CECPAM’s palliative care model centers upon the delivery of integrated services through an interdisciplinary team consisting of a doctor, a nurse, a thanatologist (i.e. a health worker who specializes in death and dying), and a social worker, who is sent to the patient’s home to provide an initial assessment of the patient’s and the family’s needs, followed by regular home visits. CECPAM also offers psychological services to family members dealing with grief for up to one year after the death of the patient. The care model ensures that the patient enjoys the highest quality of life possible at the end of his or her life and that the family is trained, sensitive, and aware of their own needs as well as those of their loved one.
CECPAM has become a leading voice in Mexico’s nascent palliative care sector, and it is establishing its presence in numerous clinics and hospitals. Since the vast majority of Mexicans are unaware of palliative care, Miriam is working to spread the word about CECPAM’s services and to have her two current teams working at full capacity. In time, she plans to expand beyond Mexico City and the Estado de Mexico, where her services are currently offered, through the National Palliative Care Network that she launched in Mexico to integrate more medical professionals, academics, and the general public into her association. Her goal is to create a citizen-led national palliative care movement—where all Mexican states are represented—to spread this culture and establish national palliative care standards and certifications.
Recently, Miriam has focused on launching the palliative care model, such as the care provided for those living with a terminal illness. She also aims to drive forward, to teach and diffuse this care model using different means of communication, conferences and workshops, so that it can be copied and applied in the patient's home throughout all states of the Mexican Republic. Support the families of those in need of medicine, support and anything else necessary for the patient to be as comfortable as possible at home. Their goal is to prevent the physical, emotional and material exhaustion of the family in the face of terminal illness.