scholarly journals Barriers of palliative care practice among health care providers: In case of Jimma town, south west Ethiopia

2019 ◽  
Vol 11 (1) ◽  
pp. 25-30
Author(s):  
Tekalign Tiwabwork ◽  
Anmut, Nefsu Awoke Wallelign ◽  
Lemma Tesfanesh ◽  
Paulos Kebreab
2019 ◽  
Vol 15 (10) ◽  
pp. 531-538 ◽  
Author(s):  
Vinita Singh ◽  
Ali J. Zarrabi ◽  
Kimberly A. Curseen ◽  
Roman Sniecinski ◽  
Justine W. Welsh ◽  
...  

PURPOSE: Several states, particularly in the Southeast, have restrictive medical marijuana laws that permit qualified patients to use specific cannabis products. The majority of these states, however, do not provide avenues for accessing cannabis products such as in-state dispensaries. METHODS: We conducted a survey of patients registered for medical marijuana (low tetrahydrocannabinol [THC] oil cards) in an ambulatory palliative care practice in Georgia (one of the states with restrictive medical marijuana laws). RESULTS: We had a total of 101 responses. Among our sample of patients who use cannabis as part of a state-approved low THC oil program, 56% were male and 64% were older than age 50 years. Advanced cancer was the most common reason (76%) for granting the patients access to a low THC oil card. Although patients reported cannabis products as being extremely helpful for reducing pain, they expressed considerable concerns about the legality issues (64%) and ability to obtain THC (68%). Several respondents were using unapproved formulations of cannabis products. For 48% of the patients, their physician was the source of information regarding marijuana-related products. Furthermore, they believed that their health care providers and family members were supportive of their use of cannabis (62% and 79%, respectively). CONCLUSION: Patients on Georgia’s medical marijuana program are most concerned about the legality of the product and their ability to obtain marijuana-related products. Therefore, we recommend that states with medical marijuana laws should provide safe and reliable access to cannabis products for qualifying patients.


2021 ◽  
Author(s):  
Yadeta Alemayehu ◽  
Adamu kenea ◽  
Ebsa Gelan ◽  
Geremew Tolesa ◽  
Lemi Bacha

Abstract Background: Pandemic corona virus outbreak has global distribution and world health organization stated that there is a high risk of pandemic corona virus out spreading to other developing countries that can make health professionals serving in third world countries to fear for morbidity and mortality. Objectives: To assess level of perceived stress and associated factors among health care providers during corona virus outbreak in Ilu Aba Bora and Bunno Bedelle Zones, Oromia regional state South West Ethiopia 2020.Methods: Facility based cross sectional study design was conducted among 365 respondents. Perceived stress was assessed using perceived stress scale (PSS) instrument. The data was organized and processed by the use of epi info-7 and analyzed using SPSS version 21.Results: The prevalence of perceived stress due to pandemic corona virus management among health care providers working in public health facilities was 57% in the last month of this study period. In Multivariate logistic regression being married (AOR=4.6, 95% CI: 3.51; 9.33), less than one year working experience (AOR= 2.57, 95%CI: 1.83-7.32) and having BSc degree and lower educational background in health related fields (AOR=3.8, 95%CI: 3.81; 7.03) had significantly associated with perceived stress among health care providers at p value of less than 0.05.Conclusion: Lower work experience, being married and lower educational background was significantly associated with perceived stress. Ministry of health in collaboration with ministry of education and other stakeholders should facilitate stress management skills inductive trainings to practitioners of newly recruited health care providers working in health care facilities.


2021 ◽  
Author(s):  
Yadeta Alemayehu ◽  
Adamu kenea ◽  
Ebsa Gelan ◽  
Geremew Tolesa ◽  
Lemi Bacha

Abstract Background: Pandemic corona virus outbreak has global distribution and world health organization stated that there is a high risk of pandemic corona virus out spreading to other developing countries that can make health professionals serving in third world countries to fear for morbidity and mortality. Objectives: To assess level of perceived stress and associated factors among health care providers during corona virus outbreak in Ilu Aba Bora and Bunno Bedelle Zones, Oromia regional state South West Ethiopia 2020.Methods: Facility based cross sectional study design was conducted among 365 respondents. Perceived stress was assessed using perceived stress scale(PSS). The data was organized and processed by using epi info-7 and analyzed using SPSS version 21. Results: Prevalence of perceived stress was 57%. In multivariable logistic regression being married(AOR=4.6, 95% CI: 3.51;9.33), less than one year working experience (AOR= 2.57, 95%CI: 1.83-7.32) and having BSc degree and lower educational background in health related fields (AOR=3.8, 95%CI: 3.81; 7.03) was significantly associated with perceived stress among health care providers at p value of less than 0.05. Conclusion: Lower work experience, being married and lower educational background was significantly associated with perceived stress. Ministry of health in collaboration with ministry of education and other stakeholders should facilitate stress management skills inductive trainings to practitioners of newly recruited health care providers working in health care facilities.


2018 ◽  
Vol 34 (1) ◽  
pp. 62-69 ◽  
Author(s):  
Erin Relyea ◽  
Brooke MacDonald ◽  
Christina Cattaruzza ◽  
Denise Marshall

Schizophrenia is a serious chronic mental illness that results in marginalization and stigma for sufferers. It is the seventh leading cause for disability worldwide. The symptoms of the illness, including hallucinations, delusions, and extremely disordered thinking and behavior, may also introduce barriers to accessing treatment, education, housing, and employment. Little is known about end-of-life care for individuals with schizophrenia. To address this gap, a scoping review was conducted to enhance understanding of hospice and palliative care for patients with schizophrenia. From this scoping review, 342 unique titles and abstracts were identified through a search of 20 databases, including 11 social science databases, 6 medical databases, and 3 gray literature databases. A total of 32 articles met the inclusion criteria and the following 4 themes were identified: Stigma affecting quality of care and access to care; Issues related to consent and capacity for the patient’s end-of-life care decisions and to appoint substitute decision makers; Best practices for psychosocial interventions, pharmacology, family and health-care collaborations, goals of care, setting, and smoking; and Barriers to care, including setting, communication, provider education, and access to care. The review suggests the importance of mandatory interdisciplinary training practices and policy standards outlining cooperative communication across health-care providers. It highlights gaps in evidence-based research on psychosocial interventions and collaborative frameworks to enable the provision of quality end-of-life care for individuals with schizophrenia.


2018 ◽  
Vol 37 (1) ◽  
pp. 30-44 ◽  
Author(s):  
Rinat Nissim ◽  
Carmine Malfitano ◽  
Mark Coleman ◽  
Gary Rodin ◽  
Mary Elliott

The well-being of health care providers may be challenged by their work, with evidence that oncology health care providers are a high-risk group for burnout. The present qualitative pilot study evaluated a mindfulness-based group intervention, referred to as Compassion, Presence, and Resilience Training (CPR-T), for oncology interprofessional teams. The purpose of this study was to elucidate the subjective experience of oncology health care providers receiving CPR-T and their perceptions of its benefits, risks, or challenges. The CPR-T was delivered to providers from two oncology teams in a large cancer center in Canada. Ten of these providers participated in semistructured interviews 1 to 5 months after completing the CPR-T. The interview transcripts were coded using a thematic analysis strategy. Five benefits of the CPR-T were identified: learning to pause, acquiring a working definition of stress and self-care, becoming fully present, building self-compassion, and receiving organizational acknowledgment and recognition of stress. In addition, two participant-identified challenges were recognized: sharing vulnerability within interprofessional teams and committing to a sitting meditation practice. These findings demonstrate positive transformations as a result of the CPR-T, as well as important challenges, and have important implications for holistic health care practice in oncology. Further research is necessary to validate the findings of this explorative study.


2020 ◽  
Vol 25 (3) ◽  
pp. 140-147
Author(s):  
Kayla E. Boehm ◽  
Blaine C. Long ◽  
Mitchell T. Millar ◽  
Kevin C. Miller

Effectiveness of Kinesiology Tex Tape (KTT) is conflicting, with some clinicians supporting and others refuting its effects. There is limited information on the psychological effects of KTT or whether its increased use has been influenced by professional athletes. The purpose of this study was to assess the physiological, psychological, and use of KTT. A descriptive survey on the use of KTT was performed with athletic trainers and other health care providers. Many reported that KTT benefited patients physiologically and psychologically. Those who thought KTT provided a physiological benefit indicated that they use it. Many indicated KTT benefited patients psychologically, without impacting them physiologically. In addition, clinicians indicated KTT use has been influenced by professional athletes.


Author(s):  
Megan B. Sands ◽  
Dianne L. O’Connell ◽  
Michael Piza ◽  
Jane M. Ingham

Despite the advances of modern medicine, many illnesses continue to evade cure. Chronic, progressive, incurable illness is a major cause of disability, distress, suffering, and, ultimately, death. This is true for many causes of cancer, progressive neurological disorders, AIDS, and other disorders of vital organs. Progressive chronic diseases of this ilk are most common in late adulthood and old age, but they occur in all ages. When cure is not possible, as often it is not, the relief of suffering is the cardinal goal of medicine. The clinical imperative to relive suffering requires a nuanced understanding of the factors that contribute to suffering and the interaction between the distress of the patient, family members, and health-care providers. This chapter reviews those concepts and offers an approach to the evaluation of suffering for patients requiring palliative care.


Sign in / Sign up

Export Citation Format

Share Document