building communities of practice in peru

5
Marie Fallon St Columba’s Hospice Chair of Palliative Medicine University of Edinburgh Building communities of practice in Peru

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Marie fallon presentation

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Page 1: Building communities of practice in Peru

Marie Fallon

St Columba’s Hospice Chair of Palliative Medicine

University of Edinburgh

Building communities of practice in Peru

Page 2: Building communities of practice in Peru

VARIED POPULATION

STARK CULTURAL DIFFERENCES

CHALLENGING TERRAIN

POLITICAL STRESSES“SHINING PATH”

POOR HEALTH INFRASTRUCTURE

ALMOST NO ACCESS TO OPIOIDS FOR ANYONE!!

Page 3: Building communities of practice in Peru

POSTAS-COAST/ANDES

VILLAGES AND SHANTY TOWNS

NETWORK OF VOLUNTEERS

EDUCATION PROGRAMME

Page 4: Building communities of practice in Peru

PATIENT WITH ADVANCED CANCER AND SEVERE PAIN6 CHILDREN-IN FIELDS ALL DAYGENERAL SUSPICION-POLITICAL TENSIONS BUT NETWORK OF LOCAL WOMEN DEVELOPED TO ADMINISTER “ANALGESICS” AND CARE

THIS MODEL WAS THEN USED FOR OTHER PATIENTS/SITUATIONS

Page 5: Building communities of practice in Peru

OUR MANAGED CLINICAL NETWORK!!

YOUNG CARERS

TRAINING THE TEACHERS GOES TO SOUTH AMERICA!!