PALLIATIVE CARE AND CANCER
"In advanced
cancer, aggressive anticancer therapy must be coupled
with aggressive palliative care to optimize both quantity
and quality of life. When further anticancer therapy
becomes no longer effective, appropriate, or desired,
comprehensive palliative care must be intensified to
ensure the relief of suffering for both the patient
and the family." said Michael Levy, MD, PhD, chair
of the NCCN Palliative Care Clinical Practice Guidelines
panel. "At the end of life, satisfactory palliative
care provides skilled pain and symptom control, avoids
prolongation of dying, promotes a sense of control
for the patient, relieves burdens, and strengthens
patient and family relationships." (Source: National
Comprehensive Cancer Network)
National Comprehensive Cancer Network (NCCN) and ACS,
2008, 88 pages (pdf 723K)
The Advanced Cancer and Palliative
Care Treatment Guidelines help patients and physicians
understand and respond to the range of medical, psychological,
and social issues they may be facing.
• To download the pdf please
click here
ACCP, 2003, 2 pages (pdf 65K)
Cervical cancer prevention programs
in developing countries must be prepared to address
the needs of patients with advanced cancer. Ideally,
programs should have surgical treatment available for
women with early stages of cancer. In those developing
countries where women have access to early detection
of cervical cancer and adequate treatment options,
survival rates can reach levels as high as those in
developed countries. In many regions, cervical cancer
treatments are not accessible or affordable. Home-based
palliative care to relieve pain and suffering may be
the only realistic option for these women.
• To download the pdf please
click here
Intercultural Cancer Council, 2003. 4 pages, pdf 356K.
To download please click here
PATH, EngenderHealth, 2003,
This manual was developed for
health care providers such as community nurses and
medical doctors who care for women who are dying of
advanced cervical cancer. The Kenya field manual is
designed for visiting nurses or health facility-based
nurses and physicians.
• To download
the pdf please
click here
IAHPC Press, 2nd Edition, 2008, 150 pages (pdf 630K)
The International Association
for Hospice and Palliative Care (IAHPC) is a not for
profit organization committed to the development of
palliative care world-wide. The IAHPC Manual of Palliative
Care is not intended to be a substitute for any textbook
or reference book. Nor do its authors claim that it
is exhaustive and comprehensive. It does however contain
much of what is necessary for the day-to-day practice
of palliative care. The links in the PDF document are "hot" as
it was a web site and allow you to quickly get to your
topic of interest.
• To download the pdf please
click here
INCTR, 3rd edition, 2006, 79 pages (pdf 1.3MB)
The International Network For
Cancer Treatment and Research (INCTR)
established this program with the goal of assisting
developing countries to initiate and sustain effective
palliative care programs suitable for their countries.
Since 2002, INCTR has been working with the Nepal
Network for Cancer Treatment and Research (NNCTR/INCTR),
which is INCTR's branch in Nepal, to develop an end-of-life
care program suitable for Nepal. Using the model
developed for Nepal, this program is being extended
to other regions, including South India (in collaboration
with the American Cancer Society) and Tanzania.
• To download the pdf please
click here
National Cancer Institute (NCI), 2008, 52 pages (pdf
2.1MB)
A booklet for cancer patients
that addresses pain control medicines and methods,
as well as the physical and emotional effects of pain.
• To download the
pdf please
click here
WHO-Euro 2004, 35 pages (pdf 666K)
Palliative care is an important
public health issue. It is concerned with the suffering,
the dignity, the care needs and the quality of life
of people at the end of their lives. It is also concerned
with the care and support of their families and friends.
This is by and large a neglected topic in Europe, but
is one that is relevant to everybody in the Region.
• To download the pdf please
click here
National
Academies Press 2007, 326 pages, PDF online reading
only available
Cancer is low or absent on
the health agendas of low- and middle-income countries
(LMCs) despite the fact that more people die from
cancer in these countries than from AIDS and malaria
combined. International health organizations, bilateral
aid agencies, and major foundations-which are instrumental
in setting health priorities-also have largely ignored
cancer in these countries.
This book identifies feasible, affordable steps
for LMCs and their international partners to begin
to reduce the cancer burden for current and future
generations. Stemming the growth of cigarette smoking
tops the list to prevent cancer and all the other
major chronic diseases. Other priorities include
infant vaccination against the hepatitis B virus
to prevent liver cancers and vaccination to prevent
cervical cancer. Developing and increasing capacity
for cancer screening and treatment of highly curable
cancers (including most childhood malignancies)
can be accomplished using "resource-level
appropriateness" as a guide. And there are
ways to make inexpensive oral morphine available
to ease the pain of the many who will still die
from cancer.
• To read a pdf file of this
book online please
click here and go to the "read" section of
the website.
Kōkua Mau is the state’s hospice and palliative care organization, and it is
comprised of individual and organizational champions and supporters from hospitals,
education, consumers, insurance, long term care and hospices. Our statewide non-profit
organization strives to improve quality of life for people in Hawai‘i by promoting
excellence in hospice, end-of-life care, palliative care and early advance care
planning.
Palliative care is an essential part of cancer control
and can be provided relatively simply and inexpensively.
[our PDF link]
• To download the pdf please
click here
• To see all WHO cancer publications please
click here
WHO 2000, 42 pages (pdf 2.5MB)
The Pain and Policy Studies Group
(PPSG) [http://www.painpolicy.wisc.edu/] is pleased
to announce the availability of a World Health Organization
(WHO) publication aimed at improving availability of
opioid analgesics in the world.
This document provides 16 guidelines that can be
used by governments and health professionals to assess
the national opioids control policies and their administration
of any country to determine if they contain the provisions,
procedures and cooperation that are necessary to
ensure the availability of opioid analgesics. The
guidelines are derived from the international principle
of "Balance" in drug control policy. This
principle, which is carefully and extensively documented
in the publication, asserts that governments not
only have an obligation to prevent drug abuse, but
also to ensure the availability of opioid analgesics
for medical purposes, and further, that efforts to
prevent drug abuse and diversion must not interfere
with the adequate availability of opioid analgesics
for patients' pain relief. The importance of cooperation
between regulators and health professionals is emphasized.
Since the Guidelines were published in 2000, the
PPSG and the WHO have used them to encourage cooperation
and evaluation of national policy between health
professionals and narcotic regulators at several
international regional conferences.
• To download a copy of the WHO
guidelines, please
click here
• The guidelines are availabele
in 16 languages. To check out other languages than
English, please
click here
Joranson DE, Ryan KM.. J Pain Symptom Manage. 2007;
33(5):527-532. 7 pages (pdf 60K)
• To download the pdf please
click here
Open Society Institute and EQUITAS 2007, 70 pages,
(pdf 600K)
This Guide was prepared as a user-friendly,
multi-purpose resource that can be used on a regular
basis on the job. It is divided into two parts: an
introduction to health and human rights in general
and a section specifically focused on palliative care
and human rights.
• To download the pdf please
click here
Cancer
Pain Release
is the publication
of the World Health Organization global communications
program to improve cancer and HIV pain control and palliative
care. Cancer Pain Release is dedicated to keeping a worldwide
and multidisciplinary audience in the health professions
and government abreast of relevant information and developments
in clinical medicine, education and policy.
Cancer
pain, palliative care and the World Health Organization:
2000-2002 priorities
OTHER RESOURCES
King's College London, 2007. 48 pages, pdf 284K.
Mapping current providers, identifying current challenges,
and enabling expansion of pain control provision in
the management of HIV/AIDS. To download please
click here
Quality Assurance & Improvement
is dedicated
to the health and well-being of the Pacific Island
populations.
The links and documents on their
website have been selected from a very large body of
available materials about quality assurance (QA) and
accreditation in health care, with the intention of
including those that are especially useful for PIHOA
members and their associates who are interested in
building QA systems which fit with their local needs.
The materials have been grouped into several sections. To
get to the PIHOA quality assurance site please
click here
tools and Pacific focus
resources
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