Adult Care
Open Times: 8am and 04:30pm
Queen Elizabeth Central Hospital, Blantyre

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.

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.

Specifically, our service falls in the following:

     i. Pain and other symptoms management

          - Specialist nurses and doctors who have training in pain and symptom management covers medical issues. Other symptoms may include nausea, vomiting, constipation and breathlessness. 

     ii. Social Support

         - A social worker, who handles the familial, practical, and sociological aspects of a patient's life 

    iii. Counseling/Emotional Support

        - A specialist covers a patient's emotional and psychological needs. 

    iv. Spiritual Care

         - A chaplain and spiritual care advisor, explores meaning and purpose, assesses spiritual needs, and asks if the patient has a faith community or support team in place. 

    v. End of Life Care

        -Support is given to people who are nearing the end of their life. It's an important part of palliative care.

Quick Links