Professional Documents
Culture Documents
Perspective of Palliative Care
Perspective of Palliative Care
Fe Ai Ma
Quality of life
A whole person approach
Care for both the dying person and those that matter to the
person
Patient autonomy and choice
Principles underlying palliative care provision (NCPC 1997)
It is the right of every person with a life threatening illness to receive appropriate
palliative care wherever they are.
* Care involves an interdisciplinary approach to expert medical and nursing care, pain management,
and emotional and spiritual support
* Care is provided primarily in the home, but can also be provided in free-standing hospice facilities,
hospitals, and nursing homes
(ACS, 2004, p. 532)
Advance Directive
(also called a Living Will)
• An Advance Directive is a document that lets patients state their wishes about medical care in the event that
they develop a terminal or irreversible conditions and can no longer make their own medical decisions
(TxPEC, 2009).
Japan
• Palliative care standards were first introduced in 1997.
• Palliative care education is included in the curriculum of most medical schools in the country and all nursing
schools.
• 120 services related to palliative care are available country-wide.
Singapore
• 13 organizations providing palliative care.
• Palliative care module added to medical school curriculums.
Countries with established systems
Malaysia
• In 1998, the Government began requiring every district and general
hospital to introduce a palliative care provision.
Mongolia
• Palliative care incorporated into National health plan.
• Palliative care module included in medical school curriculum.
New Zealand
• A palliative care education program has been established for care
assistants.
• 41 services are currently delivering palliative care throughout the country.
Countries with localized provisions
The criteria to be classified as having a local provision
China of palliative care include:
South Korea
Philippines • Critical mass of activists in one or more locations
• Service established – often linked to home care
Vietnam • Local awareness and/or support
• Sources of funding established (though may be
heavily donor dependent and relatively isolated from
one another, with little impact on wider health policy)
• Morphine available
• Some training undertaken by the hospice
organization
Country/Province Age
Indonesia 70.90
East Kalimantan 73.68
DI Yogyakarta 74.71
Palliative Care in Indonesia (Milestone)
2014
• Most cancer
2013 treatments are
• National now covered
technical by public
2007 Guidance for health
1999 • Minister of palliative care insurance,
Health, in cancer has National
•The Indonesian palliative care
been published
1992 Palliative Society
(Masyarakat Palliatif
enacted the
Regulation guidelines
have been
1989 • Palliative
Care
Indonesia, or MPI) was
established as a non-
profit organization. MPI
members are people
No
812/Menke
s/SK/VII/20
revised.
(Christantie,
2015)
Service involved in the 07 on
•Introduction of provision of palliative Palliative
palliative care as began
care, including Care
part of the national physicians, nurses,
cancer control pharmacists,
Agenda
program focused psychologists, social
on pain workers, religious
management for personnel and
cancer patients and volunteers.
palliative care. 33
Palliative Care in Indonesia
There is no standardized operating procedure for the provision of palliative care in Indonesia and no
quality indicators guiding the organization of palliative care in hospitals, in order to allow evaluation of
the implementation of palliative care in Indonesian hospitals (Effendy, 2015 (a))
Which one is Correct about Palliative Care?
Routine Supportive
Care Care
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Which one is Correct about Palliative Care?
Dementia Healthy
Elderly Elderly
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Which one is Correct about Palliative Care?
All
Threatening Limited to
Disease Cancer
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Which one is Correct about Palliative Care?