THE DEPARTMENT TOOL KITS
- Edmonton Symptom Assessment Scale (ESAS)
- Karnofsky Performance Scale (KFS)
- Eastern Cooperative Oncology Group (ECOG)
- Africa Palliative Outcome Scale (Africa POS)
Clinic Days
Monday– Medical Officers ward round
Tuesday– HIV/AIDS Palliative and Supportive Care Clinic
Wednesday-[i] Consultants` Ward round.
[ii] Pain and Palliative Supportive care Clinic
Thursday– Research work and studies, Clinical Presentation, Journal club.
Community outreach, Home Visit, Grief and Bereavement Visits
Seminar and workshops.
Friday– Consultants` ward round.
BRIEF HISTORY
The Pain and Palliative Medicine Department of the Federal Medical Centre, Abeokuta is the first truly integrated specialist Pain and Palliative supportive care service in Acute care tertiary health institutions in Nigeria. The Pain and Palliative Medicine Department was pioneered by Dr. Folaju Olusegun Oyebola after his successful completion of a formal specialist training at the University Of Cape Town- South Africa, The Department started initially as a unit under the Department of Anaesthesia in 2006 and eventually became a full fledged department in 2008. The department produced the first two palliative care physicians in the country including Dr. Yinka Akinyemiju together with other Palliative Care nurses like Mrs. Bakunye, Adesemowo, Alalade, Ajetunmobi and Fajobi. This integrated hospital-based model has been replicated in at least more than 18 Specialist and Teaching hospitals across Nigeria.
The department is currently staffed by 2 medical specialist Consultants, 4 Medical Officers, 1 palliative care trained- Deputy Director of Nursing Service (DDNS), a research officer and a number of Administrative Support Officers. The three (3) most senior retired nurses have been working with the department as volunteers since their retirement.
The department activities include pain and palliative supportive care for adult and pediatric patients, in and out- patients facilities, chronic pain clinic, HIV/AIDS palliative supportive clinic, Day care Hospice service, community outreaches and receiving consultations and referrals within the hospital community, sister hospitals within Nigeria and from international countries like UK and USA.
The department in the spirit of multidisciplinary team care approach has an interdisciplinary collaboration with the social workers, dietician and clinical psychologists who conduct ward round together twice a week as well as chaplains (for spiritual care)
Previous Awards and Training Grants
-British Executive Services Organization (BESO) –UK- 2005.
-British Council – UK Education and Training Grant- 2008, 2009THET- UK- 2010, 2011.
-American Cancer Society (ACS) /Federal Medical Center Abeokuta Hospital.
-Pain- Free Initiative to train all the hospital staff on Pain Management Skills acquisition. 2017-
2018.
-Palliative care Without Borders, (PSF-Spain)-Palliative Care- Education/ Training of Trainers
Course 2018, 2019.
-International Association of Study of Pain (IASP) – Education Grant for Developing Countries-
2021.
International Partnerships and Training
International Clinical Placement for foreign doctors and other health care professionals from
Brazil, Italy.
Post graduate Clinical Placement for Resident Doctors in Family Medicine and Nurse Interns.
-International Training and Partnerships with University of Kent, UK, Wisdom and Nurse —
Interns/student nurses.
-International Traning and Partnership with:
-University of Kent, UK,
-Wisdom Hospice- UK and
-Ellenor-Lion Hospice- Dartford UK
Local Traning Partnership with –Sacred Heart Hospital Lantoro, Abeokuta .
Area of Specialization/Service
- Hospice and Palliative care services for cancer, chronic- non cancer illnesses and
HIV/AIDS patients. - Pain and Symptoms control
- Social, Emotional and Spiritual care support.
- HIV clinic.
- Day care hospice
- Home-based palliative care.
- Grief and Bereavement care.
- Family meeting/Conferencing
- Community Outreach.
- Training/ Education/Mentorship/Research
RESEARCH
Chronic Pain Management.
Palliative Supportive Care.
HIV/AIDS and Palliative Care
Local palliative education and training intervention outcomes
LOCALLY DESIGNED CRITERIA FOR TIMELY REFERRAL OF PATIENTS TO
OUR PALLIATIVE SUPPORTIVE CARE SERVICES
- Diagnosis of life threatening and other Chronic Condition e.g. cancer, CRF.
- Two or more organs or systemic failure.
- Severe Physical symptoms; Pain, breathlessness, fatigue, Constipation, emotional
distress. - Performance Status; ECOG >/=3 or KPS</=60% in any patient with Chronic Disease.
- Will, you be surprised if the patient dies within 1 year?
Head of Department’s Profile
Dr. Saheed Alao Ayilara
He attended Obafemi Awolowo University, Ile – Ife, Osun and bagged the Medical degree M.B.ch.B in January, 2009. He had his Housemanship at the State Hospital, Ijaiye, Abeokuta, in 2009.
He had his National Youth Service Corps (NYSC) Scheme at the Department of Pain and Palliative Medicine of Federal Medical Centre Abeokuta in 2010, when he became interested in Palliative Care.
He started his Residency in Family Medicine in July, 2011 at the Sacred Heart Hospital, Lantoro, Abeokuta and later got appointed to continue his Residency Programme at the Federal Medical Centre Abeokuta in April 2013.
He became a Fellow of the National Postgraduate Medical College of Nigeria, Faculty of Family Medicine (FMCFM) in May, 2019. His Area of Special Interest as a Family Physician has been Palliative Care. His Dissertation fellowship was on Caregiver Burden among the Primary caregivers of Cancer Patients attending the Palliative Care of the Federal Medical Centre Abeokuta. He had received several Basic and Advanced trainings in Palliative Care.
He was appointed as a Consultant Family Physician (Palliative Medicine) in June, 2019 and posted to the Department of Pain and Palliative Medicine. He served under the mentorship of the pioneer Head of Department of Pain and Palliative Medicine, Dr.Folaju Olusegun Oyebola.
He became the Head of the Department in August, 2022. His Research interests are Caregiver Burden, Spiritual Care and Advance Care Planning in Palliative Care.
Meet Our Consultants
Dr. Saheed. A. Ayilara
MBChB(OAU),FMCFM
Consultant-Family Physician
(Palliative Medicine)
askayilara@gmail.com
Dr. Abikan Khayrat.O
Consultant-Family Physician
(Palliative Medicine)
khayratabikan@gmail.com
