Center of Palliative Medicine at Kharkiv National Medical University: Modern Challenges and Development Strategies (original) (raw)
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Pondicherry Journal of Nursing
The palliative care goal is to relieve the patients' suffering and their families by assessment of the comprehensive treatment of physical, psychosocial, and spiritual symptoms felt by the patients. It helps patients and their relatives to conclude suitable medical care and to support the goal of patient care with healthcare professionals. Finally, palliative care establishing the requirement of a proxy, resuscitation status, and advance directives is an essential part of palliative care at the end of life. This review aims to recognize the role of palliative care at the end of life. As death approaches, the symptom burden of a patient may worsen and require more aggressive palliation. As ease measures strengthen, so does the care provided to a dying patient's family. Once death has occurred, the role of palliative care focuses primarily on the support of the patient's family and bereavement.
Palliative Care Services from Past to Present
Palliative Care [Working Title]
Palliative care (PC) refers to all services provided to make the remaining life of a patient meaningful and valuable. It is recommended that palliative care that is applied to improve the life quality of the patients should not be based only on the diagnosis and prognosis of the disease but also on the need of the patients. Even, palliative care was administered only in the late stages of diseases in the past, but these days it is recommended to be administered in addition to therapies starting from the diagnosis of life-threatening diseases. Palliative care requires a multidisciplinary team approach consisting of professionals who serve for a common purpose.
Clinical Practice of Palliative Care: Current Concepts and Future Perspectives
Annals of the National Academy of Medical Sciences (India), 2019
Pain is a distressing symptom having biological, psychological, and social consequences. A large number of cancer patients are in advanced stages of the disease and for these patients the only positive and realistic option is pain management and palliative care. These patients have complex needs that have to be taken care of in order to improve the quality of life of such patients and their family members. Surgical treatment along with chemotherapy and radiotherapy is the mainstay for the treatment of cancer, but these modalities also have limitations. The main aim behind palliative care is to allay the sufferings of a terminally ill patient by responding to pain using multimodal analgesia including opioids. According to WHO step ladder, other symptoms like breathlessness, fatigue, delirium etc., are also needed to be managed adequately along with psychosocial and spiritual support. Along with it patients and his family members should be well explained that palliative care is a mult...
Updates on palliative care: what, for whom, and how?
IUG journal for natural and engineering studies, 2021
Background Palliative care is a relatively new field of modern medical care that focuses on relieving and preventing the suffering for patients with cancer and other serious and chronic diseases in as such is an ancient art given a new framework and backed by a body of evidence and experience. Palliative care was defined in 1990 by the WHO followed by specific guidelines for children in 1998 and a revision in 2002 where the scope of palliative care was broadened and included a public health approach (Sepúlveda, Marlin et al. 2002). In 2014 the 67 th World Health Assembly approved an important Resolution to ask all signatory countries to ensure palliative care is provided and relevant training and planning is integrated. The scope and place of palliative care
Palliative Care for Non-Cancer Patients in Tertiary Care Hospitals
International Journal of Medicine and Public Health
Non-cancer conditions and palliative care In the recent times medical fraternity has realized the limitations of curative medicine in improving the quality of life of patients suffering from chronic diseases and importance of palliative medicine in caring for these patients. Palliative care is now recognized as the need of not only cancer patients but also people with HIV, severe kidney disease, heart failure, end stage lung disease, progressive neurological diseases and other life limiting illnesses. 1 In 2010 the major contributions to diseases requiring palliative care in India were from non-communicable diseases that accounted for 53% of all deaths. Among them, cancers constituted only 6%, whereas cardiovascular diseases contributed to 24% followed by respiratory diseases (11%), injuries (10%) and diabetes (2%). 2 As per the Global Atlas of Palliative care, the common conditions among adults and children which require palliative care are given in table no 1. The less common conditions are multidrug-resistant tuberculosis (0.8%), Parkinson's disease (0.48%), rheumatoid arthritis (0.27%) and multiple sclerosis (0.04%) among adults and cardiovascular diseases (6.18%), endocrine and blood immune disorders (5.85%), cancer (5.69%), neurological conditions (2.31%), kidney diseases (2.25%), cirrhosis of liver (1.06%) among children. 3 Cancer ranks second among adults and eighth among the children. People with non-cancer life limiting diseases also suffer from physical symptoms like pain and psychosocial distress which compromises their quality of life very often for the rest of their lives, affecting also the family members and caregivers. Palliative care as defined by WHO 3 is the solution to these patients given that curative medicine is focused on biomedical mechanisms alone.
Palliative care: A "missing chapter" in medical science
Palliative care is a method which provides special care to patients and families facing progressive and fatal diseases. This care emphasizes on giving relief from psychological problems, spiritual distress and physical symptoms. Understanding and learning of applying principles of palliative medicine are important in the field of palliative care. This review provides an idea about the status of palliative care, hospice care and integration of palliative care in the Indian curriculum of medical science. Many studies suggest that palliative care is appropriate in the care of chronic illness. But research and educational progress of palliative care are still scarce in present day technology based knowledge of medical biology. Our aim in this review is to focus the light on the dearth of knowledge for integrative palliative care needed for the medical professional of chronic diseases, researchers and others related to palliative care.
Abstract Background India, with a population of over a billion people, is a country of varying social, cultural and geographic characteristics. There are real problems in meeting the health care needs of such a large population, particularly, the poor in rural areas. Palliative Care represents an important resource in the completion of good medical care which can help to take the best care of patients and their families. The availability of palliative care is very limited in much of the world. Aim The current study has been undertaken to know the need for palliative care in Kerala. Materials and Methods For the purpose of study,30 respondents were selected as samples by adopting convenience sampling method. Analysis was done via statistical software 17.0. using statistical tools ,viz. Friedman repeated measures analysis of variance on ranks and percentages. Results The study revealed that most of the patients were suffering from the problems of old age and disability and could not avail palliative care service as they were unaware of palliative care service . The major physical problem suffered by the deceased patients before one year of their * M.Com(IV Sem) Student ** Associate Professor in Commerce Post Graduate Department of Commerce and Research Centre, St. Peter’s College, Kolenchery, Ernakulam, Dist., Kerala- 682 311,India IJPSS Volume 5, Issue 10 ISSN: 2249-5894 ___________________________________________________________ A Monthly Double-Blind Peer Reviewed Refereed Open Access International e-Journal - Included in the International Serial Directories Indexed & Listed at: Ulrich's Periodicals Directory ©, U.S.A., Open J-Gage, India as well as in Cabell’s Directories of Publishing Opportunities, U.S.A. International Journal of Physical and Social Sciences http://www.ijmra.us 288 October 2015 death was agitation and thereafter till their death was” Cachexia”. “Change in Faith and Beliefs” was the major Psycho-Social problem faced by the patients for the last one year before their death Conclusion The major physical problem suffered by the deceased patients before one year of their death was agitation and thereafter till their death was” Cachexia”. “Change in Faith and Beliefs” was the major Psycho-Social problem faced by the patients for the last one year before their death. most of the patients could not avail such service as they were unaware of the palliative care service . Key words: Palliative Care, Friedman test, Worldwide Palliative Care Alliance, Cachexia, Agitation.
Palliative care: Time for action
IP Journal of Paediatrics and Nursing Science
Palliative care improves the life quality of client and also for their families who are suffering with challenges associated with life-threatening illness, whether physical, psychological, social or spiritual. The quality of caregiver’s life also improves. According to WHO each year, an estimated 40 million people are in need of palliative care; 78% of them people live in low- and middle-income countries. Worldwide, only about 14% of people who need palliative care currently receive it. Unnecessarily restrictive regulations for morphine and other essential controlled palliative medicines deny access to adequate palliative care.
A new international framework for palliative care
European Journal of …, 2004
In spite of recent advances in anti-cancer treatments, most adult cancer patients still ultimately die from their disease. There should therefore be free access to palliative care around the clock and seven days a week, for all cancer patients, as a fundamental human right.