2008; Volume 9, No 5, May



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From Help the Hospices

Subject: Downing street web chat

Hi all,

Just to let you know, Douglas Alexander, the UK Secretary of State for International Development, is doing a live web chat on the Downing Street website on Wednesday 17th May at 1300BST.

I have already submitted a question about what the UK government is doing for hospice and palliative care worldwide, but it would be good to get as many questions submitted as possible so that hopefully at least one is answered!
Please send this around to those in your networks who may be able to help.

Many thanks,

Address questions to:

Claire Morris
International Project Officer
Help the Hospices
34-44 Britannia Street
Tel: +44(0)207 520 8250
Fax: +44(0)207 7278 1021


Hope in Palliative Care: From Narcissism to Self-Transcendence
in Amyotrophic Lateral Sclerosis


The above article is available in its entirety, and at no cost - follow the link in the Mary Ann Liebert, Inc.’s Website http://tinyurl.com/5c95e3


Pittsburgh, PA, April 1, 2008 -- The National Consensus Project for Quality Palliative Care (NCP) announced today the inauguration of the NCP Quality in Palliative Care Award, a program designed to recognize organizations performing superior work incorporating the NCP's Clinical Practice Guidelines for Quality Palliative Care (http://www.nationalconsensusproject.org) into their palliative care services.

"While many organizations in the United States have used the NCP's Guidelines and the National Quality Forum's Preferred Practices to improve the care they provide, others have yet to do so," said Betty Ferrell, RN, PhD, FAAN, Chair of the NCP. "The NCP award is timely given other initiatives recently introduced, including the Joint Commission's Certification for Palliative Care Programs, which recognizes palliative care programs that make exceptional efforts to improve delivery of care."

Organizations competing for the NCP Quality in Palliative Care Award will submit nomination packets documenting how they have used the Guidelines and Preferred Practices to enhance their services, with particular emphasis on the ways they have applied these palliative care guidelines across diverse practices and settings. Award nominations are accepted until September, allowing time for organizations to build on their present use of the Guidelines…

Details of the awards program, including instructions on how to apply, can be found on the NCP's web site at http://tinyurl.com/4u3bma,

or by calling Ken Zuroski, Project Coordinator, at 412 787 1002,  
[email protected]

Applications are due by September 1, 2008.

Awards will be announced on October 1, 2008.
Funding for this initiative is provided by The Mayday Fund.

2006 Global, Regional, and National opioid consumption statistics now available through PPSG's Country Profiles

The Pain & Policy Studies Group (PPSG) now provides 2006 global, regional, and national consumption data for fentanyl, hydromorphone, methadone, morphine, oxycodone, and pethidine through the Country Profiles section of the PPSG's international website.

A review of the 2006 INCB morphine data reported by governments reveals that 7 high-income countries (United States, France, Canada, United Kingdom, Germany, Austria, and Australia) accounted for nearly 84% of medical morphine consumed in the world, but comprise less than 12% of the world's population.  These figures point to the large and continuing disparity in morphine consumption among countries, and provide further evidence of the inadequate global treatment of pain, especially in low- and middle-income countries.
The Country Profiles can be accessed at http://www.painpolicy.wisc.edu/internat/countryprofiles.htm  or from the PPSG homepage under International Resources.


Bridging the Morphine Gap - In India

An audio program produced by the BBC can be heard at the following website: http://www.bbc.co.uk/radio4/science/pip/4gv0m/


For Release: April 14, 2008 from the Center to Advance Palliative Care, Mount Sinai Medical Center

“New Analysis Shows Hospitals Continue to Implement Palliative Care Programs at Rapid Pace
New Medical Subspecialty Fills Gap for Aging Population

New York, NY — According to a new Center to Advance Palliative Care (CAPC) analysis of the latest data released from the 2008 American Hospital Association (AHA) Annual Survey of Hospitals, U.S. hospitals continue to implement palliative care programs at a rapid pace. The CAPC analysis shows that 1299 hospitals (31%) nationwide provide palliative care programs today. This is compared to just 632 programs in 2000. Most significantly, hospitals with over 50 beds – the most likely to have a program – show a penetration of 47%.

"Palliative care represents a paradigm shift in how we treat serious illness in America. Ten years ago there were almost no hospital palliative care programs in the U.S. But if we're going to meet the needs of an aging population, it's going to be necessary for every hospital to have a program," said Dr. Diane Meier, Director of the Center to Advance Palliative Care.
Of the 4,136 hospitals appropriate for palliative care programs (psychiatric and rehab hospitals are excluded):

  • 31% have a program
  • 47% with over 50 beds have a program
  • 77% with over 250 beds (large size hospitals) have a program

Features commonly associated with hospitals that provide a palliative care consultation service are:

  • JCAHO accreditation
  • Cancer program approved by the American College of Surgeons
  • COTH member hospital (Council of Teaching Hospitals)
  • Catholic church operated
  • Large size (i.e., over 250 beds)

About Palliative Care

...By 2030, it is expected that the number of older Americans will have more than doubled to 70 million — or one in every five Americans. With the availability of advanced medical technologies the growing numbers of older adults are expected to live longer, but often with serious, chronic and costly illnesses. By improving physical and psychological symptoms, caregiver well-being, and patient/family/doctor communication, palliative medicine is widely viewed as an important solution to the mounting problems faced by patients, families and the healthcare system.

The Center to Advance Palliative Care (CAPC) provides health care professionals with the tools, training and technical assistance necessary to start and sustain successful palliative care programs in hospitals and other health care settings. Located in New York City, CAPC is a national organization dedicated to increasing the availability of quality palliative care services for people facing serious illness. Direction and technical assistance is provided by Mount Sinai School of Medicine. www.capc.org
Contact: Lisa Morgan, Center to Advance Palliative Care, Mount Sinai Medical Center
212.201.2675 or [email protected]


The British Medical Journal Group’s Campaign of Making a Difference

Palliative Care for all at the end of life received the most votes! (39% of 4023 votes)

Read about this:  http://makingadifference.bmj.com/


Dr. Robert Twycross (UK) discusses the “Hope for Comfort”

with India’s National newspaper The Hindu.


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