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Adult Care

Tiyanjane is the adult palliative care service from PCST. At Tiyanjane we are in a privileged position to make a difference to the quality of life, medical care and follow up of some of the patients and families in Malawi living with incurable diseases. Many people we see have AIDS, cancer or both. Many of them are under the age of forty. We operate in a resource poor setting within the government health sector which is under constant strain from large numbers of patients many of whom have advanced disease. There are limited diagnostic facilities and poor staff to patient ratios. Doing a proper assessment of pain and providing appropriate pain relief can make a big difference. The privacy of a clinic room allows the team to listen to and advise of issues of concern, helping to support families in the care of their patient at home. In the community the Tiyanjane nurses work with volunteers and families helping to provide support and bring relief to patients in their homes.

In-patient adult care

Holistic care is delivered to patients on the medical wards at Queen Elizabeth Central Hospital. Drugs are supplied from the main hospital pharmacy or supplemented by PCST specifically to assist with pain and/or symptom control.

Adult clinics

We offer a weekly out-patient clinic to follow up patients with Kaposi's sarcoma and a weekly general clinic for any other patients needing palliative care.

Community care

Our main focus for community care is at Ndirande - a township on the edge of Blantyre with a population of around 200,000. A palliative care nurse is based at the health centre who takes referrals from both the hospital team and community based volunteers, spending most of her time travelling to patients' homes to deliver support, advice and clinical care. Twice a month the community team has a doctor's visit. Ways to deliver care to those living in Blantyre district but outside Ndirande are being developed in collaboration with the hospital.

HIV counselling & testing

Around 3,500 patients per year are tested for HIV from the medical wards. National guidelines are followed for HIV Testing and counselling (HTC) and quality standards. Couple testing is encouraged where possible.

Discharge planning

Tiyanjane provide the link between the patient, their family and their return home from hospital. After a brief physical assessment and some time for discussion on what the problem is and how to take care of the patient at home, appropriate referrals can be made - to other clinics and /or community based services.