Development of Community-based Palliative Care Model for Patients with Cancer: A Case Study of Banpunruk Suratthani
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Abstract
The purpose of this community-based participatory action research (CPAR) was to develop and examine the model of palliative care for patients with cancer at Banpunruk, Suratthani. The participants included health care providers, organizations and members of the community, and patients and their families. The PAR process included problem identification and a need assessment, community and team establishment, field and community context surveys, organization founding, model of care planning, action and inquiry(PDCA), outcome evaluation, and model development and distribution.
The result of the study was the development of the Banpunruk Model, which is a community-based palliative care model for patients with cancer. The model development enables concepts of care as well as a model and its outcome in care management appropriate for Banpunruk’s contexts. The concepts of care are based on social support, holistic and humanized care as well as community participation and ownership. The model of care and its model outcomes at Banpunrug integrates the distinctive concepts of Home, Hotel, Hospital, and School Model (HHHS model) to promote a caring atmosphere for patients and families, the community, and healthcare teams in the provision of care to the patients, who live in Banpunruk which mimics staying in their own house, hotel, hospital, and in school. Therefore, patients and families can learn how to take care of themselves and to effectively live well with cancer. Most importantly, they are prepared for a peaceful death. However, the Banpunruk Model is not a perfect one; there are some problems and barriers in its implementation relating to funding and commitment of volunteers.
Article Details
บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
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