24/11/2021 - Health

KEY POINTS

·        In India, those with family members who are hospitalised with serious health-related suffering continue to agonise over how they can ensure a dignified end for them.

·        In 1990, the WHO had defined palliative care as “the active total care of patients whose disease is not responsive to curative treatment.

·        Palliative care is almost non-existent at the grassroots in India. There is a lack of trained personnel, restricted access to opioids for pain control.

·        Palliative care respects patient autonomy. It requires end-of-life conversations to ascertain the wishes of the person who is dying and those of the family.

·        Training professionals and working in a collaborative manner with those in the field of palliative care is the way forward. This is why people must make a living will and designate a surrogate who will take decisions on their behalf should they be incapacitated.

·        In the Indian situation, not only should patients be referred to the palliative care team early to ensure a better quality of life, but the continued survival and safety of members of the family left behind is also a concern.

·        Their rehabilitation is consequently also a part of palliative care. It will bring peace to a dying patient, who seeks assurance that his or her family will be safe and able to cope.

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