Journal of pediatric hematology/oncology
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J. Pediatr. Hematol. Oncol. · Apr 2011
Nurses' perceived barriers to assessment and management of pain in a university hospital.
A self-report questionnaire was answered by 114 nurses working at the internal medicine, oncology, and surgery clinics. The most commonly perceived barriers to pain management were system-related barriers. Lack of psychosocial support services and patient-to-nurse ratio received the highest ratings. ⋯ Patients' difficulty with completing pain scales (56%) and consumers not demanding results (53%) were the most commonly reported patient-related barriers. A significant percentage of the participating nurses indicated that they have no idea about patient-related barriers. Regular and continuous pain education programs may help to establish a supportive team spirit between doctors and nurses.
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Palliative care in cancer has always been an important issue in low and middle income countries. In many occasions most resources have been devoted to expensive treatments although palliative and supportive care approaches are very important. ⋯ The Cancer Control Department of Ministry of Health has started the National Cancer Control Program in 2008 and also prepared a Palliative Care Action Plan. Dokuz Eylul University in Turkey has also organised a multidisciplinary palliative care team to create the necessary future plans and will open the first academic program under the Department of Clinical Oncology.
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J. Pediatr. Hematol. Oncol. · Apr 2011
Palliative care: concepts, needs, and challenges: perspectives on the experience at the Children's Cancer Hospital in Egypt.
Palliative care is uprising in developing countries. The Children's Cancer Hospital Egypt 57357 palliative care service put the main concepts in pediatric palliation in consideration while facing the challenges and needs for these children and their families. The palliative care program developed will be connected to other centers in Egypt as well as further branches of the hospital in other Egyptian cities.
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Palliative health-care faces many challenges. Developing countries face unique spectrum of difficulties including limited resources. In this article I share our experience in establishing palliative care department in a charity hospital located in Egypt.
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J. Pediatr. Hematol. Oncol. · Apr 2011
Optimizing pain care delivery in outpatient facilities: experience in NCI, Cairo, Egypt.
As a result of increasing waiting lists of patients attending National Cancer Institute of Cairo, we are faced to provide high-quality pain care service through our outpatient pain clinic. The program description presented here shows the capacity of a 24 hours/7 days outpatient cancer pain management service to provide rapidly accessible, high-quality care to patients with complex pain and palliative care symptom burdens. In addition, this model avoids inpatient hospital admissions. ⋯ Importantly, the facility provides comprehensive care with professionals available 24 hours/7 days. On-call teams assigned to manage pain and other treatment modalities comprises of staff supervised by the primary cancer clinicians; this arrangement facilitates reaching this goal. This study will illustrate our experience through 25 years, trying to provide the highest care of patients with cancer pain on an outpatient basis.