Siriraj Palliative Care Center

Palliative Care CommitteeFaculty of Medicine Siriraj Hospital

Palliative Care Executive

Board

Palliative Care Working

Committee

Departments Siriraj Hospital

Faculty of Medicine Siriraj Hospital

Units/Divisions

Department of Nursing

Palliative Care in Siriraj Hospital

Siriraj Palliative Care CenterSiriraj Palliative Care Center Pediatric Palliative Care CenterPediatric Palliative Care Center

Outpatient serviceOutpatient service Pain clinicPain clinic Chemotherapy centerChemotherapy center Radiotherapy clinicRadiotherapy clinic

Inpatient serviceInpatient service Apply Palliative Care Guideline to Apply Palliative Care Guideline to

every clinical departmentsevery clinical departments Spiritual support program in unit/wardSpiritual support program in unit/ward

Palliative Care in Siriraj Hospital

Primary Care Team Primary Care Team / community care / community care (PCU)(PCU)

Palliative Home Care Palliative Home Care / Continuing Care/ Continuing Care

Volunteer programVolunteer program

Our Team Hospital – Based Team

Attending physicians Residents Palliative care team consultant Staff Nurses

Registered nurses Nurse assistants

Others health care professional (psychologists, social workers, physical therapists, etc.)

Volunteers Primary Care Team / community care (PCU)

General practioners (GP) and family physicians Primary care nurses

The Focus of Development

1.1. Palliative Care Guideline Palliative Care Guideline

2.2. Training and education for the Training and education for the trainers and providerstrainers and providers

Palliative Care GuidelinePalliative Care Guideline

Training and Education for the Trainers and Providers

Staff Pain and Symptoms

control

Counselingtechnique

Spiritual support

Complimentary and others

needed skill

Physicians Based on Buddhist concept

Residents Based on Buddhist concept

Nurses Based on Buddhist concept

Other staffs and volunteers

Massage, Art or music therapy

Siriraj Palliative Care Day 2010

Palliative Care Conference

On the third Wednesday, every 2-3 months

The chance for our staffs to share the ideas and experiences by using case study method.

Operating Performance in 2010There are 32 attendants in January There are 25 attendants in MarchThere are 42 attendants in May

Palliative Care Website

http://www1.si.mahidol.ac.th/palliative

Our Services

Activities of the Clinic

Overall Operation in 2010

The number of patients from Jan – The number of patients from Jan – Aug Total number of patients = 76Aug Total number of patients = 76

Total number of new patients = 39 Total number of new patients = 39 and total number of dead patients = and total number of dead patients = 3737

Home care Home care 45 45 timestimes50 cases of the patient and family 50 cases of the patient and family

consult through the phoneconsult through the phone

Overall Operation in 2010

Patients and families follow up by phone 187 times

Bereavement care 37 casesFollow up patients’ family by phone

after the patient pass away 37 casesAttend a funeral ceremony 1 casePick a patient up to visit her son at

Thonburi jail (Patient’s last wish)

Palliative care service satisfaction among Patients

“I feel good, I have never found a doctor talking with me and my family for long period before and nobody give 24 hrs contact number, so I have more time to tell what I still want to do and able to ask for consult. It makes me feel secure and confident to take care of myself after I go back from the hospital.”

“I feel like I still have someone, my family and I are not alone because I have the palliative care team visit my home and call me to follow up case. Now I have the team to consult and give advice.”

“I have never seen the service like this before, I am very impressed.”

Palliative care service satisfaction among Patients

Activities and Projects for Palliative Care Patients

Projects for Caring in End of Life Patient

Counseling for Patient and Family Project

Good Death Project (every wards)Renal Failure Palliative Care 9 C End of Life CareBody Comfort and Happy MindThe Pathway of Relieving in Cancer

Terminal Illness Patient

Projects for Counseling and Group Support

Cheerful and Happiness Project (Every Ward in Medicine Nursing)

The Development of Caring for Children with Cancer by giving psychological support and educate the parent

Counseling Service for Cancer Patient and Family

Family Support Patient and Family Counseling

Projects and Activities

“Hospital like Home” for patients

Buddhist activitiesBuddhist activities

Spiritual Activities

Alms giving to monks once a weekAlms giving to monks once a week

Offering dedication to Offering dedication to Buddhist monks every yearBuddhist monks every year

Inherit Thai Tradition and Culture

Dharma Multimedia in Wards, e.g. Books, VDO, CD

Information and medias

End of Life Care

Nursing care team condoles with the family and asks for permission to put flower garland on patient’s chest

Bereavement Care

Card and flowers

Bereavement care

Warm line/callBereavement care project

Nurses have follow-up call for 3 times and record the information from the family to assess the needs and daily life after patient’s death.

Volunteer Program

Meditation for Mind Healing

Home Care: Home Visit

Primary care nurse