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Silvia Librada Flores

Silvia Librada Flores
NewHealth Foundation, Sevilla. Spain

Bióloga. Doctora Ciencias de la Salud: Epidemiología

About

64
Publications
21,577
Reads
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375
Citations
Citations since 2017
33 Research Items
256 Citations
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20172018201920202021202220230102030405060
20172018201920202021202220230102030405060
Additional affiliations
February 2013 - present
NewHealth Foundation, Sevilla. Spain
Position
  • Project Manager PMP
October 2010 - October 2013
Enterprising solutions fir health
Position
  • Research Assistant
October 2003 - October 2010
Salud Extremadura
Position
  • Research Director

Publications

Publications (64)
Article
Full-text available
Objectives: To evaluate, in a Compassionate City pilot experience (Sevilla), the impact results on health in a population of people with advanced illness and at the end of life. Methods: The project was undertaken in Sevilla, Spain, between January 2019 and June 2020. A longitudinal, descriptive study was conducted using a longitudinal cohort desig...
Chapter
This chapter introduces the idea of the social ecology of health and links this approach to the social ecology at the end of life. This approach is founded upon a ‘setting’-based, or place-based, set of ideas that links health and illness to characteristics of the physical and social environment. From these frameworks emerge practice methods to dir...
Chapter
The first comprehensive and authoritative textbook on the growing specialty of public health palliative care. Written by international leaders in the field. Explores the role of 'new' public health, or health promotion, as the basis for the development of public health palliative care. Looks beyond the traditional symptom-focused view of palliat...
Article
Full-text available
The aim of this study was to know the level of knowledge, sensitivities and training needs regarding care of people at the end of life in medicine, nursing and psychology students/academic and administration university personnel; and to identify skills to perceive and expressed values related to compassion it in their living environment. Method:...
Preprint
Full-text available
Background: Pediatric Palliative Care (PPC) focuses on achieving quality of life and control the symptoms for children during the sickness process, also provide support to the family in order to relief suffering and give response to needs assessment. In Colombia, this subspecialty does not exist, as a result of not having clinic practice guides and...
Article
Full-text available
In the last decade, we have seen a growth of Compassionate Communities and Cities (CCC) at the end of life. There has been an evolution of organizations that help construct Community-Based Palliative Care programs. The objective is to analyze the implementation, methodology and effectiveness of the CCC models at the end of life. We conducted a syst...
Preprint
Full-text available
Background: Pediatric Palliative Care (PPC) focuses on achieving quality of life and control the symptoms for children during the sickness process, also provide support to the family in order to relief suffering and give response to needs assessment. In Colombia, this subspecialty does not exist, as a result of not having clinic practice guides and...
Article
Full-text available
Introduction: In 2017, the Fundacion Doblesonrisa launched the “All with you” project in Getxo, with the aim of raising awareness and mobilising people on the issue of compassion and palliative care. Description of implemented practice: The Getxo Compassionate Community Project started by mapping the exisiting social and professional networks (from...
Chapter
Compassion is associated with feelings, emotions, expressions of care and comfort, derived from a place of love and relationship. However, as “The Power of Compassion” demonstrates, compassion is indeed based out of a position of power; a personal resource and strength to sustain people in complex and difficult times in their lives but also a conce...
Article
Full-text available
Background: End-of-life needs can be only partly met by formalized health and palliative care resources. This creates the opportunity for the social support network of family and community to play a crucial role in this stage of life. Compassionate communities can be the missing piece to a complete care model at the end of life.
Article
Full-text available
Purpose of review: Compassion has been recognized as a key aspect of high-quality healthcare, particularly in palliative care. This article provides a general review of the current understanding of compassion in palliative care and summarizes emergent compassionate initiatives in palliative care at three interdependent levels: compassion for patie...
Article
Full-text available
Background: In recent years, compassion has motivated the development of programs oriented to create communities and societies involved in the relief of suffering. The development of compassionate communities and cities begins in each one of us, though it relies on organizations, providers and societies as a whole who need tools and methodologies...
Article
Full-text available
Todos Contigo (We are All With You) is a programme for social awareness, training, and implementation of care networks for citizens to support, accompany and care for those who face advanced chronic disease and end of life situations. From New Health Foundation this programme collaborates with the Public Health and Palliative Care International Cha...
Article
Full-text available
Background: More than 50 million people die every year in the world. A vast majority, however, does not have access to minimum measures to alleviate unnecessary suffering, or even less, to palliative care. Even in places where such care exists, availability of services does not mean, automatically, that they are equally accessible to the population...
Chapter
Full-text available
The work of Dr. Cicely Saunders, founder of the modern hospice movement in the 1960s, is considered the key milestone in the development of palliative care services (Saunders 2005). In contrast to the focus on curing in the contemporary medicalized paradigm, palliative care aims at alleviating the suffering of people with advanced diseases and who...
Article
New Health Foundation dedica sus energías al desarrollo de un nuevo modelo de cuidados paliativos integrados. Emilio Herrera, Silvia Librada, Miguel Angel Lucas, Tamen Jadad, Zacarías Rodríguez y Alejandro R. Jadad explican los programas de la fundación y se enfocan en los resultados de su primer proyecto nacional en Colombia.
Book
Full-text available
Beginning from the End, explores how the end of life is an ideal starting point for radical change to transform the experience of a healthy and happy life, from birth to death. It sheds light on how it is possible to reach this collective objective by harnessing the power of togetherness. With compassion as the key, this is an invitation to open th...
Article
Full-text available
Abstract Objective To analyse the use of health resources and its budget in the last months of life of the population who died from malignant neoplasm in the Basque Autonomous Country (Spain). Method Retrospective observational study of a population with a diagnosis of malignancy deceased in the Basque Country (2010 and 2011). Data source: MDS and...
Article
Full-text available
Palliative care was created with the objective of alleviating the suffering of people with advanced diseases who are at the end of life. To do this, staff work in interdisciplinary teams, using empathy as the basis for analyzing the needs of patients and their families, from a holistic and integrated perspective. Throughout this period of illness,...
Article
Full-text available
Background The NewHealth Foundation, a Spanish non-for-profit organisation, is leading the project Compassionate Cities. “We are all one”. The project aims to involve citizens in creating communities of care to help people at the end of life phase. Aim Methods Results An innovative model has been developed: The Collaborating Centre (schools, colleg...
Article
Full-text available
Introduction:SAIATU is a program of specially trained in-home social assistance and companionship, which provided support to end-of-life patients in Gipuzkoa, Spain. Collaboration with other palliative care resources is a key element of the program designed to ensure comprehensive care through specialized social support, facilitate in-home care and...
Article
Full-text available
Unlabelled: Background: SAIATU is a program of specially trained in-home social assistance and companionship which, since February 2011, has provided support to end-of-life patients, enabling the delivery of better clinical care by healthcare professionals in Osakidetza (Basque Health Service), in Guipúzcoa (Autonomous Community of the Basque Co...
Article
Nonsteroidal anti-inflammatory drugs (NSAIDs) and paracetamol are used widely in the management of mild to moderate cancer pain and are frequently combined with opioids in the treatment of moderate to severe pain. To perform a systematic literature review of the evidence of the efficacy and toxicity of NSAIDs or paracetamol added to WHO Step III op...
Article
Full-text available
This study was aimed at evaluating the clinical use of laxatives in palliative care treatment, their overall effectiveness, and their relationship to opioid treatment. A cross-sectional prospective study on patients attended by 21 palliative care teams on two pre-determined dates was carried out. The variables analyzed were demographic data, underl...
Article
Introduction: the objective of this study was to establish screening criteria for constipation in palliative care and, subsequently, to determine data for diagnostic suspicion of constipation in a palliative care population. Also we investigate the incidence of fecal impaction in the same sample of palliative care patients. Materials and methods: a...
Article
Full-text available
The objective of this study was to establish screening criteria for constipation in palliative care and, subsequently, to determine data for diagnostic suspicion of constipation in a palliative care population. Also we investigate the incidence of fecal impaction in the same sample of palliative care patients. A descriptive, multicenter cross-secti...
Article
Background: health-related quality of life (QoL) may have different meanings when interpreted intuitively, methodologically, or as the result of a questionnaire. Objective: to know the intuitive QoL concept in palliative care professionals regarding both the patients they treat and themselves, and to determine whether such concept is consistent wit...
Article
Background: Besides basic and vital needs, patients and their families have other personal and psychosocial requirements. Thus, palliative care volunteers must complement professional work by covering these necessities - providing well-being and assuring the best quality of life. A volunteer is therefore a pivotal part in the process. Objective: To...
Article
Full-text available
Background: caregivers have an important role in palliative care; therefore, it is essential to pursue a shared palliative care provision in which informal carers should be involved. One of the risks of caregivers is complicated grief after the death of a relative. Objective: to understand the main caregiver profile in Extremadura region (Spain), a...

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Project (1)
Project
Identifying needs in the sick and those involved in the process, are aimed at creating a network of care and carry out a series of tasks accompanying today has not been identified and are essential to cover all aspects of care, beyond own specialized services in palliative care. This study is part of a project called "All You". Social awareness project aimed at citizens and society in general to support, accompany and care for people suffering from advanced disease and terminal. This project is part of an international movement called "Compassionate Communities" led in Spain by NewHealth Foundation, which seeks to promote social integration and palliative care in the daily lives of individuals, families and health professionals and assistance social, creating "communities that care" and are taught to care. The results will help citizens to know how to care for and accompany people in need by providing tools and guidance to the people in those activities that may be useful, creating a "Network of Care" in which citizens share a same goal: to improve the care and attention at the end of life.