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BANSOD TYPING INSTITUTE CHHINDWARA (M.P.) 8982805777

created Nov 24th 2021, 01:18 by Vikram Thakre


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290 words
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An Indian doctor in the US wrote to me a few years ago about the treatment meted out to his 81-year-old mother in a private hospital in New Delhi. His mother had been admitted with a stroke and a fracture of the spine. What followed during the three weeks she was hospitalised was sheer torture. She was seen and followed by two internists, a spine surgeon, a general surgeon, a cardiologist, a neurologist, a dermatologist and a gastroenterologist, in addition to an intensive care specialist and an anaesthesiologist. Though the family had requested no life support, their wishes were ignored. Not much has changed. 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 1997, when CanSupport began its free-of-charge home-based service for the underserved, hardly anyone in the medical community recognised the term palliative care. The concept of delivering care at home was also new. In 1990, the WHO had defined palliative care as the active total care of patients whose disease is not responsive to curative treatment. Control of pain, other symptoms, and psychological, social and spiritual problems is paramount. The goal of palliative care is the achievement of the best possible quality of life for patients and their families. 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, and a refusal to accept that there comes a time when you need to work with the process of dying rather than against it. Moreover, it requires an interdisciplinary team of healthcare professionals who are sensitive and good listeners as well as excellent communicators and team players.

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