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Antea Worldwide Palliative Care Conference

Rome, 12-14 November 2008


Prof. Michael Silbermann
Email: Prof. Michael Silbermann
NCI Bethesda, MD, sponsored the first survey on palliative care in MECC countries which
Phone provides an updated status with regard to palliative services and hospice services in hospitals and
in the community that are currently available. It has become apparent that there are very limited
services in countries such as Turkey, Egypt and the Palestinian Authority. As a consequence,
Mobile phone many patients are treated only by home care givers or at community health centers that provide a
relatively 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 (
Please underline the most As a result of the current state in many MECC countries, many of the patients die while
appropriate category for your suffering from severe pains and other depressing symptoms. Concomitantly, many of the
abstract deceased 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 in
• Pain and other symptoms
nursing homes. One of the major obstacles that prevents the provision of palliative services in
• Palliative care for cancer patients MECC countries is the lack of evidenced-based standards. A recent consensus statement in the
• Palliative care for non cancer USA (National Consensus Project for Quality Palliative Care, 2004) can serve as a basis for
patients treatment standards in those countries that sill lack it. Moreover, this document can also be used
• Paediatric palliative care
as 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
• Palliative care for the elderly
patients in the Middle East. Such standards might serve as the criteria for all those responsible
• The actors of palliative care
for the provision of health services and their funding. More recently (October 2006) INTCR has
• Latest on drugs published a booklet on the Clinical Guidelines for Palliative Care.
• Pain In August 2005 a project was conducted by the Center for Research on Aging: “Palliative and
Hospice Services in Israel” by N. Bentur, S. Resnizky and Y. Shnoor (MYERS-JDC-BROOKDALE
• Illness and suffering through INSTITUTE). It became apparent that by and large the genuine parameters for quality of palliative
media care are still missing. The traditional parameters to evaluate health services such as morbidity
and mortality rates, the number of days of hospitalization, recurrent hospitalizations, and
• Marginalisation and social stigma
severity of pains – all of these are not necessarily representing the genuine state as far as
at the end of life palliative care is concerned. They usually provide only a partial answer as to how the patients
• Palliative care advocacy projects and their relatives comprehend these services and the quality of the treatment that they are
• Prognosis and diagnosis receiving.
communication in The timing of referral and acceptance at the hospice and the longevity of the survival following
different cultures the acceptance are recognized as a relevant parameter in the evaluation of the palliative care
services. The duration of hospice-home services differ from country to country, and quite often
• Communication between doctor- the physician faces difficulties in assessing the duration of survival. There is, therefore a need to
patient and patient- develop tools in order to better assess the survival time and teach these tools to the treating
equipe physicians.
• Religions and cultures versus
suffering, death and
• Public institution in the world:
palliative care policies
and law
Session: Palliative care around the world
• Palliative care: from villages to Mobile phone
Chair: Dott. Giuseppe Casale, Dott. Franco De Conno
• Space, light and gardens for the
terminally ill patient
• End-of-life ethics
• Complementary therapies
• Education, training and research
• Fund-raising and no-profit
• Bereavement support
• Volunteering in palliative care
• Rehabilitation in palliative care
• Palliative care quality indicators