Palliative Care in the Global Setting

Publication Date: May 8, 2018

Key Points

Key Points

The purpose of this pocket guide is to provide expert guidance to clinicians and policymakers on implementing aspects of palliative care — for example, the personnel, training, workforce, model, and timing of palliative care — in resource-constrained settings.

It is intended to complement the Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology (ASCO) Clinical Practice Guideline Update of 2016.(http://ascopubs.org/doi/10.1200/JCO.2016.70.1474)

All recommendations underwent Formal Consensus.

Recommendations

...commendations

...tive Care Models...

...eralThere should be a coordinated system whe...

...mary Health Care)Palliative care n...

...ict)In addition to the provision of palliat...

...ional)In addition to the community...

...(National)In addition to the palliative care se...


Timing

...Palliative care needs should be addressed...

...mitedThe palliative care needs of patients...

Enhanced and MaximalFor newly diagnosed patie...


Workforce, Knowledge,...

...Primary Health Care Provider)All health prof...

...ted (District-Level Facility)Interdisci...

...gional Facility)A team including a physician, a nu...

...(National Cancer Center/Institute)See Ferrell BR,...


...se Role in Pain Managemen...

...Settings)The nurse should participate in e...


Spiritual Care

...l Settings)Spiritual care provided by appropr...


Social Work/Counseli...

...StatementThe psychosocial needs of patients...

...asicWhen staffing is limited and specializ...

...itedPhysicians and nurses may address...

...ancedCounselors with special training in pal...


...pioid Availability

...al (Across All Settings)Health care systems sho...

...alth care institutions should have access...

...on to IR oral and injectable morphine...

...ancedIn addition to the opioids available at...


...1. ASCO Framework of Resource Stratificatio...