Palliative Care In South Africa Case Study

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1.1 Introduction
Palliative care in South Africa was recognised towards the end of the 1970s primarily in Johannesburg, Cape Town, Durban and Port Elizabeth (Sithole, 2012:7). In 1979, Dame Cecily Saunders (founder of palliative care in the United Kingdom) aided the formation of hospice programmes in South Africa and the initial hospice programmes were based on the United Kingdom model (Sithole, 2012:7). Fourteen hospices in South Africa came together to form a national association called the Hospice Association of South Africa (HASA) in the course of 1988 (Sithole, 2012:7). Prior to 1988, hospices dealt primarily with oncology (cancer) patients, however, with the high impact of the HIV/AIDS illness in South Africa, hospice programmes changed the approach in which they
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Palliative care was established on the principles of merging teaching and clinical research, expert pain and symptom relief with holistic care to meet the physical, social, psychological and spiritual needs of its patients and those of their family and friends (Sithole, 2012:10).
According to Green and Horne (2009) the following are principles of palliative care:
• Quality of life: Service provide should not define the quality of life but it should be defined by the individual.
• Respect and participatory: Patients and families have the right to make choices, use their cultural, customs and personal values, confidentiality, and be treated with dignity.
• Holistic: To address diverse needs of patients and the family, interdisciplinary teams should be involved to attend to the emotional, spiritual and social aspects of

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