PALLIATIVE MEDICAL CARE Chandankumar nittur bhaktaprakash (La2-co-161A)

bhaktaprakash

(La2-co-161A)

and how to access them

of life of patients and their families facing the problems

associated with life-threatening illness, through prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems physical, psychosocial and spiritual’ (WHO, 2002)

Palliative Care should involve holistic care according to NICE (2004) striving for ‘best quality of life’, ‘applicable earlier in the course of the illness in conjunction with other treatments’ and ‘to help patients to live as actively as possible until death and to help the family to cope during the patient’s illness and in their own bereavement’ (p.20).

and families ‘during treatment and allowing them to live as

well as possible with the effects of the disease’ (NICE, 2004 p.18) and even mentions from diagnosis through to cure as well as to death and bereavement.
This would fit with the cancer survivorship, initiative (DOH, 2007a, 2010); a cancer survivor being : ‘someone who has completed initial treatment and has no apparent evidence of active disease, or is living with progressive disease and may be receiving treatment but is not in the terminal phase of illness, or someone who has had cancer in the past’ (Corner, 2007).
Long Term Conditions

the aim of allowing patients to ‘live as well until

they die throughout the last phase of life and into bereavement’.
The last phase considered to be last 12 months of life.
Advanced Care Planning
Amber Bundles

during their hospital stay
Chris Smyth The Times Published:

19 March 2014
Liverpool care pathway review shows challenges in palliative care Melanie Henwood Guardian Professional, Tuesday 23 July 2013 
Neuberger Report, 2013
Francis Report, 2013

care which should be provided by all healthcare professionals, in

primary or secondary care, within their duties to patients with life-limiting disease’

Social Worker, Therapists, Chaplain, Complementary Therapies

Provided at the expert level,

by a trained, multi-professional team in order to manage persisting, sever or complex problems

and Clinical Nurse Specialists

Macmillan Palliative Care Unit – 18 bedded

inpatient unit

Outpatient clinics run by Consultants and Registrars
Community Visits

Complex Case Management

mainly of Clinical Nurse Specialists with access to Consultant and

Registrar Support

St Luke’s Hospice Inpatient Centre – 20 bedded unit

Therapies and Rehabilitation Centre – Day Care

Care CNS Team providing seven day, 9-5 service

STH after 5pm

– Contact switchboard who will contact Registrar on call for Palliative Care

prioritised

Visit ward