an abnormal response.
• The pain may exceed observable injury and it is typically
described as burning, tingling, pricking, shooting,
stabbing, electrical, crawling insects, etc.
• Neuropathic pain is present in about 40% of AIDS patients
the most common being painful neuropathy –
predominantly sensory neuropathy (PNS).
• It is now known that several antiretroviral therapies
(ARVs) e.g. Didanosine [ddI], Zalcitabine [ddC] and d4T,
among others, can cause painful toxic neuropathy.
13. Pain in Cancer
• Ninety percent (90%) of patients with
advanced cancer experience severe pain, with
pain occuring in about 30% of all cancer
patients, regardless of the stage of the
disease.
• More than 50% of cancer patients may be
undertreated for their pain and we need to
remember not only that pain is rarely a sign of
early cancer but that pain usually increases as
cancer progresses
• Because of angiogenessis
14. • Most common cancer pain is as a result of tumors
spreading to bones (bone metastasis).
• About 60-80% of cancer patients with bone
metastasis experience pain.
• The second most common cause of cancer pain is from
tumors infiltrating nerves and / or hollow viscuses.
• There is increasing evidence that tumors near nerves
tend to cause the most severe pain.
• The third most common pain associated with cancer
occurs as a complication of treatment given to treat
the cancer: chemotherapy, radiation, or surgery.
• More than 80% of patients with cancer experience
more than one distinct pain and this poses a great
challenge to clinicians to effectively treat chronic
cancer pain since each patient’s pain is unique.
15. Psychological aspects of palliative
care
• Anxiety and depression are common in Cancer patients
• Signs include restlessness, insomnia, shortness of
breath, numbness
• These can overshadow the psychological signs in
patient with advanced disease
• A referral to a psychiatrist or other mental health
professional when ever depression is suspected.
• Supportive psychotherapy and good listening is a good
palliative practice
• formal psychotherapy programmes need to be
established
18. Comprehensive review of international conventions on
cancers
• IUAC ( International union Against Cancer)
• IUCR ( International Union on Cancer Research )
• IAC (International Academy of Cytology)
• WHO (2002) -
•
• AFROX declaration (2007)
• …AU ( Maputo SRH declaration)
• …SADC
• …Lesotho Road map ( Maternal Mortality SRHR)
• WHO
2. Lesotho RH Cancer Screening Guidelines WHO, 2002
19. Regional response
•Resolution 58.22 of the 58th World Health Assembly
echoed resolution 2005/25 of the UN’s Economic and
Social Council (ECOSOC), thereby recognising the
importance of improving the treatment of pain using
opioid analgesics and calling upon Member States to
remove barriers to ensure their medical availability.
•In an effort to advance these resolutions and to promote
the availability of essential pain medicines in Africa,
•Intensify palliative care services
•APCA held a regional essential pain medication
accessibility workshop for the southern Africa region in
February 2008
20. Selection criteria•Senior / Chief pharmacists;
•Drug regulatory authority and / or National Competent Authority
representatives;
•National Registrar of Drugs;
•Pharmacy Board / Council representative;
•Ministry of Health (MoH) clinical services and / or policy personnel;
•Palliative care providers – persons actively providing care;
•Senior physicians and senior nurses from teaching institutions;
•Representatives from the drug enforcement agencies;
•Heads of respective oncology , pathology and / or HIV/AIDS
treatment/ care units.
•Psychologists, and Clergies
It was emphasised that the selected participants had to be willing to continue
advocating for policies that would make palliative care and essential palliative care
medicines, including opioids, available and more accessible in their espective
countries
21. SADC- Country teams
• INTRODUCTION OF THE COUNTRY TEAMS
• Lesotho
• Botswana
• Mozambique
• Namibia
• Kingdom of Swaziland
• Zimbabwe
• South Africa
23. ABOUT THE AFRICAN
PALLIATIVE CARE ASSOCIATION
• African Palliative Care Association (APCA) was
provisionally established in 2002, formally
established in 2004, to be a catalyst for the scale-up
of quality palliative care services across Africa.
• The mission of APCA is to promote and support
culturally appropriate palliative care across the
continent for people with progressive, life-limiting
illnesses, such as cancer and HIV/AIDS, through
education, training, advocacy
• development of standards of care, using a culturally
appropriate public health approach that strives to
balance quality with extended coverage.
24. Objectives of APCA
• APCA’s broad strategic objectives are to:
• Promote the availability of palliative care for all in need,
including orphans and vulnerable children (OVC);
• Encourage governments across Africa to support
affordable and appropriate palliative care and to have it
incorporated into the whole spectrum of existing health
care services;
• Promote the availability of essential palliative care
medicines (especially opioids) for all in need;
• Promote palliative care training programmes suitable for
African countries;
• Develop and promote quality standards in palliative care
training and service provision for the different levels of
health professionals and care providers;
26. Why Advocacy- remove
Barriers effective pain control
Patient related
Clinician related
Health system related
Political related
Cultural, religion, believes,
attitudes
Lack of knowledge on
palliative care, attitude,
Lack of services, lack of
coordination of supply chain
Lack of policies over opioid
regulation, dispensing for
nurses, prohibition at level 1
29. Treaties bind the entire government
• Treaties are signed by a government official on behalf
of the entire nation.
• the entire government is obligated to achieve what is
agreed on in any convention whereto a country is a
signatory.
• In case of public health issues, this responsibility is
not restricted to the Ministry of Health or even to an
individual civil servant.
• Also other ministries, including the Ministry of
Justice, the Ministry of Defence, the Ministry of
Police, or whatever ministry is involved in drug
control in a country should be dedicated to a treaty’s
objectives and obligations.
30. The Kingdom of Lesotho
• Mountain Kingdom’, gained independence from the British in
1966.
• It is a landlocked country completely surrounded by South
Africa.
• Lesotho is mountainous, with more than 80% of the country
being 1,800 meters above sea level.
• In 2007 the population of Lesotho was estimated to be 1.8
• million compared to 1.9 million in 2004.
• The population growth rate is 0.14%, with 70% of the population
being rural.
• The total life expectancy at birth is 40 years.
• The country is divided into 18 Health Service Areas, of which 10
are government owned and 7 are owned by the Christian Health
Association of Lesotho. The doctor-to-population ratio is
1:16,298, whereas the nurse-to-population ratio is 1:2,226.
• The national literacy rate is 90.3% for females and 73.7% for
males.
31. Situation as at 2008
•HIV and AIDS Control Policy, or the National Medicines Policy
of 2006. The Lesotho Standard Treatment Guidelines 2006
do not include palliative care either.
•However, the Drugs of Abuse Act is presently before Parliament and the
Medicines Bill is presently in draft form.
•The National Drug Policy 2006 addresses medications in general
without specifying classes (e.g. opioids).
•Most healthcare professionals (physicians, nurses, social workers,
pharmacists, and spiritual workers) are not well informed about the
concept of palliative care.
•Some of the nurses trained in IMAI and IMCI have familiarity with but
limited understanding of palliative care.
•All physicians are trained outside of Lesotho, many of whom are
foreign with language barriers and limited knowledge of culture
34. Cancer Situation in
Lesotho
Cervical – 40.9% - (ASIR – 66.7:100,000 (LES);
(S. Phaaroe e tal MOHSW/WHO 2007)
Breast – 18% of all cancers
Prostrate – 13.5%;
Skin – 12.6%;
Lung – no estimates ( found on autopsy);
Leukemias/lymphomas – no estimates;
No cancer treatment centre; but we are strongly
working on it to be established urgently
Cancer for angiogenesis
35. Pain Control barriers in Lesotho
•‘Freedom from pain should be seen as a
right of every cancer patient and access to
pain therapy as a measure of respect for the
right in Lesotho
•There are several barriers to effective pain
control in both cancer and / or HIV/AIDS.
Such barriers could be patientrelated;
clinician-related; societal/health system;
and political and/or legal-related.
36. Examples of the various palliative care
models not available in Lesotho are:
• Home-based care;
• Outpatient care;
• Outreach services (e.g. roadside clinics);
• Hospital-based palliative care teams;
• Day care;
• Hospice inpatient care;
• And workplace programmes.
37. Palliative care service management : Patients
should always referred to these services
• Health education : Clarify temporary aspects of
pain; acute or chronic
• palliative care advocacy focus on essential pain
medication system
• Symptom management
• Pain management
• Diet management
• Non pharmacological activities –rehabilitation,
physical / recreational activities, music , bathing,
stress management ( comedies, , acupuncture,
ocean music, meditation, motivational Talks etc)
38. Dietary guidelines to try and
prevent disease include
• Control weight and obesity
• Reduce consumption of total fat <30%
• Increase fibre intake
• Minimize consumption of salt-cured, salt-
pickled and smoked foods
• Consume alchohol beverages in moderation
if at all.
• Immune factors may interfere with
recognition of tumour cell as foreign
•pain,
weakness,
• loss of appetide,
•early satiety,
•constipation,
•dry mouth,
•dyspnea
39. The patient ‘s wishes
• •It is extremely important to involve
individuals with Cancer in the clinical decision
making process wherever possible
• •This will give them a sense of control over
their own life
• •Many cancer patients decline certain
investigations and therapies, but take strengh
from doing so
• •The wishes of the person with Terminal
diseases like AIDS and Cancer should always
be respected as far as is ethically possible
41. Medicine Formulation Strength
Pethidine Hcl Parenteral 50mg/mL
Morphine
sulphate
Tablets 10mg
Morphine Parenteral 10mg/mL
Fentanyl Parenteral 100mcg/2cc
Tramadole Tabs / caps 350 mg
Opioids Available in Lesotho are:
42. Pain and transduction
opioid, and various other substances (e.g., codeine, oxycodone, hydrocodone,
dihydromorphine, pethidine) all exert a similar influence on the opioid receptor
system
43. Opioids availability
• Other formulations that are needed include
morphine powder for reconstitution into
liquid, as well as different tablet strengths of
morphine.
• In Lesotho there are no cost implication issues
since all medicines are subsidised by the
Government of Lesotho, with the only
healthcare charge being for hospital
consultations
44. • Opioids are bought from South Africa and abroad with
only two in-country wholesale distributors: the National
Drug Service Organisation (NDSO) and TriPharm (a
private company).
• The Ministry of Health (MoH) is responsible for issuing
importation permits, and endorses supplies received by
the NDSO and orders made by public and private
hospitals.
• In order to prescribe opioids, physicians only need to be
actively licensed to practice with no need for separate
licensure.
45. challenges and barriers to opioid accessibility in
Lesotho
• 1. Inadequate, untimely and under-reporting from distributors
to MoH thereby affecting estimates sent to INCB leading to
stock-outs;
• 2. Inadequate training of MoH (the national competent
authority) in estimating and reporting to the INCB;
• 3. Rapid turnover of staff in the Medical Competent Authority
with poor continuity;
• 4. Lack of recommended opioid formulations and dosage forms;
• 5. Limited opioid availability for paediatric prescribing;
• 6. Opioid prescribing is limited to hospital settings (urban and
rural) and urban clinics;
• 7. The mountainous terrain inhibits easy access for rural dwellers
to medical facilities;
47. Pain management needs• Reassure the patient and the family that pain can be relieved.
Power of words, trust and empathy
• Explain that pain relief is not instantaneous.
• Explain that unpleasant side effects will wear off after 3 days.
• The goal of pain management is to ensure that the patient is—
• Pain-free at rest.
• Pain-free at night.
• Pain-free while active.
• Use step-by-step approach to pain relief according to the WHO
analgesic ladder . The principles governing use of
analgesics are that they should be given—
• By mouth
• By the clock
• By the ladder
• By the patient
• Reassure the patient of regular visits and reassessment by
health care professional.
Mild
pain
Aspirin
ibuprofen
Acetamin
ophen
+-
adjuvants
Moderate
pain
Codeaine
Oxycodain
e
Dihydroco
daine
tramadole
+-
adjuvants
Severe
pain
Morphine
Hydromor
phine
Methadon
e
Levorpha
nol
Fentayl
Oxycodai
ne
+-adjuvants
• 3
2
1
48. Strengthen Overall Pain Management
Strategy
• Empathy , care and support, Alternative
techniques in managing spiritual, emotional,
and social problems may require referral to
social worker or other people (medical or
nonmedical).
• Determine the aim of treatment plan.
• Decide on which analgesics to use first or
treatment implementation /course.
• Determine any adjuvants (i.e., co-analgesics)
that may be needed to counteract side effects
of the analgesics.
49. No- Rehabilitation services/ centres
• Cancer Rehabilitation
• goal is to improve daily function and quality of life for the
cancer survivor
• Fatigue
• Weakness
• Poor endurance
• Decline in balance
• Postural changes
• Joint stiffness
• Pain, pain, pain- PALLIATIVE CARE (body, mind,soul)
• Numbness in feet or hands
• Balance disorders
• Bladder and bowel management
• Multiple sclerosis
• Numbness and tingling
• Paralysis
• Parkinson's disease and other movement disorders
• Pulmonary disorders
• Sensory disorders
• Spasticity
• Speech and swallowing disorders (including apraxia)
• Walking difficulty
NO - HOSPICE
SERVICES
50. Corrective actions
1. Country strategy submitted for approval to DGHS
2. Approval of Technical Team and TOT Trainings to expand
team carried In and Outside Country
3. Trainings of Pharmacists and Pharmacy technologists on
Palliative care and in estimating and reporting to the
INCB; to include Private Pharmacies
4. Curriculum review and in -cooperated in Health training
institutions
5. Training of health training institutions tutors on Palliative care
6. APCA Coordination office was established in Lesotho
7. Advocacy and awareness activities , IEC, FLYERS
8. Palliative care Presentation LMA, - Mr Sibusiswe Dlamini
Swaziland-
51. Lesotho Trainings
9. By Hospice Lady brand and APCA
10. Island Hospice Service and APCA
12. By Trainings – HPCSA and APCA
13. By Ms Sethembile Dlamini – Trainings for Nurses
Swaziland
14. Dr Jenifer Johnson – USAID / SADAC Coordination-USA/
Swaziland
15 Training of health professionals on Palliative nurses –
Workshops , NORTH, SOUTH, CENTRAL
16. Working with a physician provider and independently provided individual and
family assessment and care planning, adjustment counseling, grief counseling,
advance care planning and long term care planning. At HOME BASED VISITS
Island Hospice Service
53. Follow up Achievements/ Strengths
• Report of Namibia Feb 2008.doc
• ......Sejojo PhaaroeDesktopPALLIATIVE
CARE IN LESOTHO 5.doc
• NCDs strategic plan inclusive of palliative care
• Baseline assessment done-( reveals that there
are no PALLIATIVE CARE services in Lesotho)
• VHA policy in place
• Need for Palliative care well articled in the
NCD.s strategic plan and implantation plan
• Palliative care is on the Political Agenda
54. Community Based, multidisciplinary palliative care
Physician Initiate care plan
Oncology .
Palliative Nurses
and other nurses
Case MGT, monitor
RX
Home care Aides Bathing, toilet,
meal preparation
Social worker Psychosocial issues
Rehabilitation
therapists
Exercises,
environmental
adaptation
Psychologists, clergies
Spiritual care , church
groups, counselors
Spiritual, psychosocial,
nutrition
55. Palliative care Results Frameworks
5
Goal: Improved Health Status
And Palliative care
Objective: Improved Use of Palliative care medicines, pain assesment and management s
R1: Access/Availability R2: Quality R3: Sustainability R4: Demand
R1.1:Commodities/Facilities
R1.2: Equity
R2.2: Provider Performance
R2.3: Training/Supervision
R2.4: Information System
R3.1: Policy
R3.2: Health Care Finance
R3.3: Private Sector
R4.1: Attitude
R4.2: Knowledge
R4.3: Community Support
56. a Case for Palliative care M&E
The Legs (Programme Implementers):
Coordinate Implement of projects, spend the
budget, report on results and leave footprints of
the organisation in the community.
The Arms and Spine (M&E
Champions):
Standard bearers of M&E Values and
principles, concepts, methods, tools
.
Head (Senior Management):
Org Brain Machine)
Sets the Agenda. Eye, Nose, and Ears and Mouth
of the Org, break the silence