Development of palliative care patient system Rong Kham District, Kalasin Province

Abstract

This research was Participatory Action Research (PAR) aimed to development of palliative care patient system Rong Kham District, Kalasin Province. Study between September 2019 and September 2020. Sample size were stakeholder of palliative care patient including 40 Public health personnel from hospitals and tambol health promoting hospitals, 40 representatives of the local administrative organization, community leaders, and volunteers, and 72 relatives of palliative care patient, Rong Kham District, Kalasin Province. Data were collected by evaluation form and questionnaire. Data were analyzed by mean, standard deviation, percentage and dependent t-test. The results of the study found that palliative care patient system that have been developed include: Guidelines for screening patients into palliative care , Guidelines for early patient assessment , Guidelines for caring with a primary/multidisciplinary care team , Providing information to patients and their families , Making an advance care plan discharge planning , Guidelines for follow-up visits to patients at home based on PPS levels and the development of care potential for the health team. It was found that after potential development the ability to provide palliative care patient of related health personnel, partnership and patient relatives better than before had statistically significant at the .05 level. And the ability to care for a patient's family after the loss of a person involved in palliative care patient of related health personnel and partnership better than before had statistically significant at the .05 level. And can provide palliative care patients with 100% coverage.