Massage therapy with topical phytochemicals in palliative care By Kevin KF NG, MD, PhD. Former Associate Professor of Medicine Miller School of Medicine University of Miami, Florida Presented at The Department of Palliative Medicine, Tan Tock Seng Hospital, Singapore Jan 22, 2016
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Massage therapy with topical phytochemicalsin palliative care
By
Kevin KF NG, MD, PhD.Former Associate Professor of Medicine
Miller School of MedicineUniversity of Miami, Florida
Presented at The Department of Palliative Medicine, Tan Tock Seng Hospital, Singapore Jan 22, 2016
WHO Definition of Palliative Care
Palliative care is an approach that improves the quality of life of
patients and their families facing the problem associated with life-
threating illness, through the prevention and relief of suffering by
means of early Identification and impeccable assessment and
treatment of pain and other problems, physical, psychosocial and
spiritual.
WHO Guidelines 2004
Institute of Medicine 2014
Recommendations for:• individuals• health care professionals• organizations• payers • policy makers
to achieve optimal care at the end of life,
Hospice Care in the USA 2010-2014
Total Hospice patients served per year % Of Hospice patients by AGE
http://app.jamanetwork.com/#page=issuesContainer
Hospice Home Care in USA 2010 - 2014
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Common physical symptoms in palliative care
pain
fatigue
loss of appetite
nausea
vomiting
shortness of breath
insomnia.
IAHPC: 34 essential medications for palliative care