1 / 17

PALLIATIVE CARE SERVICES

PALLIATIVE CARE SERVICES. THE NORTHERN IRELAND PERSPECTIVE. Palliative Care

Pat_Xavi
Télécharger la présentation

PALLIATIVE CARE SERVICES

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. PALLIATIVE CARE SERVICES THE NORTHERN IRELAND PERSPECTIVE

  2. Palliative Care The active total care of patients whose disease is not responsive to curative treatments. Control of pain and other symptoms, and of psychological, social and spiritual problems, is paramount. The goal of treatment is quality of life WHO 1990

  3. Principles of Palliative Care • Affirms life and regards dying as a normal process • Neither hastens nor postpones death • Provides relief from pain and other distressing symptoms • Integrates the psychological and spiritual aspects of care • Offers a support system to help patients live as actively as • possible until death • Offers a support system to help the family cope during • the patients illness and in their own bereavement. • WHO 1990

  4. Palliative Care “Many aspects of palliative care are also applicable earlier in the course of the illness in conjunction with anti-cancer treatments” WHO 1990

  5. LEVELS OF PALLIATIVE CARE • General Palliative Care ( Generic Teams,Primary Care Teams ) • Specialist Palliative Care Teams ( provided by multi-professional Teams who have undergone specialist training and whose main area of practice is Palliative Care.

  6. PALLIATIVE CARE • “Provision of palliative care services to all who need them regardless of diagnosis” • Standing Medical Advisory Committee 1992 • NHS Executive E L (96) 85

  7. National Services Frameworks Cancer Coronary Heart Disease (including Heart Failure) Older People Should have access to Palliative Care appropriate to their needs

  8. Calman – Hine (NHS Cancer Plan) Report 1995 Campbell Report 1996 HSS Boards Cancer Strategy Reports Palliative Care Sub-Groups Regional Advisory Committee on Cancer (RACC) Regional Review of Palliative Care Partnerships in Caring /Standards DHSSPS group implementation ofPartnerships in Caring DHSSPS/NCHSPCS standards & guidelines group DEVELOPMENT OF SERVICES

  9. N. Ireland Specialist Palliative Care Services (1.5m) (Red dot indicates Hospices)

  10. Specialist Palliative Care Services (Yellow dot indicates hospital palliative care teams)

  11. Specialist Palliative Care Services (Shaded areas show community palliative care teams )

  12. Best Practice Guidelines • Control of pain in patients with cancer SIGN Guidelines 2000 • Changing Gear: Guidelines for managing the last days of life National Hospice Council 1997 • Integrated Care Pathway for the Dying Ellershaw 1997

  13. 10 (+2)Consultants 4 Trainee Doctors 46 Specialist Nurses 61(80) Hospice Beds 1 Cancer Centre / 4 Unit PCT 11 Community Teams 6 Day Hospice Facilities 4 Bereavement Services 1Paediatric palliative care team (Regional) Paediatric Hospice Service PROVIDERS N Ireland Hospice Care Marie Curie Cancer Care Macmillan (Cancer) Relief The Foyle Hospice Southern Area Hospice Services Partnerships in Caring

  14. Undergrad. medical Undergrad. nursing Postgrad. medical Postgrad. nursing Postgrad. multi-professional Specialist Medical Training Queens Belfast (QUB) University Ulster(UU)&QUB Hospital& Community UU &QUB Hospital& Community UU/Hospice/MCCC 4year specialist programme (RCP/JCHMT & APM) Education

  15. Training for consultants in Palliative Medicine • Entry criteria MRCP,MRCGP,FFA,FFR • Numbered training posts (SpR) • Training curriculum APM, JCHMT • 4 year rotation • Palliative Medicine,GIM,Oncology Research ,HIV/AIDs ,Elective modules • Assessment & Appraisal • Accreditation ,(STA)

  16. Research • U U & NI Hospice Care (Dyspnoea) • UU & Cancer Unit (Altnagelvin HSS Trust)(Syringe driver use) • Marie Curie Belfast /RCSI Dublin (QoL) • UU (Masters &PhD in nursing research in palliative care) • Cancer Center/UU (Distress in cancer patients) • Cancer Center/Consortium (Fatigue Study) • Multi-center trials (Ketamine, Cannabis) • Resources • Ethical issues & high attrition rates

  17. N.I links with National Groups • Association for Palliative Medicine of Great Britain and Ireland • Irish Association of Palliative Care • National Council for Hospice and Specialist Palliative Care Services • N. Ireland Ethics Forum • Royal College of Nursing Palliative Care Forum

More Related