Hospices and Palliative Care in India

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Palliative Care

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How is Hospices and Palliative Care in India

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Palliative care consists in caring for patients suffering from pain for a long time. Patients suffering from Cancer, Aids, Cardiac or renal diseases, deadness and others require palliative care. It is commonly misunderstood that only citizen who are terminally ill or those whom doctors have given up hopes of any progress, go to palliative care centers. Far from true. Any outpatient suffering from intense pain requiring long term care can benefit from Hospices. The objective of hospices is to heighten the potential of life and render living passable.

People requiring palliative care have four types of problems:

o Physical problems: These arise out of pain, nausea and vomiting, breathlessness, ulcers that do not heal
o Psychological problems: depression, anger or denial in response to the illness, emotional isolation
o Social problems: Unemployment, inadequate finance for healing treatment / hospitalization. Loneliness and abandonment by children or relatives
o Spiritual: Why has God chosen to punish me? Why should I live any longer? What is the purpose of my life?

Hospices address all the issues in an integrated way. Where needed, medicines like morphine are given in required doses to sell out pain. Wherever supplemental healing treatment or other interventions like chemotherapy, ration therapy, dialysis etc are indicated, these are in case,granted with the sustain of nearby hospitals. Counseling is in case,granted to make outpatient understand and accept the reality. Love, care, company, psychological supports are all given.

Situation in India

The understanding itself is relatively new to India. It is believed that even the few centers that have come up in modern years have their origins in the spurt in healing tourism targeting India. Palliative care centers in India are woe fully inadequate as there are only about 55 such centers, that too only in major cities. Providing care in hospices requires multi-disciplinary skills. Nursing and healing courses make just a passing mention of this service. Indian connection of Palliative Care, Kozhicode, Kerala, Pallium India again in Kerala, Karunashraya in Bangalore furnish short term training programs for personnel to be employed in Hospices. Christian healing College, Vellore offers Pg courses in Palliative treatment supported by its 2000 bedded hospital and a full fledged hospice. If we consider just cancer alone there are nearly one million patients added every year. All major cancel hospitals put together can not deal with so many patients. Exclusive hospices are needed.

Senior Citizens Homes

There are a large amount of Senior Citizens Homes (Elder care facilities) on payment basis in all major cities of India. Hyderabad alone has more than 150 Old Age Homes. Many of these are attached to quarterly hospitals and nursing homes. Many are run by fine healing professionals. Such senior homes accept senior citizens who are sick, immobile or terminally ill.

With some changes in objectives, facilities, staff training and bodily infrastructure, many of the Senior Citizens homes can be converted into reasonably good palliative care centers or hospices. Senior citizens who want to volunteer their time may spend time in such centers to give enterprise and counseling. For instance there is an acute need for talking care of dementia or Ad patients.

Will Senior Citizens Homes in India take the cue?

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