palliative care

1. PALLIATIVE BUILDING
Dr. Soetomo Hospital
Surabaya - Indonesia

2. Callahan, D. dan Topinkeva, E.:
There is nothing so ancient in medicine
as the idea of palliative care.
This humane caring for sick patients,
once the hallmark of good medicine

3. J.S. Mill. (1859) :
It really is of importance not only what men do,
but also what manner of men they are that do it.

6. Despite this modern technology gives
so much freedom and enjoyment to a
society, but is has so much
disadvantages should be considered.

7. Pollution caused by vehicles, major
manufacturing plants increasing amount
of carbon dioxide.

8. Vocation. Computing technology and
robotic mechanisms causes fewer jobs
are available.

9. Social isolation and change of
behavior. Bringing the far closer, but
making the close one to a distance. Very
often someone playing gadget, ignoring
some one close and finally egoistical.

10. Dependency. The simple knowledge
and calculation were replaced by the
modern devices causes every one does
not need make too much efforts, and
become dependent to devices.

11. Telemedicine. Shifting the pattern of
hospital care to dispersed care network.

13. As John F. Seely and Balfour M. Mount
said :
Palliative care and modern technology are often
viewed as being somehow antithetical. This
misunderstanding arose with the development of
palliative care in the late 1960s and early 1970s
as a response to care that was seen as
impersonal, dehumanized and overly dependent
on technology.
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14. As John F. Seely and Balfour M. Mount
said :
Terminally ill patients, especially those with
cancer, were often subjected to aggressive
attempts at cure even when they were likely to be
futile. All too frequently, patient care was
portrayed as a war to be won or lost. On such a
battlefield, patients in the process of dying could
only be seen as the ultimate looser.
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15. As John F. Seely and Balfour M. Mount
said :
Nevertheless, progress in palliative medicine
remains critically dependent on modern
technology. Advances in diagnosis and
therapeutics have redefined the field.

18. How we convince the doctors to stop
making curative attempt if the
treatment is considered futile.

19. To educate doctors and other health
professionals to always bear in mind
The Medical Ethics in working on
their patients:
Beneficence
Non-maleficence
Veracity
Respect patients’ autonomy
Judgement

20. Always follow the Hippocratic Oath
(460 BC) as our foundation and
guidance in executing our job.

22. Hippocratic Oath for doctors approved
by The World Medical Association.
Complete text of the 2017 version.

23. AS A MEMBER OF THE MEDICAL
PROFESSION:
I SOLEMNLY PLEDGE to dedicate my life
to the service of humanity;
THE HEALTH AND WELL-BEING OF MY
PATIENT will be my first consideration;

24. I WILL RESPECT the autonomy and dignity of
my patient;
I WILL MAINTAIN the utmost respect for human
life;
I WILL NOT PERMIT consideration of age,
disease or disability, creed, ethnic origin,
gender, nationality, political affiliation, race,
sexual orientation, social standing, or any
other factor to intervene between my duty
and my patient;

25. I WILL RESPECT the secret that are confided
in me, even after has died;
I WILL PRACTICE my profession with
conscience and dignity and in accordance
with good medical practice.
I WILL FOSTER he honour and noble traditions
of the medical profession;

26. I WILL GIVE to my teachers, colleagues, and
students the respect and gratitude that is
their due;
I WILL SHARE my medical knowledge for the
benefit of the patient and the advancement
of healthcare;
I WILL ATTEND TO my own health, well-being,
and abilities in order to provide care of the
highest standerd;

27. I WILL NOT USE my medical knowledge to
violate human rights and civil liberties, even
under threat;
I MAKE THESE PROMISES solemnly, freely,
and upon my honour.
(Source: BioEdge. Bioethics news from around the
world, by Michael Cook, 4 Nov. 2017.)

28. The objectives and the development
of palliative care.

29. Ultimate objectives of palliative care is to
achieve the best possible quality of life of
patients and their families.
In concurrent with the development of medical
science, also happen the development of
palliative care. At the same time the people
are getting more critical.

30. Tan et al
Modern technology : Erodes boundary between
personal and professional live. Busting boundaries
and shifting time. With the implication: the rhythm
of reflection and deep thought run to the contrary
to working speed.
Medical technology in health care. Hong Kong Journal
of Emergency Medicine. Vol 9(4). Page 231-236 :

31. (Sunaryadi Tejawinata, 2019)

32. Let us be commit to execute palliative
care perfectly
and
devote our knowledge and skill to
suffering patients with fidelity.

33. SURABAYA PALLIATIVE GARDEN
Thank You