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Siriraj Palliative Care Center
Palliative Care Committee
Faculty of Medicine Siriraj Hospital
Faculty of Medicine Siriraj Hospital
Palliative Care
Executive
Board
Departments
Siriraj Hospital
Palliative Care
Working
Committee
Units/Divisions
Department of
Nursing
Palliative Care in Siriraj Hospital
Siriraj Palliative Care Center
 Pediatric Palliative Care Center


Outpatient service
 Pain clinic
 Chemotherapy center
 Radiotherapy clinic

Inpatient service
 Apply Palliative Care Guideline to every
clinical departments
 Spiritual support program in unit/ward
Palliative Care in Siriraj Hospital

Primary Care Team / community care
(PCU)

Palliative Home Care / Continuing Care

Volunteer program
Our Team
Hospital – Based Team
 Attending physicians
 Residents
 Palliative care team consultant
 Staff Nurses
 Registered nurses
 Nurse assistants
 Others health care professional (psychologists,
social workers, physical therapists, etc.)
 Volunteers
Primary Care Team / community care (PCU)
 General practioners (GP) and family physicians
 Primary care nurses
The Focus of Development
1. Palliative Care Guideline
2. Training and education for the trainers
and providers
Palliative Care Guideline
Training and Education for the Trainers
and Providers
Staff
Pain and
Symptoms
control
Counseling
technique
Spiritual
support
Physicians
Based on
Buddhist
concept
Residents
Based on
Buddhist
concept
Nurses
Based on
Buddhist
concept
Other staffs
and
volunteers
Complimentary and
others needed skill
Massage,
Art or music
therapy
Siriraj Palliative Care Day 2010
Palliative Care Conference
On the third Wednesday, every 2-3 months
The chance for our staffs to share the
ideas and experiences by using case study
method.
Operating Performance in 2010
There are 32 attendants in January
There are 25 attendants in March
There are 42 attendants in May
Palliative Care Website
http://www1.si.mahidol.ac.th/palliative
Our Services
Activities of the Clinic
Overall Operation in 2010
The number of patients from Jan – Aug
Total number of patients = 76
Total number of new patients = 39 and
total number of dead patients = 37
Home care 45 times
50 cases of the patient and family consult
through the phone
Overall Operation in 2010
Patients and families follow up by phone
187 times
Bereavement care 37 cases
Follow up patients’ family by phone after
the patient pass away 37 cases
Attend a funeral ceremony 1 case
Pick a patient up to visit her son at
Thonburi jail (Patient’s last wish)
Palliative care service satisfaction
among Patients
“I feel good, I have never found a doctor
talking with me and my family for long
period before and nobody give 24 hrs
contact number, so I have more time to
tell what I still want to do and able to ask
for consult. It makes me feel secure and
confident to take care of myself after I go
back from the hospital.”
Palliative care service satisfaction
among Patients
“I feel like I still have someone, my family
and I are not alone because I have the
palliative care team visit my home and call
me to follow up case. Now I have the team
to consult and give advice.”
“I have never seen the service like this
before, I am very impressed.”
Activities and Projects for
Palliative Care Patients
Projects for Caring in End of Life
Patient
 Counseling for Patient and Family Project
 Good Death Project (every wards)
 Renal Failure Palliative Care
 9 C End of Life Care
 Body Comfort and Happy Mind
 The Pathway of Relieving in Cancer Terminal
Illness Patient
Projects for Counseling and Group Support
 Cheerful and Happiness Project (Every Ward in
Medicine Nursing)
 The Development of Caring for Children with
Cancer by giving psychological support and
educate the parent
 Counseling Service for Cancer Patient and Family
 Family Support
 Patient and Family Counseling
Projects and Activities
“Hospital like Home” for patients
Spiritual Activities
Buddhist activities
Alms giving to monks once a week
Offering dedication to Buddhist
monks every year
 Inherit Thai Tradition and Culture
Information and medias
Dharma Multimedia in Wards, e.g. Books, VDO, CD
End of Life Care
Nursing care team condoles with the
family and asks for permission to put
flower garland on patient’s chest
Bereavement Care
Card and flowers
Bereavement care
Warm line/call
Bereavement care
project
Nurses have follow-up call
for 3 times and record the
information from the
family to assess the needs
and daily life after
patient’s death.
Volunteer Program
Meditation for Mind Healing
Home Care: Home Visit
Primary
care nurse