Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Abstract
Abstracts
Addendum
Brief Communication
Case Report
Case Series
Commentary
Conference Abstract
Conference Editorial
Conference Proceedings
Current Issue
Editorial
Editorial Commentary
Erratum
General Medicine Original Article
General Medicine, Case Report
General Medicine, Review Article
IAPCONKochi 2019 Conference Proceedings
Letter to Editor
Letter to the Editor
Letters to Editor
Narrative Review
Oral Abstracts
Original Article
Palliative Medicine Commentary
Palliative Medicine, Letter to Editor
Palliative Medicine, Letter to the Editor
Palliative Medicine, Original Article
Palliative Medicine, Review Article
Personal Reflection
Perspective
Perspectives
Position Paper
Position Statement
Poster Abstracts
Practitioner Section
Report
REPUBLICATION: Special Article (Guidelines)
Retraction
Review Article
Reviewers 2023
Short Communication
Short Report
Special Editorial
Special Review
Systematic Review
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Abstract
Abstracts
Addendum
Brief Communication
Case Report
Case Series
Commentary
Conference Abstract
Conference Editorial
Conference Proceedings
Current Issue
Editorial
Editorial Commentary
Erratum
General Medicine Original Article
General Medicine, Case Report
General Medicine, Review Article
IAPCONKochi 2019 Conference Proceedings
Letter to Editor
Letter to the Editor
Letters to Editor
Narrative Review
Oral Abstracts
Original Article
Palliative Medicine Commentary
Palliative Medicine, Letter to Editor
Palliative Medicine, Letter to the Editor
Palliative Medicine, Original Article
Palliative Medicine, Review Article
Personal Reflection
Perspective
Perspectives
Position Paper
Position Statement
Poster Abstracts
Practitioner Section
Report
REPUBLICATION: Special Article (Guidelines)
Retraction
Review Article
Reviewers 2023
Short Communication
Short Report
Special Editorial
Special Review
Systematic Review
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Abstract
Abstracts
Addendum
Brief Communication
Case Report
Case Series
Commentary
Conference Abstract
Conference Editorial
Conference Proceedings
Current Issue
Editorial
Editorial Commentary
Erratum
General Medicine Original Article
General Medicine, Case Report
General Medicine, Review Article
IAPCONKochi 2019 Conference Proceedings
Letter to Editor
Letter to the Editor
Letters to Editor
Narrative Review
Oral Abstracts
Original Article
Palliative Medicine Commentary
Palliative Medicine, Letter to Editor
Palliative Medicine, Letter to the Editor
Palliative Medicine, Original Article
Palliative Medicine, Review Article
Personal Reflection
Perspective
Perspectives
Position Paper
Position Statement
Poster Abstracts
Practitioner Section
Report
REPUBLICATION: Special Article (Guidelines)
Retraction
Review Article
Reviewers 2023
Short Communication
Short Report
Special Editorial
Special Review
Systematic Review
View/Download PDF

Translate this page into:

Review Article
17 (
Suppl
); S68-S69
doi:
10.4103/0973-1075.76246

Total Pain Management

Holy Family Hospital Campus Okhla Road, Medical Mission, Sisters Joyti Bhawan New Delhi, India
Address for correspondence: Mr. Agnes Panikulam; E-mail: mmsdelhi@gmail.com
Licence

This is an open-access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Disclaimer:
This article was originally published by Medknow Publications and was migrated to Scientific Scholar after the change of Publisher.

Abstract

We CanSupport provide holistic care to the patients and family. This means, physical, emotional, psychosocial and spiritual care. The objective of this article is to implement a plan for improved high quality care, within a dynamic and complex health care system for palliative care. Twelve years of working experience with palliative care in CanSupport ‘India’ and 10 years of working palliative care aboard (USA). High level satisfaction of the patient of the patient and families due to the psycho, socio, spiritual model and help for income generation and vocational training. We suggest and encourage, to we this model for all palliative care centre and institutions

Keywords

Total pain management
Team approach
Multidisciplinary team
Holistic care

We at CanSupport provide home based palliative care to cancer patients in the national capital region of Delhi. Our services are free and main focus is marginalized sections of our society. We have 7 field centers and 11 home care teams. Each home care team consists of a doctor, nurse and a counselor. Nurse is a backbone of the team and act as a team coordinator. The team members provide holistic care to the patients and family this means, physical, emotional, psychosocial and spiritual care to the patients and family. We firmly believe that for total pain management and quality care requires much disciplinary team approach using medico- psychosocial model.

Our care is patient focused and family oriented to take care of

  • Physical

  • Emotional

  • Psychosocial

  • Spiritual issues

through a Multidisciplinary Team chiefly consisting of

  • Nurse

  • Physician

  • Counselor

and complemented, as required, by

  • Volunteers

  • Social workers

  • Medical specialists

  • Psychologists

  • Psychiatrists

  • Physiotherapist/Occupational therapist

  • Recreational therapist (Complementary therapist)

  • Nutritionist

  • Spiritual/Clergy member (priest, chaplain)

  • Social worker and vocational counselor, etc.

When a member of the family get sick, the whole family is affected. The family’s functional equilibrium is lost and the emotional shock vibrates through the entire system. Therefore, it is important to handle the patient and family by a multidisciplinary team. Medical group-doctor and nurse need to implement a plan for improved high quality care, within a dynamic and complex health care system. Members are committed to collaborate through a multidisciplinary team. They initiate a relationship with palliative care patients and family and coordinate the assessment and intervention for each patient.

Besides focusing on the patient by the medical team, counselors have a specific task to accomplish-study the history of the family stress level, grief patterns, communication, dynamic among the members, family support, belief system emotional expressed by the members and many other interactions within the family. After observation, counselor and patient along with the family, look at the range of problems present and prioritize them. This list is revised on a regular basis as, social, emotional, and spiritual issue changes can develop. The experiences of the total pain can add to individual’s fear, shame, anger and quilt. Therefore, counselors need to focus on the psychologically appropriate interventions to address the issues.

A multidisciplinary team facilitates team members to directly interact with patients and family and also shares information among the members. They work together to achieve the goal. An effective team requires collaboration, coordination and leadership and above all maturity in decision making.

When a person enters the final stage of the dying process, many major dynamics are at work-physical, emotional, and spiritual. On the physical side, body begins the final stages of shutting down; emotionally, patient might experience feelings of fear, anger, guilt, etc. The spirit of the person begins its final journey aimed at releasing the body from all attachment. The release follows its own priorities, which may include, setting unfinished business and seeking permission from the family to let go. This process needs to happen in a way appropriate to the values, beliefs, and life style of the dying person. Therefore, it is important to have a holistic approach.

Our past 13 years of experience shows that a multidisciplinary team approach using the Medico-psycho-socio-spiritual model is very effective.

Benefits of the model

  1. Total pain management by an expert team

  2. Focus on the whole person- body mind and spirit

  3. Pain relief in all level

  4. Promoting quality care

  5. Increase in support system

  6. Opportunity to resolve unresolved issues

  7. Psycho-socio, spiritual issues are handled

  8. Understanding that if care is not possible healing is possible

  9. Creating peace and harmony within on self and others

  10. High level satisfaction

Medical model Medico-psycho-sociospiritual model
Focus on diseases only Most of the time, individual approach to evaluate Respond to physical pain Pain relief in physical level Support system low level Low level satisfaction Focus on the whole person body, mind, and spirit Team approach to evaluate Respond to total pain Pain relief in all levels Increase in support system High level satisfaction

Source of Support: Nil

Conflict of Interest: None declared


Fulltext Views
554

PDF downloads
167
View/Download PDF
Download Citations
BibTeX
RIS
Show Sections