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Welcome to IPCRC.NET
IPCRC.net, the International Palliative Care Resource Center is dedicated to:
- Making palliative care resources accessible for health care professionals
- Building palliative care capacity worldwide
- Providing a dynamic and constantly expanding website
Here you will find:
- An extensive array of palliative care resources including comfort, supportive, hospice, end-of-life, terminal and bereavement care.
- A design based on the Conceptual Framework of Palliative Care and the World Health Organization (WHO) Strategy for developing palliative care capacity.
Why use IPCRC.net?
- Educational: Use the buttons in the Table of Contents to access the information you want.
- Informative: Each link has a brief overview of the content at each website.
- Fast: Downloads quickly even on a slow telephone connection.
We welcome your suggestions for new resources. Send your suggestions for new resources to .
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Treat the Pain / LIFE Before Death
View, share, engage, discuss, learn about…
16. 'Pain in China'
There is a widespread cultural fear of the use of opioids in China and other parts of Asia. Pain is often treated with a variety of traditional Chinese medicine techniques rather than with essential medicines.
Barry Ashpole's Media Watch 437: Routine integration of palliative care: What will it take?
These include disease specific prognostic tools, measures of need both symptomatic and psychosocial, and clinical prompts such as "would I be surprised if this patient died in the next 6 months?" An alternative approach based on service use, such as increasing frequency of admissions, or the development of a nominated disease complication such as metastatic disease, may offer an administrative prompt that occurs routinely and requires a response, rather than initiation, by the physician. Once recognised, there remains the task of communicating with the patient and family around issues of worsening disease, disability and death. Yet, our society determinedly avoids discourse around dying, focusing instead on "staying positive" and "fighting hard." The media reinforces this language and focus, offering few stories of those whose illness progresses. This silence is also present in the clinic, and so instead we frequently find it easier to offer a further round of treatment rather than discuss the implications of failure of the last. By failing to engage patients and their families in such discussion until death is imminent, we limit opportunities of patients to realise choices in the final phase of life. view source »
Review the 'Global Palliative Care News' Archive »
EPERC Fast Facts: What's New (open access)
Review the latest EPERC Fast Facts; access all the Fast Facts
JCO Art of Oncology (open access)
New articles posted monthly… also read this special article:
Review the 'New on IPCRC.net' Archive »
New on IPCRC.net
WHO: Noncommunicable diseases country profiles 2011
The noncommunicable diseases (NCDs) situation in 193 countries
ESMO Guide: "How to Get the Most out of Your Oncologist: a Guide for Patients with Advanced Cancer" (PDF 2 MB)
For patients and their family members, it provides practical advice regarding cancer care, communicating with oncologists, important questions to ask, getting information and the challenges of living with an advanced cancer. For practicing oncologists, the guide will serve as a tool to help focus important discussions with their patients and to assist in addressing the many issues their patients are confronting.
I Was Sick and You Cared for Me: a Church-based Response to Palliative Care in Tanzania
A report of a two-year pilot project led by international NGO Tearfund, with support from the Diana Princess of Wales Memorial Fund, to introduce palliative care into the hospitals and remote communities of Tanzania's lake zone, in the north of the country. (PDF 946KB)
Palliative Care Development in Africa: How Can We Provide Enough Quality Care? R A Powell, F N Mwangi-Powell, F Kiyange, L Radbruch, R Harding. BMJ Support Palliat Care 2011;1:113-114
Thinking Ahead: My Life at the End
A resource for people with developmental disabilities to advocate for themselves and stay in control of their lives through the end of their lives. Open access. PDFs available in Chinese, English, Korean, Spanish
Pain Code: Get Pain Under Control Quickly, Charles von Gunten, Provost, the Institute for Palliative Medicine at San Diego Hospice on Medscape
How to get the pain under control quickly when there's a pain crisis.
Palliative Care: What Approaches are Suitable in Developing Countries? By Henry Ddungu, MD, Uganda, in the British Journal of Haematology 2011; 154(6): 728–735. PMID: 21707576.
Balsam: The Lebanese Center for Palliative Care
A non-governmental organization that works to relieve patient suffering and improve quality of life.
Variation between End-of-Life Health Care Costs in Los Angeles and San Diego: Why are They so Different? Kaplan RM. J Palliat Med. 2011 Feb;14(2):215-20. PMID: 21314574 Open Access.
Medical care, particularly at the end of life, is significantly more expensive in Los Angeles (LA) (> US $43,000 in the last 2 years of life) than in San Diego (< US $29,000), yet quality measures tend to favor in San Diego. Non-emergent hospital admissions and inpatient care at the end of life are important contributors to the cost differences. There is little reason to believe that the greater spending for health care in LA results in better patient outcomes
Early Palliative Care for Patients with Metastatic Non-Small-Cell Lung Cancer. Temel JS, Greer JA, Muzikansky A, Gallagher ER, Admane S, Jackson VA, Dahlin CM, Blinderman CD, Jacobsen J, Pirl WF, Billings JA, Lynch TJ. N Engl J Med. 2010 Aug 19;363(8):733-42. PMID: 20818875 Open Access.
Among patients with metastatic non-small-cell lung cancer, early palliative care led to significant improvements in both quality of life and mood. As compared with patients receiving standard care, patients receiving early palliative care had less aggressive care at the end of life but longer survival.
ACS: American Cancer Society International Fellowships for Beginning Investigators (ACSBI), Application Deadline November 01, 2011
The ACSBI fellowship emphasizes the transfer of knowledge from the host institute to others at the home institute. It offers the fellow the opportunity to be mentored by experts in the chosen field, receive hands on experience in clinical, behavioural or basic research, intellectual stimulation, research guidance, narrative transfer and many other opportunities to evolve scientifically and academically.
For many in the West pain ends with a pill, but elsewhere the war on drugs is cutting people off from pain medication.
An initiative convened by the Harvard Global Equity Initiative, the Harvard Medical School, the Harvard School of Public Health and the Dana-Farber Cancer Institute to design, implement and evaluate innovative, multi-stakeholder strategies for expanding access to cancer prevention, detection and care.
- Closing the Cancer Divide - The Global Equity Imperative of Expanding Access in Low and Middle-Income Countries, Conference, October 28, 2011, Boston
View videos of the congress presentations
This 93-page report describes Ukrainian government policies that make it impossible for cancer patients living in rural areas to get essential pain medications.
IOM Report: Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research (open access)
In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America.
An overview of The Lancet's new clinical Series focusing on treatments for postoperative, chronic non-cancer, and chronic cancer pain.
MECC: Can We Overcome the Effect of Conflicts in Rendering Palliative Care? An Introduction to the Middle Eastern Cancer Consortium (MECC) Current Oncology Reports 2011; 13 (4): 302-307, PMID: 21538041
A video highlighting San Diego Hospice's Pet Therapy Program
Watch several recent videos on palliative care; download the 2011-2015 Strategic Plan for Palliative Care
The severity of the pain experienced by patients denied pain relief can be as great or greater than that of traditional torture techniques, and it can last longer. Although not acting out of malice, health workers and policymakers restrict access to pain medicines for inappropriate reasons such as exaggerated fears of addiction, failure to educate or train physicians in palliative care, arbitrary regulations on morphine-derived substances, and preoccupation with drug control rather than concern for people with pain.
- 50 milligrams is not enough
A video presenting the story of Vlad and his suffering from uncontrolled pain
The Summit was developed by a multidisciplinary advisory board including pharmacists, physicians and nurses to examine the education and development of pharmacists on pain and palliative care across the entire professional continuum.
Incorporating palliative care…PDFs available in French, German and English.
This grant programme aims to increase and improve the provision of palliative care in commonwealth resource-poor countries.
Review the 'New on IPCRC.net' Archive »
IPM International Program Partners
The International Programs at the Institute for Palliative Medicine at San Diego Hospice is delighted to have many partners in our international work.
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Page Last Modified: Mon Sep 14 2015