Thousands of patients with advanced illnesses in Guatemala suffer unnecessarily from severe pain because they cannot get appropriate pain medications, reports Human Rights Watch. The report documents how Guatemala’s drug control regulations – meant to prevent drug abuse – make it almost impossible for many patients with cancer and other advanced illnesses to get strong pain medicines like morphine. Guatemala’s lack of
effort to ensure access to palliative care (PC), regulatory barriers, and needlessly restrictive and complex regulations on controlled substances condemn many patients with pain to needless suffering, with devastating consequences for them and their families.
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The results if this study show that the core elements of good care consist of attitude, behavior, communication,duty and environment (ABCDE). Among the examples of attitude perceived as important in good care, positive attitudes related to social relations were described most in the study, such as being approachable, friendly, kind, caring and helpful. Other examples included being gentle, careful, cheerful, committed, passionate, empathetic, honest, patient, respectful, etc. Examples of core attitudes in palliative care were empathy, honesty, acceptance, openness, authenticity and mindfulness.
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