Marie Fallon

St Columba’s Hospice Chair of Palliative Medicine

University of Edinburgh

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!!

POSTAS-COAST/ANDES

VILLAGES AND SHANTY TOWNS

NETWORK OF VOLUNTEERS

EDUCATION PROGRAMME

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

OUR MANAGED CLINICAL NETWORK!!

YOUNG CARERS

TRAINING THE TEACHERS GOES TO SOUTH AMERICA!!