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ABSTRACT FORM
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Please underline the most appropriate category for your abstract 
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Pain and other symptoms
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Palliative care for cancer patients
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Palliative care for non cancer patients
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Paediatric palliative care
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Palliative care for the elderly
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The actors of palliative care
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Latest on drugs
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Pain
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Illness and suffering throughmedia
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Marginalisation and social stigmaat the end of life
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Palliative care advocacy projects
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Prognosis and diagnosiscommunication indifferent cultures
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Communication between doctor-patient and patient-equipe
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Religions and cultures versussuffering, death andbereavement
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Public institution in the world:palliative care policiesand law
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Palliative care: from villages tometropolies
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Space, light and gardens for theterminally ill patient
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End-of-life ethics
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Complementary therapies
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Education, training and research
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Fund-raising and no-profit
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Bereavement support
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Volunteering in palliative care
PALLIATIVE CARE – A SECOND REGIONAL PROJECT OF THE MIDDLE EASTCANCER CONSORTIUM
Prof. Michael Silbermann NCI Bethesda, MD, sponsored the first survey on palliative care in MECC countries which provides an updated status with regard to palliative services and hospice services in hospitals andin the community that are currently available. It has become apparent that there are very limitedservices in countries such as Turkey, Egypt and the Palestinian Authority. As a consequence,many patients are treated only by home care givers or at community health centers that provide arelatively limited palliative care. Further, most of the terminal patients are treated by their family physicians, who for the most part, lack the proper experience in treating pain and also lack the principles of the hospice approach (www.ch.pca.net
 
).As a result of the current state in many MECC countries, many of the patients die whilesuffering from severe pains and other depressing symptoms. Concomitantly, many of thedeceased relatives report on an unbearable emotional burden that follows that experience.Today most of the terminally ill patients die outside their home; especially in hospitals and innursing homes. One of the major obstacles that prevents the provision of palliative services inMECC countries is the lack of evidenced-based standards. A recent consensus statement in theUSA (National Consensus Project for Quality Palliative Care, 2004) can serve as a basis for treatment standards in those countries that sill lack it. Moreover, this document can also be usedas a guide for training and upgrading of existing services. MECC, as a regional organization,could initiate a study for the establishment of standards of the palliative care essentials to patients in the Middle East. Such standards might serve as the criteria for all those responsiblefor the provision of health services and their funding. More recently (October 2006) INTCR has published a booklet on the Clinical Guidelines for Palliative Care.In August 2005 a project was conducted by the Center for Research on Aging: “Palliative andHospice Services in Israel” by N. Bentur, S. Resnizky and Y. Shnoor (M
YERS
-JDC-B
ROOKDALE
 I
 NSTITUTE
). It became apparent that by and large the genuine parameters for quality of palliativecare are still missing. The traditional parameters to evaluate health services such as morbidityand mortality rates, the number of days of hospitalization, recurrent hospitalizations, andseverity of pains – all of these are not necessarily representing the genuine state as far as palliative care is concerned. They usually provide only a partial answer as to how the patientsand their relatives comprehend these services and the quality of the treatment that they arereceiving.The timing of referral and acceptance at the hospice and the longevity of the survival followingthe acceptance are recognized as a relevant parameter in the evaluation of the palliative careservices. The duration of hospice-home services differ from country to country, and quite oftenthe physician faces difficulties in assessing the duration of survival. There is, therefore a need todevelop tools in order to better assess the survival time and teach these tools to the treating physicians.
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Session: Palliative care around the worldChair: Dott. Giuseppe Casale, Dott. Franco De Conno
Antea Worldwide Palliative Care ConferenceRome, 12-14 November 2008
Prof. Michael Silbermann
cancer@mecc-research.com
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