Palliative service at BPKIHS_b3f416aa-7b5b-4,imitation anddcc-b78e-f803fac4dbfa.pptx

Palliative service

1. FOUNDATIONAL STEPS FOR DEVELOPING PALLIATIVE/ HOSPICE CARE TEAM

2. Medical Oncology service was started from July 2020 at BPKIHS. BPKIHS covers patients mostly from 2 Provinces ( Koshi and Madhesh ) comprising almost 11 Million (1/3 rd of total Nepalese Population). Also from Neighboring country India/ borders

3. Undergraduate students participating in community awareness

4. Formal Training to Health Care Professionals Our Nurses participated in Palliative Care training organized at Bhaktapur Cancer Hospital in collaboration with WHO and NAPCARE 2. Training at Bharatpur Cancer Hospital

5. Workshops organized at BPKIHS with support from Nepal Hospice Care Center

6. Workshops organized at BPKIHS with support from Nepal Hospice Care Center

7. Training under the support of TWCC

8. Implementation Started Home Based Hospice Care Service

9. Patient Profile Age/Sex Diagnosis Issues PPS/PPI Score Treatment Visit date Outcome 59Y/M Adenocarcinoma of Pancreas with liver, lung and bone mets Malignant Ascites, Generalized body swelling 70%/2 Medications, Counseling 2082/03/04 (1 st visit) Expired 55Y/F Squamous cell carcinoma of Nasal cavity with lung and liver mets Pain, Dyspnea, Altered sleep, Fatigue 60%/2 Medications, Counseling 2082/03/18 (1 st visit) then on 2082/03/22 Expired on 2082/06/01 75Y/F Renal cell carcinoma with mets Reduced oral intake and responsiveness 20%/6.5 Counseling 2082/03/22 (1 st visit) Expired on 2082/03/24 63Y/M Carcinoma Prostate with multiple mets 40/2.5 Medications, Counseling 2082/04/27 (1 st visit) then on 2082/05/14 Expired

10. Age/Sex Diagnosis Issues PPS/PPI Score Treatment Visit date Outcome 66Y/M Hepatocellular carcinoma with mets Restlessness, Pain abdomen, Malignant Ascites 50%/2.5 Medications, Counseling 2082/04/28 (1 st visit) Alive 75Y/M Pseudomyxoma Peritonei Pain, severe vomiting 30%/2.5 S/C medications, Counseling 2082/04/28 (1 st visit) then on 2082/05/12 Expired on 2082/05/19 61Y/M Carcinoma Prostate with Urinary bladder mets Pain 70%/2 Medication, Counseling 2082/04/29 (1 st visit) Alive

11. THE BEREAVEMENT CONTINUUM

12. “WE CANNOT CHANGE THE OUTCOME BUT WE CAN AFFECT THE JOURNEY.”

13. THANK YOU!