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Special considerations for life limiting illnesses and serious health related suffering·Growth, development and ageing

Palliative care

Gap: WHO no PNPKPrioritas 23 paket UHC · 50 actionNICE ✗PNPK ✗
PNPK · Indonesia

Pedoman Nasional yang relevan

Belum ada PNPK yang teridentifikasi untuk kategori ini. Kandidat penyusunan/adopsi PNPK baru.
NICE · UK Benchmark

Guideline NICE yang relevan

NICE guideline
  • CG140 Palliative care for adults: strong opioids for pain relief (0.25)
  • NG213 Disabled children and young people up to 25 with severe complex needs: integrated service delivery and organisation across health, social care and education (0.25)
  • NG216 Social work with adults experiencing complex needs (0.25)
  • CG135 Organ donation for transplantation: improving donor identification and consent rates for deceased organ donation (0.25)
  • CG71 Familial hypercholesterolaemia: identification and management (0.25)
  • CG97 Lower urinary tract symptoms in men: management (0.25)
  • NG190 Secondary bacterial infection of eczema and other common skin conditions: antimicrobial prescribing (0.25)
UHC Compendium

Paket UHC dalam kategori ini (3)

Coordination of palliative care needs
WHO #168 · 11 action
Gap: WHO no PNPK

Advance care planning including use of life sustaining treatment | Education and counselling for patient and/or caregiver | Condition-specific nutrition assessment and counselling

Lihat 11 action detail
  • Advance care planning including use of life sustaining treatment
    Tasks: Develop advanced care plan
  • Education and counselling for patient and/or caregiver
    Tasks: Provide education
  • Condition-specific nutrition assessment and counselling
    Tasks: Conduct clinical assessment, Conduct counselling
  • Caregiver training and support on palliative care
    Tasks: Conduct rehabilitative training
  • Psychological and spiritual counselling and support for those with serious illness (including for relatives and caregivers)
    Tasks: Conduct counselling
  • Counselling on respite care for caregivers
    Tasks: Conduct counselling
  • Provision of social support
    Tasks: Provide support, Develop social care and support plan
  • Referral for specialized palliative care and other support services
    Tasks: Conduct history taking, Conduct physical examination, Provide referral for specialised services
  • Provision and training in the use of assistive products for activities of daily living
    Tasks: Select assistive products, Fit and train in use of assistive products
  • Provision and training in the use of assistive products for home care
    Tasks: Select assistive products, Fit and train in use of assistive products
  • Provision and training in the use of assistive products for mobility
    Tasks: Select assistive products, Fit and train in use of assistive products
Identification and assessment of palliative care needs
WHO #169 · 3 action
Gap: WHO no PNPK

Identification of persons that would benefit from receiving palliative care | Holistic person-centered palliative care assessment | Assessment of caregiver burden, knowledge and skill in patient care

Lihat 3 action detail
  • Identification of persons that would benefit from receiving palliative care
    Tasks: Conduct clinical assessment
  • Holistic person-centered palliative care assessment
    Tasks: Conduct vital signs measurement, Conduct history taking, Conduct physical examination, Provide clinical advice
  • Assessment of caregiver burden, knowledge and skill in patient care
    Tasks: Conduct clinical assessment, Conduct history taking, Provide clinical advice
Management of common symptoms in palliative care
WHO #170 · 36 action
Gap: WHO no PNPK

Counselling on non-pharmacological modifications to address symptoms | Mouth and skin care (including wound care) | Package of supplies for urinary and faecal incontinence

Lihat 36 action detail
  • Counselling on non-pharmacological modifications to address symptoms
    Tasks: Conduct counselling
  • Mouth and skin care (including wound care)
    Tasks: Provide basic personal hygiene and care
    Medicines: Petroleum jelly, Metronidazole
  • Package of supplies for urinary and faecal incontinence
    Tasks: Provide assistive products, Train to use package of supplies
  • Package of supplies for stoma care
    Tasks: Provide assistive products, Train to use package of supplies
  • Manual massage therapy for pain management
    Tasks: Provide pain-relieving techniques
  • Nasogastric suction
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct nasogastric tube placement
  • Pain-relieving positioning
    Tasks: Provide pain-relieving techniques
  • Supplemental oxygen
    Tasks: Prescribe oxygen, Administer oxygen
    Medicines: Oxygen
  • Topical antimicrobials
    Medicines: Metronidazole
  • Oral analgesics
    Tasks: Prescribe medication
    Medicines: Amitriptyline, Ibuprofen, Paracetamol, Naproxen, Diclofenac, Meloxicam
  • Oral laxatives
    Tasks: Prescribe medication
    Medicines: Senna, Lactulose, Bisacodyl, Sorbitol, Polyethylene glycol
  • Oral antiemetics
    Tasks: Prescribe medication
    Medicines: Metoclopramide, Cyclizine, Dimenhydrinate, Ondansetron, Chlorpheniramine, Diphenhydramine, Haloperidol
  • Oral proton pump inhibitors
    Tasks: Prescribe medication
    Medicines: Omeprazole
  • Oral H2 receptor antagonists
    Tasks: Prescribe medication
    Medicines: Ranitidine
  • Oral antidiarrheals
    Tasks: Prescribe medication
    Medicines: Loperamide
  • Oral antimuscarinics
    Tasks: Prescribe medication
    Medicines: Hyoscine hydrobromide, Hyoscine butylbromide
  • Oral antimicrobials for candidiasis
    Tasks: Prescribe medication
    Medicines: Fluconazole
  • Oral corticosteroids
    Tasks: Prescribe medication
    Medicines: Dexamethasone
  • Oral diuretics
    Tasks: Prescribe medication
    Medicines: Furosemide
  • Oral opioids
    Tasks: Prescribe medication
    Medicines: Morphine
  • Oral antidepressants
    Tasks: Prescribe medication
    Medicines: Sertraline, Fluoxetine, Citalopram, Amitriptyline
  • Oral benzodiazepines
    Tasks: Prescribe medication
    Medicines: Diazepam, Midazolam
  • Oral antipsychotics
    Tasks: Prescribe medication
    Medicines: Haloperidol
  • Subcutaneous antihistamines
    Tasks: Prescribe medication, Administer subcutaneous medication
  • Subcutaneous opioids
    Tasks: Prescribe medication, Administer subcutaneous medication
  • Subcutaneous opioid antagonists for opioid overdose
    Tasks: Prescribe medication, Administer subcutaneous medication
    Medicines: Naloxone
  • Subcutaneous antimuscarinics
    Tasks: Prescribe medication, Administer subcutaneous medication
    Medicines: Hyoscine butylbromide, Hyoscine hydrobromide
  • Subcutaneous antiemetics
    Tasks: Prescribe medication, Administer subcutaneous medication
    Medicines: Diphenhydramine, Chlorpheniramine, Cyclizine, Dimenhydrinate
  • Subcutaneous corticosteroids
    Tasks: Prescribe medication, Administer subcutaneous medication
    Medicines: Dexamethasone
  • Subcutaneous benzodiazepines
    Tasks: Prescribe medication, Administer subcutaneous medication
    Medicines: Midazolam, Diazepam
  • Subcutaneous antipsychotics
    Tasks: Prescribe medication, Administer subcutaneous medication
    Medicines: Haloperidol
  • Enemas for constipation
    Tasks: Prescribe medication, Administer medication
    Medicines: Sodium Phosphate
  • Intravenous opioid antagonists for opioid overdose
    Tasks: Prescribe intravenous medication, Administer intravenous medication
    Medicines: Naloxone
  • Transurethral catheter placement
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct medical procedure, Administer topical anaesthesia
  • Therapeutic thoracentesis
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct advanced emergency procedure, Provide nursing support for emergency procedure
    Medicines: Bupivacaine, Ephedrine, Lidocaine, Lidocaine + epinephrine
  • Therapeutic paracentesis
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct advanced emergency procedure, Provide nursing support for emergency procedure
    Medicines: Bupivacaine, Ephedrine, Lidocaine, Lidocaine + epinephrine
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