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THE LEGISLATIVE BASE OF UKRAINE

The results of this survey demonstrate a mixed global picture for access to palliative care, with significant variation between WHO regions. Palliative care is an essential component of a comprehensive response to NCDs, as outlined in the WHO Global Action Plan for the Prevention and Control of NCDs 2013–2020. In 2015, just over 50% of countries have included palliative care in their national NCD policy, and nearly two thirds reported some government funding for palliative care. Greater progress is needed in terms of service delivery and access to oral morphine for pain relief in primary care.

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Other documents

Principles of treatment of persistent pain in children with somatic diseases

WHO: Palliative care for non-communicable diseases: a global snapshot in 2015

WHO guidelines on the pharmacological treatment of persisting pain in children with medical illnesses

PALLIATIVE CARE NEWSLETTER No. 5

1.       Fundamentals of Ukraine on Health Care
2.       The Law of Ukraine “On fundamental principles of state supervision (control) in the sphere of economic activity”
3.       Resolution of the CMU № 333 dated May 13, 2013 “On Approval of the Procedure for Acquisition, Transportation, Storage, Disposal, Use and Destruction of Narcotic Drugs, Psychotropic Substances and Precursors in Health Care Institutions"
4.       Resolution of the CMU № 282 dated April 6, 2016 “Certain issues of economic activity licensing for the cultivation of plants included in Table I of the list of narcotic drugs, psychotropic substances and precursors, approved by the Cabinet of Ministers of Ukraine, development, production, manufacture, storage, transportation, purchase, sale (release), import into the territory of Ukraine, export from the territory of Ukraine, the use, destruction of narcotic drugs, psychotropic substances and precursors included in the above list”
5.       Order of the Ministry of Health of Ukraine № 41 dated January 21, 2013 “On the organization of palliative care in Ukraine”
6.       Order of the Ministry of Health of Ukraine № 360 dated July 19, 2005 “On Approval of the Rules for Writing Prescriptions for Medicines and Medical Products, the Procedure for Dispensing Medicines and Medical Products from Pharmacies and their Structural Units, Instructions on the Procedure of Storage, Registration and Destruction of Prescription Forms”
7.       Order of the Ministry of Health of Ukraine № 494 dated August 7, 2015 “On certain issues of Acquisition, Transportation, Storage, Disposal, Use and Destruction of Narcotic Drugs, Psychotropic Substances and Precursors in Health Care Institutions”
8.       Order of the Ministry of Health of Ukraine № 801 dated July 29, 2016 “On approval of the Provision on the center of primary (medical-sanitary) care and provisions on its divisions”
9.       Order of the Ministry of Social Policy of Ukraine No. 58 dated January 29, 2016 “On Approval of the State Standard of Palliative Care”  

The Practical guidance contains answers to the most common medical practitioners’ questions that arise in the process of work with severely ill patients, or patients that require pain relief with potent analgesics.

Practical guidance. Providing patients with medicines containing narcotic drugs, psychotropic substances and precursors.

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The Charter for the Rights of the Dying Child. The Trieste Charter

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Recommendations on how to take care of the patients with epidermolysis bullosa (EB) for doctors, parents, caregivers, nurses and patients

The recommendations were prepared by the Debra Ukraine center based on international guidelines on EB and other specialized literature on EB.

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Quality of life and need for palliative care in institutions for orphans and children deprived of parental care.

The document provides analytical data concerning the need for palliative care and quality of life for orphans, which require palliative care, as a result of the implementation of the program "Development and testing of a model for the provision of palliative care for children in boarding schools" in Moscow during the period from 01.12.2015 to 31.10.2016, developed by the “Children's Palliative Care” Charity Foundation, Moscow.

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White paper on standards and norms for hospice and palliative care in Europe: Parts 1 and 2

In this official position paper of the European Association for Palliative Care (EAPC) the Association’s recommendations for a common terminology and norms on structural quality for the provision of palliative care are outlined and the explanation is given thereof.

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Pain relief in bullous epidermolysis patients: a guide to best practices

This guideline is very valuable because it can be useful to any patient with any illness and any kind of pain. Why? Because bullous epidermolysis is a systemic disease that attacks all organs and systems. This guideline is based on the principle of recommendations for all types of pain - bone pain, gastrointestinal pain, eye pain, and so on.

Control of basic symptoms in pediatric palliative care. Guide from children's hospice "Veselka". Ninth Edition 2013. Translation from English

This resource was first written by Dr. Sattir Jassal, a general practitioner and a medical doctor of the children's hospice Veselka, co-authored with 29 leading pediatricians and specialists in pediatric palliative care. The manual is written in accessible style and contains clinical information, practical advice, support.

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Useful links

The Drug Remedies Monitoring Portal in the Clinical Hospital, a list of diagnostics that is available in the HO, charity reporting for HO needs, an online doctor appointment service.

A portal of information on available medications for patients and public procurement of medicines

Source for patients providing information on free medicines avaliability in health organizations

Mobile app/source for patients to check medicines quality

Pain in children is a public health concern of major significance in most parts of the world. Although the means and knowledge to relieve pain exists, children’s pain is often not recognized, is ignored or even denied. These guidelines address the pharmacological management of persisting pain in children with medical illnesses. As such, they replace the previous guidelines, Cancer pain relief and palliative care in children, which exclusively covered cancer pain. They include several clinical recommendations, including a new two-step approach of pharmacological treatment. The guidelines also point to the necessary policy changes required and highlight future priority areas of research.

a list of drugs that hospitals must purchase. Patients can receive them free of charge, because the state buys them at the expense of taxpayers.

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Find out about drugs that the state purchases and when they will be in Ukraine

here there are orders on the distribution of purchased medicines in the regions

Information from the Ministry of Health of Ukraine regarding registration and distribution of 315 bottles of morphine sulfate baby form - "ORAMORF"

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