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Daniel S, Venkateswaran C, Sunder P, Nair S, Chittazhathu RK, Manuel AJ, Raghavan B, Kumar MMS, Rijju V, Vijay G, Rao S, Prabhu AV, Parameswaran U, Spruijt O, Rajagopal MR, Leng M. Responding to Palliative Care Training Needs in the Coronavirus Disease 2019 Era: The Context and Process of Developing and Disseminating Training Resources and Guidance for Low- and Middle-Income Countries from Kerala, South India. Indian J Palliat Care 2020; 26:S8-S16. [PMID: 33088079 PMCID: PMC7534997 DOI: 10.4103/ijpc.ijpc_131_20] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Accepted: 05/21/2020] [Indexed: 12/24/2022] Open
Abstract
Background: Palliative care has an important role to play in the global coronavirus disease 2019 (COVID-19) pandemic. It is integrated and is a key component in the governmental and community structures and services in Kerala, in India. Palliative care in the state has grown to be a viable model recognized in global palliative care and public health scene. The community network of palliative care, especially the volunteers linking with clinical teams, is a strong force for advocacy, relief support including provision of emergency medications, and clinical care. Objective: To develop a palliative care resource tool kit for holistic care of patients affected with COVID-19 and to support the health-care workers looking after them to enable palliative care integration with COVID-I9 management. Methods: The Kerala State government included senior palliative care advisors in the COVID-19 task force and 22 palliative care professionals formed a virtual task force named Palli COVID Kerala as an immediate response to develop recommendations. Results: Developed a palliative care in COVID-19 resource toolkit which includes an e-book with palliative care recommendations, online training opportunities, short webinars and voice over power point presentations. Conclusion: Integrated Palliative care should be an essential part of any response to a humanitarian crisis. The e resource tool kit can be adapted for use in other low- and middle-income countries.
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Affiliation(s)
- Sunitha Daniel
- Department of Pain and Palliative Care, General Hospital Ernakulam, Kerala India.,Wolfson Palliative Care Research Centre, University of Hull, Hull, UK
| | - Chitra Venkateswaran
- Department of Psychiatry and Palliative Care, Believers Church Medical College Hospital, Tiruvalla.,Mehac Foundation, Kochi, Kerala, India
| | | | - Shoba Nair
- Department of Pain and Palliative Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India.,Lancaster University, 13School of Medicine, Cardiff, UK
| | - Rajashree K Chittazhathu
- Department of Pain and Palliative Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India.,Department of Pain and Palliative Medicine,Trivandrum Institute of Palliative Science, Thiruvananthapuram, Thrissur, Kerala, India.,Department of Pain and Palliative Medicine, Institute of Palliative Care, Thrissur, Kerala, India
| | - Athul Joseph Manuel
- Department of Pain and Palliative Care, General Hospital Ernakulam, Kerala India.,Covid19 Tele Health Center, Ernakulam, Kerala, India
| | - Biju Raghavan
- Department of Pain and Palliative Medicine, Rajagiri Hospital, Aluva, Ernakulam, Kerala, India
| | - M M Sunil Kumar
- Department of Pain and Palliative Medicine,Trivandrum Institute of Palliative Science, Thiruvananthapuram, Thrissur, Kerala, India
| | - Vineetha Rijju
- Department of Medical Oncology, Aster Medcity, Kochi, Kerala, India
| | - Geetha Vijay
- Department of Pain and Palliative Care, General Hospital Ernakulam, Kerala India
| | - Seema Rao
- Department of Palliative Medicine and Supportive Care, Kasturba Medical College and Hospital, Manipal, Karnataka, India.,Mehac Foundation, Kochi, Kerala, India
| | | | | | - Odette Spruijt
- Department of Palliative Medicine, Western Health Network Melbourne, Victoria, Australia
| | - M R Rajagopal
- Department of Pain and Palliative Medicine,Trivandrum Institute of Palliative Science, Thiruvananthapuram, Thrissur, Kerala, India
| | - Mhoira Leng
- Makerere University and Palliative care Education and Research Consortium, Uganda.,Cairdeas International Palliative Care Trust, UK
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