Perspectives of Former International Pain Policy Fellows International Pain Policy Fellowship...
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![Page 1: Perspectives of Former International Pain Policy Fellows International Pain Policy Fellowship Training Program Madison, Wisconsin, USA 6 August 2012 Bishnu.](https://reader030.fdocuments.us/reader030/viewer/2022032600/56649dbf5503460f94ab3021/html5/thumbnails/1.jpg)
Perspectives of Former International Pain Policy Fellows
International Pain Policy Fellowship
Training ProgramMadison, Wisconsin, USA
6 August 2012
Bishnu D. Paudel, MD2008 Fellow
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Nepal
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Mount Everest : 8,848m (29,029ft)
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Nepalese Situation
• Most of the cancer patients were diagnosed in advanced stage.
• Pain was most commonly associated symptom in cancer patients.
• Pain was not treated optimally.
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Breast cancer lady with severe pain
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Drug availability
Expensive chemotherapy & targeted therapy were available.
Cheap opioid like oral morphine was difficult to get.
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International Pain Policy Fellowship?
• Why opioids like oral morphine availability is problem in Nepal?
• Something more than routine work!
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International Pain Policy Fellowship
The Fellowship is intended for health professionals from developing countries who have an interest to improve availability of opioid analgesics.
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International Pain Policy Fellowship
• Training program in June 2008 for fellow and ministry representative
• In country Project & Action Plan
• Mentorship
• Financial support
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IPPF Fellow, Mentors & Ministry representative
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Training Program
1) Policy level
2) Drug Distribution System
3) Cost of Opioid Analgesics
4) Knowledge & Attitudes
Barriers of opioid availability
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Action Plan
Problems;-Irregular supply of opioids .
-Dependent on foreign drug companies .
-Multiple groups working
-Lack of knowledge & attitude
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Action PlanActions:
Importers to report regularly. Production in Nepal
An Association of Palliative Care.Educational activitiesPain Management Protocol
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Oral morphine production in Nepal
• Morphine syrup in 2009
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Morphine tab 10 mg 2011
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Morphine Tab(10mg) PR 2012
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Morphine Tab 30mg (PR)2012
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Nepalese Association of Palliative Care(NAPCare)
Nepalese Association of Palliative Care Officially registered 16th December, 2009 and 11 member body was formed.
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Dr. Eric, Mentor, visit
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Educational Activities
• One month palliative care training
• Pain and Palliative care training in National Academy of Medical Sciences in March 2011. Dr. Eric resource person.
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Educational activities
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American Academy Hospice Palliative Medicine Annual Meeting 2011
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Indian Cancer Aid Society Palliative Care Award 2012
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INTERNATIONAL LEADERSHIP IN PALLIATIVE CARE
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Conclusion
At the end of my fellowship I am proud to say because of IPPF I could bring some changes in my country to help people who are suffering from pain .
I enjoyed working as International Pain Policy Fellow and have 100% satisfaction.
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