WHO-PEN

Resource
This presentation has been developed from :
1. WHO package of essential noncommunicable (PEN) disease interventions for primary health care.
https://www.who.int/publications/i/item/who-package-of-essential-noncommunicable-(pen)-
disease-interventions-for-primary-health-care
2. Integrating palliative care and symptom relief into primary health care: a WHO guide for planners,
implementers and managers. Geneva: World Health Organization; 2018.
https://apps.who.int/iris/bitstream/handle/10665/274559/9789241514477-eng.pdf?ua=1
3. Palliative care . https://www.who.int/health-topics/palliative-care

WHO-PEN
WHAT IS PALLIATIVE CARE

• Palliative care is an approach that 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 by means of early
identification and impeccable assessment and
treatment of pain and other problems, physical,
psychosocial and spiritual.

WHO-PEN
TREAT and REFER
PHYSICAL CARE NEEDS PSYCHOLOGICAL, EMOTIONAL,
SPIRITUAL CARE NEEDS
• Pa in (a ll typ e s)
• Re sp ira to ry p ro b le m s • Psych o lo gica l d istre ss
(d ysp n o e a , co u gh )
• An xie ty
• Ga stro in te stin a l p ro b le m s
(co n stip a tio n , n a u se a , vo m itin g, • Su ffe rin g o f fa m ily o r ca re give rs
d ry m o u th , m u co sitis, d ia rrh o e a • Sp iritu a l n e e d s a n d existe n tia l
• De liriu m d istre ss
• Wo u n d s, u lce rs, skin ra sh a n d • De p re ssio n
skin le sio n s • Be re a ve m e n t su p p o rt fo r
• In so m n ia , Fa tiq u e , An o rexia fa m ily/ca re give rs
• An a e m ia , Drowsin e ss o r
se d a tio n Swe a tin g

WHO-PEN
 CONSIDER AND MANAGE:

CARE PLANNING AND COORDINATION COMMUNICATION ISSUES

• Id e n tify su p p o rt a n d re so u rce s • Co m m u n ica te with p a tie n t,
a va ila b le ; d eve lo p a n d fa m ily a n d ca re give rs a b o u t
im p le m e n t ca re p la n b a se d o n d ia gn o sis, p ro gn o sis, tre a tm e n t,
p a tie n t's n e e d s sym p to m s a n d th e ir
m a n a ge m e n t, a n d issu e s
• Provid e ca re in th e la st
re la tin g to ca re in th e la st
we e ks/d a ys o f life
d a ys/we e ks o f life
• Fa cilita te th e a va ila b ility a n d
• Id e n tify a n d se t p rio ritie s with
a cce ss to m e d ica tio n s
p a tie n t a n d fa m ily/ca re give rs
(e sp e cia lly o p io id s)
• Provid e in fo rm a tio n a n d
• Id e n tify th e
gu id a n ce to p a tie n ts a n d
p sych o so cia l/sp iritu a l n e e d s o f
ca re give rs a cco rd in g to a va ila b le
p ro fe ssio n a ls p rovid in g se lf-
re so u rce s
ca re

WHO-PEN
 HOME-BASED PALLIATIVE CARE

• Home-based palliative care provides care to people

with chronic, life-limiting health problems in the
home in which the patient lives.
• It is best delivered by a multidisciplinary team
trained in palliative care, including doctors, nurses,
community health workers
• Advantages
• Patients feel more comfortable in their home
• Family members are integrated into the process
• Helps the patient and family maintain privacy and
confidentiality

WHO-PEN
Minimum requirements for a home-based palliative care service

WHO-PEN
COMMUNITY -BASED PALLIATIVE CARE

• Community-based palliative care services are those

that are run with community participation.

• Communities may be poor in financial resources,

but can be rich in community resources

• Establishing a palliative care service in a community

involves either integrating the care into the routine
activities of an existing CHC or, where there is no
CHC, setting up a new service
WHO-PEN
Process for starting a community palliative care service

WHO-PEN
HOSPITAL -BASED PALLIATIVE CARE
SERVICE
Options for a hospital-based palliative care service
are
• an outpatient palliative care clinic;
• a palliative care consultation service for hospital
inpatients;
• a palliative care day-care service;
• an inpatient palliative care unit;
• a palliative care outreach/home-care service.

WHO-PEN
Thank you

WHO-PEN