Palliative Home based care for all kind of patients auch as Cancer, Chronic kidney disease, CVA, Liver failure, COPD etc

To assess the patients to know the need to palliative care.

We are conducting a needs assessment for palliative care in Nepal and working on developing models of palliative care appropriate to Nepal, in collaboration with the Nepalese Association for Palliative Care.

We are also involved in service delivery at Green Pastures Hospital and Rehabilitation Centre in Pokhara where we have two beds and are starting a community service. We are planning to upgrade this service as a centre for education and research for which we will establish a 15 bed inpatient unit.

The clinical unit will be the focus for training. Our activities will focus particularly on development of palliative care for remote rural areas and on training health care professionals who work in these areas - GPs, nurses and mid-level health workers.

We are using SPICT for our needs assessment work. We have developed a Nepal version of SPICT and tested this out at United Mission, Tansen Hospital, in a 160 bedded hospital in West Nepal. We have linked SPICT in to a rural performance scale which we have also piloted, since tools such as the Karnofsky or Palliative Performance Scale are do not work well in rural Nepal.

SPICT will enable us to identify patients who are likely to benefit from palliative care for our surveys in hospitals and in the community.

We are planning a series of hospital surveys initially followed by a survey of palliative care needs in rural areas affected by the 2015 massive earthquake in Nepal.

The Gurkha Welfare Trust Nepal-GWT(N) is the field arm of Gurkha Welfare Trust UK, a registered charitable Trust working particularly for the ex-Gurkha Veterans and their communities across Nepal.

It is a charitable institution, established and registered in the UK in 1969. GWT(N) ensures that Gurkha veterans, their widows and their wider communities are able to live their lives with dignity.
We achieve this primarily through the provision of financial, medical and community aid from 21 centres (including 2 residential homes) in Nepal and one in Darjeeling.

GWT(N) has been a partner in the Sunita project, led by EMMS and INF in Nepal. All our staff have been trained in palliative care principles and we use the SPICT-LIS to identify patients with palliative care needs who might otherwise be missed.
We intend to incorporate SPICT-LIS into our EMR (PatientSource)