Childen's palliative care has developed rapidly as a discipline, as
health care professionals recognize that the principles of adult
palliative care may not always be applicable to children at the end
of life. The unique needs of dying children are particularly
evident across Africa, where the scale of the problem is
overwhelming, and the figures so enormous that they are barely
comprehensible: over 400,000 children in Africa died from AIDS in
2003, and out of the 166,000 children a year diagnosed with cancer,
85% of these are in the developing world. Despite the enormous
need, provision of children's palliative care in Africa is almost
non-existent, with very few health workers trained and confident to
provide care for dying children. The challenges of providing
palliative care in this setting are different to those in more
developed countries, contending with the shortage of physical and
human resources in addition to the vast scope of the care needed.
Written by a group with wide experience of caring for dying
children in Africa, this book provides practical, realistic
guidance by improving access to, and delivery of, palliative care
in this demanding setting. It looks at the themes common to
palliative care--including communication, assessment, symptom
management, psychosocial issues, ethical dilemmas, end of life
care, and tips for the professional on compassion and conservation
of energy--but always retains the focus on the particular needs of
the health care professional in Africa. While containing some
theory, the emphasis is on practical action throughout the book.
Children's Palliative Care in Africa provides health care
professionals working in Africa, and other resource-poor settings,
with the confidence, knowledge, and capacity to improve care for
the terminally ill child in constrained and demanding environments.
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