BMJ 2008;336:913 (26 April), doi:10.1136/bmj.39556.505313.DB
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Palliative care toolkit developed for staff in developing countries
Rebecca Coombes
1 London
| The first 150 words of the full text of this article appear below. |
Two doctors and colleagues from the United Kingdom have this week launched a toolkit for healthcare professionals in poor countries that advises on palliative care. The authors were struck that many countries struggle to provide even the most rudimentary control of symptoms and social support for patients with incurable conditions, chiefly AIDS and cancer.
Vicky Lavy, a doctor at Helen and Douglas House Hospice, Oxford, and an author of the toolkit, said that one of the biggest problems in providing palliative care in many poor countries is the lack of morphine.
In her 10 years’ experience in Malawi, Dr Lavy said that the only painkillers in reliable supply were paracetamol, aspirin, and "perhaps a non-steroidal on a good day. But even ibuprofen is not widely available. Codeine is very expensive."
Ironically, she said, powdered oral morphine was "dirt cheap" to buy from manufacturers, but many African governments were resistant to
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