Research Article
Palliative Care: Supporting Adult Cancer Patients in Ibadan, Nigeria
Soyannwo Olaitan*, Aikomo Oladayo and Maboreje OloladeHospice and Palliative Care Unit, University College Hospital (UCH), Ibadan, Oyo state, Nigeria
- *Corresponding Author:
- Olaitan S
Hospice and Palliative Care Unit
University College Hospital (UCH)
Ibadan, Oyo state, Nigeria
Tel: +234 8023238326
E-mail: folait2001@yahoo.com
Received date: Mar 29, 2016; Accepted date: May 04, 2016; Published date: May 07, 2016
Citation: Olaitan S, Oladayo A, Ololade M (2016) Palliative Care: Supporting Adult Cancer Patients in Ibadan, Nigeria. J Palliat Care Med 6:258. doi:10.4172/2165-7386.1000258
Copyright: © 2016 Olaitan S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Over 70% of adult cancer patients present late to hospital in Nigeria with devastating consequences. Yet, structured palliative care is only an emerging service in this country with population of over 160 million. Objective: To describe activities of the Ibadan palliative care group and review one year holistic care programme offered by the team to support patients and their families. Methodology: A retrospective study reviewed treatment notes of patients that were enrolled from January to December 2013. Information retrieved included bio-data, stage of cancer, presenting complaints, palliative care issues identified, services rendered, days on programme, outcome and challenges. Results: Structured Palliative care service consisting of hospital based care, day care and home based care commenced in 2008, being the first of such in Nigeria. The service was based at the University College Hospital, Ibadan and run in collaboration with Centre for Palliative care Nigeria, a non-governmental organization. 189 patients were seen within the year and 121 (64%) were adults with advanced cancer. There were 44 (36.4%) male and 77 (63.6%) female with age range 21 to 91 years. 89 (73.6%) had moderate to severe pain. Psychosocial issues were present in 73% and spiritual issues in 17.4%. Services that were offered despite major challenges of late referral and financial constraints provided pain and symptom control, counselling, education for patients and family, financial and spiritual support thus improving quality of life Conclusion: Patients and their families found that palliative care provided relief to pain and suffering. More can be achieved through training of more health professionals, increased public awareness of the services and government support.