INCTR Canada Annual Report (India) 2016
Two-Worlds_logo.jpg

Program: Palliative Care
Coordinators: Simon Sutcliffe
Other INCTR Participants:
Collaborators:
Branch(es): India
Location: Single Country
Country(s): India
Institutions:
Background Information:
Objectives:
Methods:
Progress: The Pain Relief and Palliative Care program at the MNJ Oncology Institute and Regional Cancer Center continues to go from strength to strength. It now has two regional elements: 1. The MNJOI & RCC Pain Relief & Palliative Care Program (Hyderabad), which serves Telangana & Andhra Pradesh).
s1-2 external faculty join the teaching staff as well as visiting experts from abroad as available.

PARTNERS
MNJOI & RCC
PRPCS
Two Worlds Cancer

ELEMENTS/DESCRIPTION
Clinical Care :
Adults
• In-patient care: 285 beds
• OPD clinics: 6 days/week; 60 patients /day
• Total cases: 12,300 (2015)
• Total new cases: 2,752 (2015)
IP beds dedicated to PC: 10

Children
• In patient care: 74 ped.onc. beds
• Integrated ped.PC and ped.onc
• Play room on ped.onc.ward
• Dedicated OPD space in ped.onc.ward.
• Zero tolerance to pain policy (standardized assessment tools per bed).
• Dedicated pain assessment by RN & SW daily.
• PC program for children with non–malignant life-limiting disease at adjacent Niloufer Children’s Hospital.
• Total cases: 3,550 (2015)
• Total new cases: 316 (2015

AYA
(adolescents & young adults)
• Dedicated home care team
• Expanded support at in-patient, OPD, hospice & rural outreach.

Hospice
(Kumundini Devi Hospice)
• Adult, pediatric & AYA: 24 beds
• Admissions: 712 (2015)
• Standardized medication & communication protocols.

Life @Your Doorstep
• Dedicated mobile home care teams
• Functioning 24/7
• 3 vans staffed by MD, RN, SW & CHW
• Home visits: 2,289 (2015)
Staff training in: electronic documentation; universal precautions; medication interventions; standardized symptom-assessment & documentation.

Rural (community outreach)
• Currently serving 30 remote villages.
• RN & physic visits weekly
• Partnering with other hospitals & NGOs.

Teaching
- skills development
- art therapy
- regional teaching & training:
Annual Course:
Participants trained in 2015: Doctors: 20
Nurses:15
Social workers: 8
Volunteers: 4
1-month residential course (6 days per week). Engages participants in all PC care settings. Evaluation through internal assessment, final exam and feed-back.
Course fee: INR 15,000 (travel and accommodation not included. Accommodation can be booked on receipt of payment.

CHAI:
In 2014, CHAI initiated a 1-month certificate course similar to the MNJIO course for health care providers from their network of hospitals in India. The training is jointly done by CHAI in collaboration with MNJIO and PRPCS.

St Mary’s, Bangalore:
Infrastructure support.

Nepal; Bangladesh:
Delegate participation in MNJOI courses.

PARTNERS
Dr G Palat & program staff

Advocacy
• Dedicated liaison with MoH, politicians.
• Partnering with NGOs, Society’s.

Program Development
• District level PC units:
- established in Rangareddy
- training of MDs and RNs
- oral morphine inclusion in essential medicines list.
Continuous expansion of rural program.
• Pain-free ped.onc. ward.
• Ped PC training for Niloufer Children’s Hospital.
• Networking with international adult & pediatric PC programs.

PROGRAM
Lara Nara Program
An internet-based distance learning platform for radiation.
(Lund Univ. Sweden & BC Cancer Agency, BC, Canada)

PARTNERS
Jan Degerfalt
Eva Brun
Maria Gebre-Medhin
Francois Bachand
Lund Univ.
BCCA
Two Worlds Cancer


ELEMENTS/DESCRIPTION
Curriculum:
- dynamic
- interactive
- progressive
- feedback
- timely

• feasibility-testing in India
• mentoring through Sweden & Canada
• contextual adaptation for India
• platform expansion to other topics
• real-time student assessment, mentoring, feedback & correction

PROGRAM
Oral Cancer Prevention & Early Detection Program
A population–based screening & early detection program for oral cavity cancer.

PARTNERS
Miriam Rosin
Denise Laronde
Shuba Hennige
Two Worlds Cancer
School of Dentistry,
MNJ

ELEMENTS/DESCRIPTION
Program based in:
- communities
- dental health professionals
- oral examination
- UV oral examination (Veloscope)
- pathology
- computer-assisted quantitative morphology
- molecular analysis
• establishment of internet-based communication & project development capability
• protocol development
• ethics approval
• technology acquisition
• selection of community site(s)

PROGRAM
National Institute for Palliative Care
A dedicated entity to develop, maintain & sustain the service, teaching, research & advocacy for population-based palliative care locally, nationally (India), regionally (South-East Asia) and internationally: A Centre of Excellence for Palliative Care.

PARTNERS
Dr. G palat
Two Worlds Cancer

ELEMENTS/DESCRIPTION
- based in Hyderabad
- expansion of scope(curriculum),scale (geographic reach) and health conditions e.g. dementias
- extensively partnered at national, regional & global levels
- network linkage with government, NGOs, and global health orgns.
- research development: heath systems & services; adult, AYA & pediatric PC, ethics, economics.
- development of pediatric PC MD program.
- establishment of WHO Collaborating Site for pediatric PC.

• Project conceptualization, description and development underway.
Future Plans:
Duration:
Publications:
Month: 06
Year: 2016
Last Update: 06/16
Image:
Document: http://ifm.wikidot.com/project:inctr-canada-annual-report-2016-nepal

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