Family Med Medical News about palliative care; remote regions; mobile unit

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Providing Culturally Sensitive Palliative Care in the Desert - The Experience, the Need, the Challenges, and the Solution
Journal of Pain and Symptom Management, 07/15/09

Singer Y et al. - A mobile palliative care unit (MPCU) has been established, with the aims of delivering palliative care to terminal patients living in remote regions not easily accessible to the community health care teams and to provide palliative care-consultation services to the local primary care teams. The mobile unit consists of a core team of a nurse, a social worker, a physician, and a Bedouin driver-interpreter/translator. The MPCU cares for about 30 patients at any given time, including four to six Bedouins living in rural homesteads, four to six Bedouins living in townships, and the remainder Jewish patients living in the surrounding settlements. One hundred patients were cared for and about 1800 home visits were conducted during the past year, including 15% by the whole mobile unit team, 15% by the physician alone, 25% by the nurse alone, and 25% by the unit's nurse together with the local primary clinic nurse. The average distance covered per home visit was around 70 km. This experience in establishing a culturally sensitive MPCU can be a model to provide palliative care services in remote areas.

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