Palliative Care Model With Case Management and Participation of Multidisciplinary Teams Health Network Waengyai District, Khon Kaen province

Abstract

This action research aimed to develop a model and evaluation of palliative  care  model

with case management and participation of multidisciplinary  teams  health  network  Waengyai District, Khon Kaen province. The research conducted from October 2019- September 2021.The adopted the care model by multidisciplinary team in hospital and sub-district health promoting hospital, end of life patients and their families,care giver,public health volunteer,community leader,local government organization. Evaluation of care outcomes  from  end of life patients; 148 samples. Research tools were in-depth interview & focus group discussion questions form, INHOME-SSS, PPS,ESAS assessment form, and observation forms.  Qualitative data were analyzed by content analysis and quantitative data by mean and percent.

The study results showed that Palliative  Care  Model  With Case Management and Participation of Multidisciplinary  Teams  Health  Network  Waengyai District, Khon Kaen province     appropriate to the context of the area  Including 1) Develop the potential of care and knowledge of the team of doctors,nurse case managers, including multidisciplinary team in the hospital,sub-district health promoting hospitals and community network partners 2) Establishing CPG in hospitals to community, with roles in each profession 3) Arrange a system to support sufficient materials and equipment, such as beds, air mattresses, oxygen concentrators 4) Organize a 24-hour consulting system by the doctor and nurse manager.The evaluation found that the strong network of partners budget support. Outcomes of patient care, 2019-2021, 9.38,90.35,95.20%. The patients received ACP. 91.22,100,100 %. For MO were relieved of pain  75.47, 82.56, 80.20% as decreased pain 68.75%,78.57, 83.33% decreased fatigue, had difficulty breathing. Respiratory dyspnea was reduced by 76.36, 80.26, 82.10% and received a home visit according to the specified criteria. , 100, 100,100%.