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Antea Worldwide Palliative Care Conference

Rome, 12-14 November 2008


Chiara Taboga
Author: Chiara Taboga
Email: In the last 10 years the support of palliative care has become one of the main goals of
government, especially for the health ministry. There has been a lot of attempts, more or less
Phone successful, to find out indicators and indications to help organizations built up good structures
delivery palliative care.
Antea, like few others organizations in Italy, cares of terminally ill patience since 1987, ,more
Mobile phone than 20 years. This experience, the enthusiasm of all the operators and the needs of the patients
and families bring us to try new solution to improve the quality of care and the work managemnt
(thecniqes, relations, emotions and education).
Once we collect the directions gine by the ministry and the SICP, we made a report about the
Please underline the most quality of our assistence, a deep analisis of the kind of care we offer. We decide to work on few
appropriate category for your goals, empowering our best and trying to solve the weaknesses. What we whant to do now,
abstract thogheter with you is a new analisis to understand which parameters best rappresent the quality
of palliative care and how to improve it.
• Pain and other symptoms
Accessibility : we begane to develop a network with hospitals and practitioners to help the
• Palliative care for cancer patients people to find the right service at the right moment, the exchange of knowledge with others
• Palliative care for non cancer operators brings to daily education of doctors and nurses
patients Competence: we find tutor and study trainig to introduce new employers, the 80% of doctors
• Paediatric palliative care
and nurses have a master in palliative care.
Continuity: we built a integrate file used by all the members of the equipe. The 90% of the
• Palliative care for the elderly
equipe work in all the setting of care: hospice, home care and ambulatory – day hospice.
• The actors of palliative care
Expected Efficacy: we made a satisfaction’s questionnaire to understand the real needs of
• Latest on drugs families and patients, crossing the results with the dimissions planes.
• Pain Sicurity: we focus our attention on the operators with balint groups, to prevent stress and burn
out, for the families we organize (with volunteers) auto- mutual help groups for loss and grief.
• Illness and suffering through Timeliness: the network of the structures, delivering palliative care or not, let operators to
media identify the best moment for the passage of care and for the education, helping the equipe to start
to talk about the possibility of death, giving the feeling of being alone in this difficult ituation.
• Marginalisation and social stigma
Humanization: patients and families can express their preference about the setting o care, we
at the end of life reduce the waiting list and we solve the problems of burocracy, managing in autonomy the move.
• Palliative care advocacy projects With the help fo Antea association and the hard work of the social worker we move straingers
• Prognosis and diagnosis back to their countries if they wish.
communication in The main difficulties in this system are: involve all the people at all level in the quality
different cultures management, the need to made the people understand the changes and the aims of that changes,
the diffusion and the condivision of the outcomesreached.
• Communication between doctor-
patient and patient-
• Religions and cultures versus
suffering, death and
bereavement Session: Palliative care quality indicators
• Public institution in the world:
Chair: Dott. Carlo Peruselli
palliative care policies
and law
• Palliative care: from villages to
• 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