Palliative Care Awareness Among Clinicians in Bhopal: A Survey Based Report
Authors/Creators
- 1. Assistant Professor Department of Anaesthesiology, L.N. Medical College and J.K. Hospital Bhopal
- 2. Assistant Professor Department of Anaesthesiology, Chirayu Medical College & Research Center
- 3. Professor Department of Anaesthesiology, L.N. Medical College and J.K. Hospital Bhopal
- 4. Professor & Head, Department of Anaesthesiology, L.N. Medical College and J.K. Hospital Bhopal
Description
Background: To assess the existing knowledge about palliative care among physicians and to assess the existing awareness about palliative care practices among physicians. Methods: Cross-sectional, anonymous, self-administered questionnaire survey was done with a group of 100 conveniently sampled physicians. This study used psychometric methods, including item response theory, intraclass correlation coefficients, and known-group validity. included 20 items across the following 4 domains: (1) palliative care, (2) Hospise (3) Terminal illness (4) Pain control . There was a significant difference in the scores between palliative care specialists and other physicians. Results: Most of the physicians have heard about palliative care in their residency/ post graduation days and are aware that it is mainly for all terminally ill patients. None have received any formal education or training in palliative care. Almost 30% didn’t know that the main aim of palliative care is to improve quality of life. Most physicians came to know about palliative care and hospice through their friends and internet. All physicians believe that patients should be taken care of at home or in hospice and there should be judicious use of opioids with spiritual councelling. Most of them were not aware about the Narcotic Drugs and Psychotropic Substances Amendment Act 2014 or WHO ladder of pain .Most only knew about VAS scoring system of pain and didn’t know about other pain scores. Conclusion: Palliative care processes including identification of patient preferences and decision making surrogates, communication between clinicians and patients/families, social and spiritual support, and pain assessment and management, as documented in medical records. Application is triggered by specified lengths of ICU stay. Amongst doctors of various departments, there is a lack of training and awareness in palliative care. Almost all are interested and they are willing to have more training in pain control, breaking bad news, communication skills and terminal care.
Abstract (English)
Background: To assess the existing knowledge about palliative care among physicians and to assess the existing awareness about palliative care practices among physicians. Methods: Cross-sectional, anonymous, self-administered questionnaire survey was done with a group of 100 conveniently sampled physicians. This study used psychometric methods, including item response theory, intraclass correlation coefficients, and known-group validity. included 20 items across the following 4 domains: (1) palliative care, (2) Hospise (3) Terminal illness (4) Pain control . There was a significant difference in the scores between palliative care specialists and other physicians. Results: Most of the physicians have heard about palliative care in their residency/ post graduation days and are aware that it is mainly for all terminally ill patients. None have received any formal education or training in palliative care. Almost 30% didn’t know that the main aim of palliative care is to improve quality of life. Most physicians came to know about palliative care and hospice through their friends and internet. All physicians believe that patients should be taken care of at home or in hospice and there should be judicious use of opioids with spiritual councelling. Most of them were not aware about the Narcotic Drugs and Psychotropic Substances Amendment Act 2014 or WHO ladder of pain .Most only knew about VAS scoring system of pain and didn’t know about other pain scores. Conclusion: Palliative care processes including identification of patient preferences and decision making surrogates, communication between clinicians and patients/families, social and spiritual support, and pain assessment and management, as documented in medical records. Application is triggered by specified lengths of ICU stay. Amongst doctors of various departments, there is a lack of training and awareness in palliative care. Almost all are interested and they are willing to have more training in pain control, breaking bad news, communication skills and terminal care.
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IJTPR,Vol12,Issue7,Article2.pdf
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Additional details
Dates
- Accepted
-
2022-06-01
Software
References
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