Qualitative Study for the Development of a Telemedicine System in Palliative Care
Journal Title: Palliative Medicine & Hospice Care – Open Journal - Year 2017, Vol 3, Issue 2
Abstract
Introduction: Technological advances in public health have allowed the life expectancy of people to increase. However, new challenges appear in populations that age as the greatest number of chronic and oncological diseases requiring chronic and/or palliative care. In Peru, this is an area that has not developed. The use of Information and Communication Technologies (ICT) can optimize healthcare, and in the case of palliative care they could shorten the distances between the specialist, the caregiver and the patient. Objective: To know the needs of health professionals and caregivers of patients who are in palliative care, regarding the management of information, knowledge, attitudes and the use of ICT in palliative care. Materials and Methods: As part of the TeleJampiq project, a first phase of qualitative study is developed. A focus group was conducted with six caregivers. Family members’ information was obtained through two field reports and two interviews. Finally, the exploration of the needs and suggestions of palliative care specialists was carried out by ten in-depth interviews (six physicians, one psychologist and three nurses). Through the data analysis we were able to identify three major themes in which the results were classified: Management of information on chronic diseases and terminal patients, knowledge and actions in palliative care and use of ICT for palliative care. Results: Management of information on chronic diseases and terminal patients. It is essential to draw a distinction between terminability and palliation. Managing these concepts could make a difference from the start of treatment. Knowledge and actions in palliative care. Nonfamily caregivers’ knowledge of the meaning of palliative care is like that of specialists (doctors and nurses). Use of ICT for palliative care. The use of mobile devices among health personnel interviewed is overwhelming. Engaging in aspects of information management to other specialists such as nutritionists and psychologists would be beneficial. Conclusions: It is necessary to use ICT in the field of chronic and palliative care, being a fundamental aspect the communication between personnel working in the system and the use of scales, care protocols, among others.
Authors and Affiliations
Miguel Sebastian Egoavil
Role of Steroids in Malignant Bowel Obstruction
Various cancers such as ovarian, stomach, colon or pancreas may present with mechanical bowel obstruction. This may be partial or total depending on the pathology and extent of the disease. On presentation, the patient r...
Palliative Nutritional Care for Cancer Patients
Palliative care is of paramount importance for patients suffering from life threatening incurable diseases such as AIDS, cancer, end stage renal disease and end stage chronic illnesses.1 In the Indian healthcare system,...
Cultural and Ethical Challenges in Providing Palliative Care for Cancer Patients at the End-of-Life
End-of-life (EOL) care presents many challenges both for clinicians, as well as for patients and their families. Moreover, the care of the dying patient must be considered within the context of the psychological, physica...
Religious Cultural Sensitivity in Israel: A Case Study of an Orthodox Jewish Family
The challenges of hospice care can scarcely be overstated, considering that the complexity of managing the physical, psychosocial and spiritual issues of the patient and of the family may seem daunting. The task becomes...
Effects of Perception of Prognosis on Existential Well-Being and Ego-Integrity Among Advanced Cancer Patients
Background: Based on literature review, advanced stage cancer patients hold over-optimistic perception of their prognosis. This phenomenon is presumed to be an implication of defense and coping mechanisms, aiming to alie...