RSS-Feed abonnieren
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/s-0042-1748800
Palliative Care: From Global to Local Needs
![](https://www.thieme-connect.de/media/10.1055-s-00050348/202203/lookinside/thumbnails/10-1055-s-0042-1748800_22480687-1.jpg)
Abstract
Palliative care (PC) is a comprehensive approach that focuses on improving the quality of life of patients and families that face fatal diseases by optimal minimization of suffering. Seventy-eight percent of patients who benefit from palliative support live in low-and-middle-income countries, where the access to these services is limited. Six percent of the patients are below the age of 15. The aim of this study is to review briefly the history of PC and its global challenges and indicate its impact and barriers in the Dominican Republic. A literature review in PubMed and analysis of the history of impact globally of PC and a remark of Dominican Republic local program. Some of the identifiable barriers are the limited support from authorities and health systems, the discomfort of healthcare staff in providing PC, the lack of knowledge, as well as experience, and team support. Not only do low-and-middle-income countries face these challenges, but also globally there is an urgency of the integration of PC services to the different healthcare systems to improve quality of life. This was experienced in the Dominican Republic when the first PC program started in 2012. Currently, local efforts are being made to increase the impact of the program and to make it accessible to more patients and families.
Publikationsverlauf
Artikel online veröffentlicht:
02. Juli 2022
© 2022. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Downing J, Birtar D, Chambers L, Gelb B, Drake R, Kiman R. Children's palliative care: a global concern. Int J Palliat Nurs 2012; 18 (03) 109-114
- 2 Rushton C, Caitlin A. Pediatric palliative care: the time is now. Pediatr Nurs 2002; 28 (01) 57-60 , 70
- 3 Downing JD, Marston J, Selwyn C, Ross-Gakava L. Developing children's palliative care in Africa through beacon centres: lessons learnt. BMC Palliat Care 2013; 12: 8 . Published 2013 Feb 18 DOI: 10.1186/1472-684X-12-8.
- 4 Knapp C, Woodworth L, Wright M. et al. Pediatric palliative care provision around the world: a systematic review. Pediatr Blood Cancer 2011; 57 (03) 361-368 DOI: 10.1002/pbc.23100.
- 5 Del Río M, Palma A. (2007). Cuidados paliativos: historia y desarrollo. Chile: Boletín Escuela de Medicina U.C. (Pontificia Universidad Católica de Chile) 32 (1): 16–22. Last accessed on Sept 24, 2021. Accessed April 15, 2022 in: https://cuidadospaliativos.org/uploads/2013/10/historia%20de%20CP.pdf
- 6 International Covenant on Economic, Social and Cultural Rights (1966), Article 12. Last access on sept 24, 2021. Available in: https://www.ohchr.org/en/professionalinterest/pages/cescr.aspx
- 7 Ward-Smith P, Linn JB, Korphage RM, Christenson K, Hutto CJ, Hubble CL. Development of a pediatric palliative care team. J Pediatr Health Care 2007; 21 (04) 245-249
- 8 Quinn C, Bailey ME. Caring for children and families in the community: experiences of Irish palliative care clinical nurse specialists. Int J Palliat Nurs 2011; 17 (11) 561-567
- 9 McNeil MJ, Ehrlich BS, Wang H. et al. Physician perceptions of palliative care for children with cancer in Latin America. JAMA Netw Open 2022; 5 (03) e221245 . Published 2022 Mar 1 DOI: 10.1001/jamanetworkopen.2022.1245.
- 10 Palliative care [Internet]. [last access on December 2021]. Accessed April 15, 2022 in: https://www.who.int/health-topics/palliative-care
- 11 Observatorio Colombiano de Cuidados Paliativos, Universidad El Bosque. Anuario del Observatorio Colombiano De Cuidados Paliativos. Bogotá D.C.:: Editorial Universidad El Bosque; 2016: 1-114 p.
- 12 Flores SP, Tovar MB, León MX, Villegas K, Villamizar Ddel P, Granados CE. Caracterización del conocimiento en cuidado paliativo pediátrico y percepción de barreras por parte de los pediatras y residentes de pediatría. Med Paliat 2015; 22 (04) 127-135
- 13 Connor S. et al. Global Atlas of Palliative Care. United Kingdom:: Worldwide Palliative Care Alliance,; 2020 , 2nd edition. Last access on sept 25, 2021. [last access on January 2022]. Accessed April 15, 2022 in: https://www.thewhpca.org/
- 14 Guzmán CPC, Córdoba MA, Godoy N. et al. Childhood cancer in Latin America: from detection to palliative care and survivorship. Cancer Epidemiol 2021; 71 (Pt B): 101837 DOI: 10.1016/j.canep.2020.101837.
- 15 Gómez García WC, Rivas S, Paz G. et al. Pediatric oncology palliative care programs in Central America: pathways to success. Children (Basel) 2021; 8 (11) 1031 last access on February 2021 DOI: 10.3390/children8111031.