bridging the gap rarex 2018rarex.co.za/wp-content/uploads/2018/10/kelly-duplessis... · palliative...
TRANSCRIPT
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Bridging the gapRareX 2018
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WHAT DO PATIENTS WANT?
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But what do patients want?
A doctor that listens to me?!?!?!
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But what do patients want?
• Engagement, interest, ask questions. • Understand that patients have access to information, respect their
feelings on a subject. • Speak their language – clarity/empathy/compassion• Look us in the eye• Be a partner – WE are the ultimate decision makers/ consensus
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But what do patients want?
• Take your time – don’t rush.• Do your homework. • Give options• Personalize healthcare• Pass us along
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But what do patients want?
• Don’t leave us alone with your receptionists…
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What did I think about palliative care?
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What SHOULD it FEEL like?
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The WHO Definition
Palliative care is an approach
improves the quality of life of patients
and their families facing the problem associated with life-threatening illness,
through the prevention and relief of suffering…
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Approach: a way of dealing with a situation or problem
Improves: makes better/ increases
Qualities: standards
And: to be taken jointly
Prevention: to stop something
Relief: the alleviation of pain and discomfort
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Palliative care is an approach improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering
=Palliative care is a way of dealing with a situation, thatincreases / betters the standards of life of patients jointly with their families, through stopping of (suffering) and the alleviation of pain and discomfort
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Bridging the Gap
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Barriers to accessing appropriate care…
•Bias based on culture/race/age•Fear•Lack of awareness•Myths / Ignorance
•Available testing•Doctors knowledge & awareness•Lack of referral systems•Financial constraints•Logistic limitations
•Doctors knowledge & awareness•Lack of referral systems •Economic climate•Funding decisions in state/ private•Lack of treatment options•Unregistered medications•Clinical Trials •Insufficient Capacity
•Pioneering/new area•Economic•Fear•Transport•Compliance•Patient Education•Social
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Symptom phase
- Vague, mimic common issues- Can be aggressive, or can take years to manifest into something which requires attention- Symptoms are generally not life threatening = only accumulateInto overall condition which then becomes life threatening(if focusing on symptoms alone – doesn’t make strong case)
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Diagnostic phase
- 7,2 Years = stagnated care
- Lack of diagnostic facilities – Expensive, lack of capacity/ equipment
- Overseas testing? Confusion on what available in SA
- No confirmed diagnosis – no ICD code – no funding
- No diagnosis?
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Acute phase
- Cost of treatment – funding struggle- Treatment not available locally- Clinical trials – strictly regulated- Limited doctors knowledge on disease
- 95% of RD have no commercial treatment?
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LIVING BEYONG phase = the dream!
- Increased life expectancy
- Reduced mortality
- No longer “acutely” ill
- Emotional Toll
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Emotional Impact
- How long is the race?
- Siblings?
- High Divorce rate
- Financial constraints
- Depression / Anxiety
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WE MOVING FORWARD!
IS THAT THE PROBLEM?!?!?!?!
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