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Hospice/Beacon Case Studies from Swaziland

The successes of Swaziland Hospice at Home are described as follows:

The organisation has managed to train health workers including nurses and doctors on palliative care and home-based palliative care. The transfer of skills to health caregivers has enabled the organisation to roll out hospice service to eligible clients in the rural areas, the pro poor, and poor clients providing access to quality of care. The organisation has managed to alleviate pain and suffering to all terminal patients and advocate for care and support, reducing stigma and marginalisation of such clients. We have succeeded in enlightening the nation on the concept of palliative care and the need to integrate this especially in the nursing circular. Student nurses are referred to hospice for skill development and practical experience of palliative care, especially pain management.5

Parish nursing success stories are recounted thus:

Patients who have been discharged from hospital are visited regularly by the nurses and checked, and palliative treatment given. Professional guidance re: medications is given to family carers. Some of our clients who had been bed-ridden after treatment have recovered and gone back to work. Successfully counselled people. Some of the terminally ill have never been to hospital and these visits are the only medical interventions they will ever have.14


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