Development, Implementation and Evaluation of Palliative Care Education for Health Care Workers, Village Health Teams and Family Caregivers Providing Healthcare for South Sudanese Refugees in Adjumani District, Uganda

Caring for those who care for the dying: Coping with the demands on palliative care workers

Palliative & Supportive Care ◽

10.1017/s1478951505050492 ◽

2005 ◽

Vol 3 (4) ◽

pp. 325-332 ◽

Cited By ~ 23

Author(s):

AMI ROKACH

Keyword(s):

Health Care ◽

Palliative Care ◽

Health Care Workers ◽

Care Workers

The article reviews the complex and demanding field of palliative care, noting the sources of the stresses and strains that the health care workers often encounter. It illustrates the multidimensional needs of patients, the reasons why they and/or their families may hamper palliative care, and, mostly, what can be done to deal with and—better yet—prevent palliative workers' burnout.

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Effective Collaborative Project to Reduce Disparities and Inequities in Cancer Care and for Cancer Control in Low-Resource Setting Countries: South African Experience

JCO Global Oncology ◽

10.1200/go.20.62000 ◽

2020 ◽

Vol 6 (Supplement_1) ◽

pp. 65-65

Author(s):

Daniel Osei-Fofie

Keyword(s):

Lung Cancer ◽

Health Care ◽

Palliative Care ◽

Health Care Workers ◽

Rural Areas ◽

Cancer Care ◽

Cancer Control ◽

Mine Dumps ◽

Care Workers ◽

Northern Cape

PURPOSE The Northern Cape Province is the largest province in South Africa; however, it has the fewest resources for cancer care. There is a high incidence and prevalence of mesothelioma and lung cancer as a result of the previous indiscriminate mining of asbestos without proper legislation for the protection of miners and the environment. Mine dumps remain near villages and schools after the banning of asbestos mining, resulting in continuous exposure to asbestos fibers. Unfortunately, majority of cancers are diagnosed in late stages because of a lack of awareness and the misdiagnosis of lung cancer and mesothelioma as tuberculosis. METHODS The Northern Cape Department of Health, Bristol-Myers Squibb Foundation, and Cancer Charity Workers formed a collaboration in May 2017 to reduce disparities and inequities in cancer care and for cancer control. The Northern Cape Department of Health also collaborated with Project ECHO at the University of New Mexico to use the ECHO model for training community health care workers, training in palliative care, and mentorship and empowerment of doctors and nurses in rural areas. The aim is to recognize early symptoms and signs of cancers affecting the lung and to make referrals for early diagnosis and treatment. RESULTS An advocacy group has engaged the Provincial and National Department of Mining and Environmental Affairs for rehabilitation of asbestos mine dumps. Community health care workers have been trained and are assisting with community awareness and patient navigation. Doctors have been trained in palliative care and are training other health care workers in palliative care. A center of excellence for the diagnosis and treatment of lung cancer, palliative care, survivorship, and research has been established. Retention of doctors and nurses in rural areas for cancer care and early referral is improving. A lung cancer research laboratory is being set up. CONCLUSION Effective collaborative projects can help address disparities in cancer care and effective cancer control in areas with limited resources.

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Integration of Early Infant Diagnosis of HIV Services Into Village Health Clinics in Ntcheu, Malawi: An Exploratory Qualitative Study

Journal of the International Association of Providers of AIDS Care (JIAPAC) ◽

10.1177/2325958220981256 ◽

2021 ◽

Vol 20 ◽

pp. 232595822098125

Author(s):

Felix Chinguwo ◽

Alinane Linda Nyondo-Mipando

Keyword(s):

Health Care ◽

Qualitative Study ◽

Health Care Workers ◽

Early Infant Diagnosis ◽

Hiv Services ◽

Health Clinics ◽

Early Infant ◽

Care Workers ◽

Hiv Exposed ◽

Village Health

Integration of Early Infant Diagnosis(EID) of HIV into Village Health Clinics (VHCs) would increase the uptake of services. This study assessed mothers and health care workers’ acceptability of integration of EID of HIV services into VHCs in Ntcheu, Malawi. We conducted an exploratory qualitative study in the phenomenological tradition among 20 mothers of either HIV exposed or non-exposed infants and 18 health care workers (HCWs) from February to July 2019. We analyzed the data using a thematic approach and guided by the theoretical framework for acceptability. There were positive perceptions of the integration of services. Acceptability is influenced by attitudes, perceived burden, intervention coherent services, and perceived effectiveness of services. The successful integration of EID of HIV into VHCs requires strengthening of the health system and community awareness. Efforts to mitigate stigma should be prioritized when integrating the services to optimize uptake of the services at a community level.

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Bacteriological Profile and Antimicrobial Efficacy of Alcohol-based Hand rubs Among Health Care Workers and Family Caregivers at the Children's University Teaching Hospital in Lusaka, Zambia

Scientific African ◽

10.1016/j.sciaf.2021.e00775 ◽

2021 ◽

pp. e00775

Author(s):

Mukena Nawa ◽

Panji Nkhoma ◽

Mulemba Tillika Samutela ◽

Edgar Simulundu ◽

Sody Munsaka ◽

...

Keyword(s):

Health Care ◽

Family Caregivers ◽

Teaching Hospital ◽

Health Care Workers ◽

University Teaching ◽

Antimicrobial Efficacy ◽

Bacteriological Profile ◽

Care Workers

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Health-Care Workers’ Judgments About Pain in Older Palliative Care Patients With and Without Delirium

American Journal of Hospice and Palliative Medicine® ◽

10.1177/1049909116672641 ◽

2016 ◽

Vol 34 (10) ◽

pp. 958-965 ◽

Cited By ~ 1

Author(s):

Kenneth Mah ◽

Rebecca A. Rodin ◽

Vincent W. S. Chan ◽

Bonnie J. Stevens ◽

Camilla Zimmermann ◽

...

Keyword(s):

Health Care ◽

Palliative Care ◽

Cancer Pain ◽

Advanced Cancer ◽

Health Care Workers ◽

Pain Assessment ◽

Pain Control ◽

Older Patients ◽

Care Workers ◽

Good Pain Control

Delirium complicates pain assessment and management in advanced cancer. This retrospective cohort study compared health-care workers’ (HCWs) cancer pain judgments between older patients with advanced cancer with and without a diagnosis of delirium. We reviewed HCWs’ daily chart notations about pain presence and good pain control in 149 inpatients with advanced cancer, ≥65 years of age, admitted to a palliative care inpatient unit. Any day with 1 or more notations of pain presence was counted as 1 day with pain; days with notation(s) indicating good pain control were similarly counted. Proportions of days that HCWs judged inpatients to have pain and good pain control were calculated. Patients with and without a delirium diagnosis were compared on both pain outcomes. The moderating effect of highest analgesic class administered was examined. Although most patients received opioid analgesics, mean proportions of days with judged pain were high (39%-60%) and mean proportions of days with judged good pain control were low (<25%) across groups. Among patients receiving either opioid or nonopioid medication, patients with delirium demonstrated lower proportions of days with judged good pain control than patients without delirium ( P ≤ .001), even though groups did not differ in proportions of days with judged pain ( P = .62). Cancer pain is difficult to manage in advanced cancer, especially when delirium is present; however, misinterpretation of delirium symptoms as pain cues may inflate pain judgments. Findings require replication but suggest the need for better pain assessment in older patients with advanced cancer and delirium.

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