Pain and Palliative Care Clinic

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Table Of Contents
1.0Palliative Care4
2.0Definition4
3.0Evolution Of Palliative Care Programs In North Kerala6
3.1Early Palliative Care Clinics In Northern Kerala6
3.2From clinics to neighbourhood networks in palliative care (NNPC)6 4.0Institute of Palliative Medicine8
5.0IPM – Operations9
5.1LOCAL ACTIVITIES9
5.1.1Inpatient unit9
5.1.2Home Care Programme10
5.1.3Footprints12
5.1.4Community Care Centre for PLWHA12
5.1.5Caring for Childhood Cancer & Chronic Illness (C4CCCI)12 5.1.6Kidney Patients Welfare Association, Kozhikode12
5.2STATE LEVEL ACTIVITIES12
5.2.1Arogya Keralam Palliative Care Project13
5.2.2Training Centre for health care professionals in the Government sector13 5.2.3Project for different abled people13
5.2.4Neighbourhood Network in Palliative Care13
5.3NATIONAL LEVEL ACTIVITIES14
5.4INTERNATIONAL ACTIVITIES14
5.5OTHER ACTIVITIES15
6.0Courses Offered at IPM18
6.1COURSES FOR DOCTORS18
6.1.1National Fellowship Programme in Palliative Medicine18 6.1.2Basic Certificate Course in Palliative Medicine (BCCPM)18 6.2COURSES FOR NURSES18
6.2.1Basic Certificate Course in Palliative Nursing (BCCPN)18 6.2.2Basic Certificate Course in Palliative Auxiliary Nursing (BCCPAN)18 6.3COURSES FOR VOLUNTEERS18
6.3.1Training For Volunteers:19
6.4CERTIFICATE COURSE IN ESSENTIAL OF PALLIATIVE CARE20
7.0Management21
8.0Funding22
8.1FUND RAISING PROGRAM22
9.0Critical Remarks for NNPC24
10.0Recommendations24
11.0References:25

Palliative Care

Palliative care (from Latin palliare, to cloak) is any form of medical care or treatment that concentrates on reducing the severity of disease symptoms, rather than striving to halt, delay, or reverse progression of the disease itself or provide a cure. The goal is to prevent and relieve suffering and to improve quality of life for people facing serious, complex illness. Non-hospice palliative care is not dependent on prognosis and is offered in conjunction with curative and all other appropriate forms of medical treatment.

Definition

Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. [pic]

Figure 1

Palliative care:
• provides relief from pain and other distressing symptoms; • affirms life and regards dying as a normal process;
• intends neither to hasten or postpone death;
• integrates the psychological and spiritual aspects of patient care; • offers a support system to help patients live as actively as possible until death; • offers a support system to help the family cope during the patients illness and in their own bereavement; • uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated; • will enhance quality of life, and may also positively influence the course of illness; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and includes those investigations needed to better understand and manage distressing clinical complications.

Evolution Of Palliative Care Programs In North Kerala

Kerala, in south western India, has two-thirds of the approximately 100 palliative care services in the country. These services cover a population of 32 million in a country of over a billion people. Fifty-seven of the 65 centres in Kerala belong to a network called the Neighbourhood Network in Palliative Care.

1 Early Palliative Care Clinics In Northern Kerala

The pain and palliative care society (PPCS) a nongovernmental organization (NGO) began at Kozhikode (a.k.a. Calicut) in 1993....
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