Palliative Care Program at Clemenceau Medical Center · Ministry of Public Health for the...
Transcript of Palliative Care Program at Clemenceau Medical Center · Ministry of Public Health for the...
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Presented by:
DR. ASSEM EL HAJJ
Palliative Care Program at Clemenceau Medical Center
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Outline
1-Background
2-Objectives
3-Methods
4-Procedure
5-Results
6-Discussion
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Background
WHO definition for Palliative Care (PC): “Palliative care (PC) is an approach that improves the
quality of life of patients & their families facing the problems associated with life-threatening
illnesses, through the prevention and relief of suffering by means of early identification &
impeccable assessment & treatment of pain & other problems, physical, psychosocial and spiritual.
It begins when disease is diagnosed and continues regardless of whether or not the client is
receiving treatment.”
PC is a new concept in the Lebanese health care system, which was only recently added to the list of
medical specialties (Osman et al., 2013).
The National Committee for Pain Control & Palliative Care (NCPCPC) was established by the
Ministry of Public Health for the development of a national strategy for palliative care.
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A mobile PC unit was launched at CMC in 2017 to improve the quality of life,
experience & financial performance of patients with serious life-limiting illnesses.
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The Journey of Palliative Care
Service at CMC
Hospital Based PC
Mobile Unit
NCPCPC recommendations
JCI standards
CMC mission / vision along with the increasing patient needs
Improve the quality of life,
experience and financial
performance in patients with
serious life-limiting illnesses
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Principles of Palliative Care Service
The developed Palliative Care Mobile Unit is a physician-led unit
assisted by a nurse and is founded on below principles:
Respecting patient Privacy
Holistic Approach
Provide the best
quality of life for the patient and his family
Individualized and Age
specific
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Objectives
The Palliative Care Mobile Unit aimed to achieve the following
objectives:
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Methods
The Planning Phase:
Appointment of a Palliative Care Physician and Nurse
Forming an interdisciplinary PC team including: psychologist, educators
and oncology fellow
Development of unit operational policy and workflows including Model of
care
Development of interdisciplinary plan of care
Training for healthcare providers by certified bodies
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MEET THE TEAM
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Procedure
Implementation phase:
1- Awareness campaign: Grand-round, pamphlet
2-Monitoring system: where a patient / family satisfaction survey
was developed
3- Referral process: Palliative Care process flow chart
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Palliative Care process flow chart
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Results
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Discussion
Considerable utilization of PC services throughout 2018 along with increase in
patient / family satisfaction
75 % of PC services were linked to oncology patients at end of life that goes with
Lebanese current status.
• The identified challenges:
1- At professional: lack of knowledge and skills and inappropriate attitudes and
behaviors among health professionals
2-System level: lack of resources, inadequate financial coverage, poor
coordination of care, problems with drugs availability and accessibility, and lack
of legislation
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VISION
Ad-hoc Efforts / Incubation
Establish PC Mobile Unit
Palliative Care Unit
@Home
Current Focus
Time
Pall
iati
ve C
are
Cap
ab
ilit
ies
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