RESUMO
Palliative care is recognised by the WHO as an essential component of care for the seriously ill. Geographically isolated and historically underserved communities, particularly from ethnic minority groups, face obstacles in obtaining adequate palliative care. This case involves the care of a 26-year-old Druze man suffering from a terminal cancer in his Golan Heights village. Local physicians were able to train the patient's father in a palliative care capacity. In the effort of capacity building, the physician and palliative care team also aided the aggrieved family in the process of coping. Robust support networks, both at state and community levels, facilitated the care provided. In showcasing the role of the national and local safety net in activating and building community resources to address a dearth of palliative care services in disadvantaged regions, this case models a potentially effective community-based approach to palliative care for patients from underserved populations.
Assuntos
Cuidadores/organização & administração , Cuidados Paliativos/organização & administração , Adulto , Neoplasias Encefálicas/psicologia , Neoplasias Encefálicas/terapia , Cuidadores/educação , Cuidadores/psicologia , Relações Familiares/psicologia , Humanos , Israel , Masculino , Cuidados Paliativos/métodos , Cuidados Paliativos/psicologia , Equipe de Assistência ao Paciente/organização & administração , Qualidade de Vida , População Rural , Apoio Social , Assistência Terminal/métodos , Assistência Terminal/organização & administração , Assistência Terminal/psicologiaRESUMO
The Medical School for International Health (MSIH) was created in 1996 by the Faculty of Health Sciences at Ben-Gurion University of the Negev in affiliation with Columbia University's Health Sciences division. It is accredited by the New York State Board of Education. Students complete the first three years of the program on the Ben-Gurion University campus in Be'er-Sheva, Israel, while fourth-year electives are completed mainly in the United States (at Columbia University Medical Center and affiliates as well as other institutions) along with a two-month global health elective at one of numerous sites located around the world (including Canada, Ethiopia, India, Israel, Kenya, Nepal, Peru, the Philippines, Sri Lanka, Uganda, the United States, and Vietnam). The unique four-year, American-style curriculum is designed not only to prepare physicians who will be able to work at both an individual and community level but also at both of these levels anywhere in the world. In this way, it combines elements of medical and public health curricula not limited to an American perspective.
Assuntos
Currículo , Educação de Graduação em Medicina , Ética Médica/educação , Saúde Global/educação , Saúde Global/ética , Faculdades de Medicina , Estudantes de Medicina , Antropologia Médica/educação , Competência Clínica , Comunicação , Diversidade Cultural , Currículo/normas , Currículo/tendências , Educação de Graduação em Medicina/organização & administração , Educação de Graduação em Medicina/normas , Educação de Graduação em Medicina/tendências , Feminino , Humanos , Israel , Idioma , Masculino , Anamnese , Exame Físico , Atenção Primária à Saúde/ética , Atenção Primária à Saúde/normas , Atenção Primária à Saúde/tendências , Aprendizagem Baseada em Problemas/métodos , Aprendizagem Baseada em Problemas/normas , Refugiados , Faculdades de Medicina/normas , Faculdades de Medicina/tendências , Adulto JovemRESUMO
Fifteen years after the Ottawa Mine Ban Treaty, landmines continue to negatively impact global public health. Recent estimates attribute 11-12 daily casualties to landmines and explosive remnants of war. The majority of these casualties are civilians. Children are disproportionately affected by landmine injuries. In this report, we examine the case and recovery of a child severely injured in a 1982 Golan Heights landmine accident, illustrating the danger landmines pose to civilians and their long-term health implications.
