Titre : | Alleviating the access abyss in palliative care and pain relief-an imperative of universal health coverage : the Lancet Commission report (2018) |
Auteurs : | Felicia-Marie Knaul ; Lancet Commission on Palliative Care and Pain Relief Study Group (GBR) ; Paul-E FARMER ; Eric-L Krakauer ; Liliana De lima ; Afsan BHADELIA ; Xiaoxiao Jiang kwete ; Héctor Arreola-ornelas ; Octavio GOMEZ-DANTES ; Natalia-M Rodriguez ; George-A-o Alleyne ; Stephen-R Connor ; David-J Hunter ; Diederik Lohman ; Lukas RADBRUCH ; María Del rocio saenz madrigal ; Rifat ATUN ; Kathleen-M Foley ; Julio FRENK ; Dean-T Jamison ; M.R. RAJAGOPAL |
Type de document : | Article |
Dans : | Lancet (The) (vol. 391, n° 10128, 2018) |
Pagination : | 1391-1454 |
Langues: | Anglais |
Mots-clés : | Soins palliatifs ; Accès soins ; Démarche soins ; Douleur ; Appareil respiratoire ; Cancer ; Entrée ; Traitement douleur ; Morphine ; Inde |
Résumé : | [BDSP. Notice produite par CNSP-FV R0xp9878. Diffusion soumise à autorisation]. In agonising, crippling pain from lung cancer, Mr S came to the palliative care service in Calicut, Kerala, from an adjoining district a couple of hours away by bus. His body language revealed the depth of the suffering. We put Mr S on morphine, among other things. A couple of hours later, he surveyed himself with disbelief. He had neither hoped nor conceived of the possibility that this kind of relief was possible. Mr S returned the next month. Yet, common tragedy befell patient and caregivers in the form of a stock-out of morphine. |