Antea Worldwide Palliative Care Conference

Rome, 12-14 November 2008

ABSTRACT FORM

Presenting author
Chiara Taboga
Email:
chiarataboga@hotmail.com
Phone
Mobile phone
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abstract
• Pain and other symptoms
• Palliative care for cancer patients
• Palliative care for non cancer
patients
• Paediatric palliative care
• Palliative care for the elderly
• The actors of palliative care
• Latest on drugs
• Pain
• Illness and suffering through
media
• Marginalisation and social stigma
at the end of life
• Palliative care advocacy projects
• Prognosis and diagnosis
communication in
different cultures
• Communication between doctor-
patient and patient-
equipe
• Religions and cultures versus
suffering, death and
bereavement
• Public institution in the world:
palliative care policies
and law
• Palliative care: from villages to
metropolies
• Space, light and gardens for the
terminally ill patient
• End-of-life ethics
• Complementary therapies
• Education, training and research
• Fund-raising and no-profit
• Bereavement support
• Volunteering in palliative care
QUALITY ASSESSMENT AND MANAGEMENT IN ANTEA PALLIATIVE CARE UNIT
Author: Chiara Taboga
In the last 10 years the support of palliative care has become one of the main goals of
government, especially for the health ministry. There has been a lot of attempts, more or less
successful, to find out indicators and indications to help organizations built up good structures
delivery palliative care.
Antea, like few others organizations in Italy, cares of terminally ill patience since 1987, ,more
than 20 years. This experience, the enthusiasm of all the operators and the needs of the patients
and families bring us to try new solution to improve the quality of care and the work managemnt
(thecniqes, relations, emotions and education).
Once we collect the directions gine by the ministry and the SICP, we made a report about the
quality of our assistence, a deep analisis of the kind of care we offer. We decide to work on few
goals, empowering our best and trying to solve the weaknesses. What we whant to do now,
thogheter with you is a new analisis to understand which parameters best rappresent the quality
of palliative care and how to improve it.
Accessibility : we begane to develop a network with hospitals and practitioners to help the
people to find the right service at the right moment, the exchange of knowledge with others
operators brings to daily education of doctors and nurses
Competence: we find tutor and study trainig to introduce new employers, the 80% of doctors
and nurses have a master in palliative care.
Continuity: we built a integrate file used by all the members of the equipe. The 90% of the
equipe work in all the setting of care: hospice, home care and ambulatory – day hospice.
Expected Efficacy: we made a satisfaction’s questionnaire to understand the real needs of
families and patients, crossing the results with the dimissions planes.
Sicurity: we focus our attention on the operators with balint groups, to prevent stress and burn
out, for the families we organize (with volunteers) auto- mutual help groups for loss and grief.
Timeliness: the network of the structures, delivering palliative care or not, let operators to
identify the best moment for the passage of care and for the education, helping the equipe to start
to talk about the possibility of death, giving the feeling of being alone in this difficult ituation.
Humanization: patients and families can express their preference about the setting o care, we
reduce the waiting list and we solve the problems of burocracy, managing in autonomy the move.
With the help fo Antea association and the hard work of the social worker we move straingers
back to their countries if they wish.
The main difficulties in this system are: involve all the people at all level in the quality
management, the need to made the people understand the changes and the aims of that changes,
the diffusion and the condivision of the outcomesreached.
Session: Palliative care quality indicators
Chair: Dott. Carlo Peruselli
• Rehabilitation in palliative care
• Palliative care quality indicators