Indian Journal of Palliative Care
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Year : 2020  |  Volume : 26  |  Issue : 3  |  Page : 319--322

Developing evidence-based clinical guidelines in palliative care for home care setting in India

1 Palliative Care Unit, Christian Medical College Hospital, Vellore, Tamil Nadu, India
2 Department of Palliative Medicine, Specialist in Palliative Medicine, PD Hinduja Hospital, Mahim, Mumbai, Maharashtra, India
3 Department of Geriatric Medicine, Khoo Teck Puat Hospital, Singapore
4 Department of Education and Research, Bangalore Hospice Trust, Karunashraya, Bengaluru, Karnataka, India
5 Department of Palliative Medicine, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India
6 Founder Trustee, Founder and Senior Management on Vision and Strategy, The Jimmy S Bilimoria Foundation, Mumbai, Maharashtra, India

Correspondence Address:
Jenifer Jeba
Christian Medical College Hospital, Vellore - 632 004, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJPC.IJPC_161_19

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Background: Clinical guidelines can improve care and reduce variations in practice. With the growth of The Jimmy S Bilimoria Foundation's PALCARE, a home-based palliative care service launched in December 2015, the foundation felt a need for locally relevant, clinical guidelines to ensure consistency and reliabilty of its service. A Clinical Consultative Committee (CCC) comprising of experienced palliative care professionals, from within and outside India, was constituted to help with the development of robust, evidence-based multidisciplinary clinical guidelines relevant to the delivery of palliative care for adults in a home care setting in Mumbai, India, which could be applied to other similar settings in India and elsewhere. Methodology and Development: The CCC developed 39 guidelines under eight categories; using a structured process from the initial draft to its finalization. The CCC vetted each of the guidelines over monthly Skype meetings for validity, relevance, local applicability and reproducibility. Feedback from the PALCARE team was also incorporated. Thirty-nine clinical guidelines relevant to adult palliative care services in home care setting were developed. These have been discussed and found useful by the PALCARE team. The guidelines are available on the PALCARE website for use by wider professional audience. Conclusion: Development of clinical guidelines locally for palliative care in a home care setting in response to a felt need to ensure quality care and reduce variation in practice has been beneficial in clinical care. It has proved to be a good teaching resource too. Regular audits to measure practice against these guidelines will ensure better patient outcomes.


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