Palliative care focuses on relieving symptoms and improving quality of life for patients with serious illnesses. It provides an extra layer of support to address physical, emotional, and spiritual needs in addition to medical treatment. Palliative care teams help manage symptoms like pain and nausea, assist with medical decisions, and support both patients and their caregivers. It can be beneficial at any stage of a serious illness and is provided along with curative treatment.
CareXperts Home Healthcare in Dubai is committed to offering premium in-home care in the UAE. We stand as a family to improve the quality of life and comfort of our patients. We strive to serve you better every day by offering best-in-class home nursing solutions in the UAE.
5 Stages of Palliative Care_ What They Mean.pdftewhimanshu23
On Wednesday morning, the Japanese yen plummeted to its lowest level against the US dollar in 34 years, sparking concerns among Japanese finance officials. For more Information read this news
Mental health refers to the maintenance of successful mental activity.
This includes maintaining productive daily activities and maintaining fulfilling relationships with others.
It also includes maintaining the abilities to adapt to change and to
cope with stresses.
Palliative care in the practice of a family doctor a Presentation by Amit kumar
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CareXperts Home Healthcare in Dubai is committed to offering premium in-home care in the UAE. We stand as a family to improve the quality of life and comfort of our patients. We strive to serve you better every day by offering best-in-class home nursing solutions in the UAE.
5 Stages of Palliative Care_ What They Mean.pdftewhimanshu23
On Wednesday morning, the Japanese yen plummeted to its lowest level against the US dollar in 34 years, sparking concerns among Japanese finance officials. For more Information read this news
Mental health refers to the maintenance of successful mental activity.
This includes maintaining productive daily activities and maintaining fulfilling relationships with others.
It also includes maintaining the abilities to adapt to change and to
cope with stresses.
Palliative care in the practice of a family doctor a Presentation by Amit kumar
palliative care,end of life care,palliative,what is palliative care,palliative care doctor,palliative care end of life,does palliative care help with quality of life?,what is hospice palliative care,center to advance palliative care,palliative care documentary,cme palliative care,day in the life,family doctor,palliative care vs hospice,palliative care video,what is palliative care vs hospice,get palliative care,how to get palliative care, family doctor practice, family medicine, hospice care
At Nak Union Behavioral Health, we are providing the supreme consultancy to children, adults, or any other individual group who want healthy solutions for their health.
CANSA places the spotlight on Caregivers this CANSA Care Week 1 – 7 August 2014.
Who is a Caregiver?
A Caregiver is anyone who cares, without being paid, for a friend or family member who is fighting cancer and cannot cope without support.
“We feel that sometimes Caregivers’ loving care and support, which they lend to those affected by cancer, can go unnoticed. We really hope to change that; the wellbeing of a Caregiver is just as important as that of the Survivor they are caring for. This CANSA Care Week, we want to encourage everyone to celebrate and salute all Caregivers
palliative care presented by sambu cheruiyot clinical nutritionist in kapkate...cheruiyot sambu
currently we need to understand the role of palliative care in our patients. kapkatet hospital have strongly participated in provision of palliative services. come and witness the strong team willing to help the community.
Mental health issues have become a pressing concern affecting millions of lives in today’s fast-paced world. A mental health crisis can strike anyone, regardless of age, gender, or background. It is essential to approach these crises with empathy, understanding, and knowledge.
The course of death and dying has changed tremendously in the past.docxarnoldmeredith47041
The course of death and dying has changed tremendously in the past few decades because of social and technological advances. Increases in average life expectancy due to advances in medical science and technology (National Center for Health Statistics, 2010) have influenced our beliefs and attitudes about life and death. The course of illness and dying has changed; at one time, the onset of illness and subsequent death from certain illnesses was sudden and rapid, but now the typical death may be more prolonged. The place where death occurs has moved from the home or community to the hospital, nursing home, or institutional setting. These changes have posed enormous challenges in end-of-life and palliative care.
PALLIATIVE CARE
Palliative care is an interdisciplinary care model that focuses on the comprehensive management of physical, psychological, and existential distress. It is defined as “the active total care of patients whose disease is not responsive to curative treatment.” Control of pain and 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” (World Health Organization [WHO], 1990, p. 7). Palliative care aims to improve the patient's quality of life by identifying physical, psychosocial, and spiritual issues while managing pain and other distressing symptoms. Palliative care “affirms life and regards dying as a normal process; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated” (WHO, 2004, p. 3).
The palliative care model applies throughout the entire course of illness and attempts to address the physical, psychosocial, and spiritual concerns that affect both the quality of life and the quality of dying for patients with life-limiting illnesses at any phase of the disease. It includes interventions that are intended to maintain the quality of life of the patient and family. Although the focus intensifies at the end of life, the priority to provide comfort and attend to the patient's and family's psychosocial concerns remains important throughout the course of the illness. In the model's ideal implementation, patient and family values and decisions are respected, practical needs are addressed, psychosocial and spiritual distress are managed, and comfort care is provided as the individual nears the end of life.
Palliative medicine is the medical specialty dedicated to excellence in palliative care. Palliative care specialists, including social workers, typically work on teams and are involved when patients’ disease is advanced, their life expectancy is limited, and medical and psychosocial concerns become complex and more urgent. In practice, these problems ofte.
The course of death and dying has changed tremendously in the past.docxrtodd643
The course of death and dying has changed tremendously in the past few decades because of social and technological advances. Increases in average life expectancy due to advances in medical science and technology (National Center for Health Statistics, 2010) have influenced our beliefs and attitudes about life and death. The course of illness and dying has changed; at one time, the onset of illness and subsequent death from certain illnesses was sudden and rapid, but now the typical death may be more prolonged. The place where death occurs has moved from the home or community to the hospital, nursing home, or institutional setting. These changes have posed enormous challenges in end-of-life and palliative care.
PALLIATIVE CARE
Palliative care is an interdisciplinary care model that focuses on the comprehensive management of physical, psychological, and existential distress. It is defined as “the active total care of patients whose disease is not responsive to curative treatment.” Control of pain and 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” (World Health Organization [WHO], 1990, p. 7). Palliative care aims to improve the patient's quality of life by identifying physical, psychosocial, and spiritual issues while managing pain and other distressing symptoms. Palliative care “affirms life and regards dying as a normal process; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated” (WHO, 2004, p. 3).
The palliative care model applies throughout the entire course of illness and attempts to address the physical, psychosocial, and spiritual concerns that affect both the quality of life and the quality of dying for patients with life-limiting illnesses at any phase of the disease. It includes interventions that are intended to maintain the quality of life of the patient and family. Although the focus intensifies at the end of life, the priority to provide comfort and attend to the patient's and family's psychosocial concerns remains important throughout the course of the illness. In the model's ideal implementation, patient and family values and decisions are respected, practical needs are addressed, psychosocial and spiritual distress are managed, and comfort care is provided as the individual nears the end of life.
Palliative medicine is the medical specialty dedicated to excellence in palliative care. Palliative care specialists, including social workers, typically work on teams and are involved when patients’ disease is advanced, their life expectancy is limited, and medical and psychosocial concerns become complex and more urgent. In practice, these problems ofte.
Use of Mask in Prevention of Coronavirus manali9054
COVID-19 (the virus) spreads mainly by droplets produced as a result of coughing or sneezing of a COVID-19 infected person. This can happen in two ways:
At Nak Union Behavioral Health, we are providing the supreme consultancy to children, adults, or any other individual group who want healthy solutions for their health.
CANSA places the spotlight on Caregivers this CANSA Care Week 1 – 7 August 2014.
Who is a Caregiver?
A Caregiver is anyone who cares, without being paid, for a friend or family member who is fighting cancer and cannot cope without support.
“We feel that sometimes Caregivers’ loving care and support, which they lend to those affected by cancer, can go unnoticed. We really hope to change that; the wellbeing of a Caregiver is just as important as that of the Survivor they are caring for. This CANSA Care Week, we want to encourage everyone to celebrate and salute all Caregivers
palliative care presented by sambu cheruiyot clinical nutritionist in kapkate...cheruiyot sambu
currently we need to understand the role of palliative care in our patients. kapkatet hospital have strongly participated in provision of palliative services. come and witness the strong team willing to help the community.
Mental health issues have become a pressing concern affecting millions of lives in today’s fast-paced world. A mental health crisis can strike anyone, regardless of age, gender, or background. It is essential to approach these crises with empathy, understanding, and knowledge.
The course of death and dying has changed tremendously in the past.docxarnoldmeredith47041
The course of death and dying has changed tremendously in the past few decades because of social and technological advances. Increases in average life expectancy due to advances in medical science and technology (National Center for Health Statistics, 2010) have influenced our beliefs and attitudes about life and death. The course of illness and dying has changed; at one time, the onset of illness and subsequent death from certain illnesses was sudden and rapid, but now the typical death may be more prolonged. The place where death occurs has moved from the home or community to the hospital, nursing home, or institutional setting. These changes have posed enormous challenges in end-of-life and palliative care.
PALLIATIVE CARE
Palliative care is an interdisciplinary care model that focuses on the comprehensive management of physical, psychological, and existential distress. It is defined as “the active total care of patients whose disease is not responsive to curative treatment.” Control of pain and 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” (World Health Organization [WHO], 1990, p. 7). Palliative care aims to improve the patient's quality of life by identifying physical, psychosocial, and spiritual issues while managing pain and other distressing symptoms. Palliative care “affirms life and regards dying as a normal process; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated” (WHO, 2004, p. 3).
The palliative care model applies throughout the entire course of illness and attempts to address the physical, psychosocial, and spiritual concerns that affect both the quality of life and the quality of dying for patients with life-limiting illnesses at any phase of the disease. It includes interventions that are intended to maintain the quality of life of the patient and family. Although the focus intensifies at the end of life, the priority to provide comfort and attend to the patient's and family's psychosocial concerns remains important throughout the course of the illness. In the model's ideal implementation, patient and family values and decisions are respected, practical needs are addressed, psychosocial and spiritual distress are managed, and comfort care is provided as the individual nears the end of life.
Palliative medicine is the medical specialty dedicated to excellence in palliative care. Palliative care specialists, including social workers, typically work on teams and are involved when patients’ disease is advanced, their life expectancy is limited, and medical and psychosocial concerns become complex and more urgent. In practice, these problems ofte.
The course of death and dying has changed tremendously in the past.docxrtodd643
The course of death and dying has changed tremendously in the past few decades because of social and technological advances. Increases in average life expectancy due to advances in medical science and technology (National Center for Health Statistics, 2010) have influenced our beliefs and attitudes about life and death. The course of illness and dying has changed; at one time, the onset of illness and subsequent death from certain illnesses was sudden and rapid, but now the typical death may be more prolonged. The place where death occurs has moved from the home or community to the hospital, nursing home, or institutional setting. These changes have posed enormous challenges in end-of-life and palliative care.
PALLIATIVE CARE
Palliative care is an interdisciplinary care model that focuses on the comprehensive management of physical, psychological, and existential distress. It is defined as “the active total care of patients whose disease is not responsive to curative treatment.” Control of pain and 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” (World Health Organization [WHO], 1990, p. 7). Palliative care aims to improve the patient's quality of life by identifying physical, psychosocial, and spiritual issues while managing pain and other distressing symptoms. Palliative care “affirms life and regards dying as a normal process; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated” (WHO, 2004, p. 3).
The palliative care model applies throughout the entire course of illness and attempts to address the physical, psychosocial, and spiritual concerns that affect both the quality of life and the quality of dying for patients with life-limiting illnesses at any phase of the disease. It includes interventions that are intended to maintain the quality of life of the patient and family. Although the focus intensifies at the end of life, the priority to provide comfort and attend to the patient's and family's psychosocial concerns remains important throughout the course of the illness. In the model's ideal implementation, patient and family values and decisions are respected, practical needs are addressed, psychosocial and spiritual distress are managed, and comfort care is provided as the individual nears the end of life.
Palliative medicine is the medical specialty dedicated to excellence in palliative care. Palliative care specialists, including social workers, typically work on teams and are involved when patients’ disease is advanced, their life expectancy is limited, and medical and psychosocial concerns become complex and more urgent. In practice, these problems ofte.
Use of Mask in Prevention of Coronavirus manali9054
COVID-19 (the virus) spreads mainly by droplets produced as a result of coughing or sneezing of a COVID-19 infected person. This can happen in two ways:
Community mobilisation to prevent violence against women and girls in eastern India through participatory learning and action with women’s groups facilitated by accredited social health activists .
DISTRIBUTION OF FRESH FRUITS AND VEGETABLES IN DHARAVI, INDIAmanali9054
It is our hope that this document opens up the possibility of bringing relief work within the fold of intervention services, as well as engages in advocacy with local governance to ensure basic rights, such as the right to food security, and their linkages with organizational outcomes on health, nutrition and wellbeing.
At the outset, we thank our Chief Executive officer Ms. Vanessa D’souza and our Executive Director Dr. Shanti Pantvaidya for supporting us in pivoting counselling interventions to the
needs of the Covid-19 pandemic .
Persistently high unmet need of family planning in India points to the significance of understanding women’s
perspective on use and non-use of modern contraceptive methods and factors that influence their decision.
Composite Index of Anthropometric Failure and its correlates: a crosssectional study of under five children in an urban informal settlement of
Mumbai, India
SNEHA is a secular Mumbai-based NGO working for the last 21 years towards improving health, nutrition and safety of women, adolescents and children living in the most vulnerable urban informal settlements.
These case studies give in-depth insights into the experiences, processes, and challenges of health innovators as
they rapidly pivoted to respond to the COVID-19 pandemic.
The centrality of health outcomes to India’s overall development cannot be over stated as poor health is not only a consequence of but also a major cause for persisting inter-generational poverty.
Many economists and international development organizations define project sustainability as the ability of a project to continue delivering its planned benefits over an extended period of time. (Definition from the World Bank, 1990).
Working together or in collaboration has been recognised as one of the best approaches for development. A strong collaboration between Government and NGOs / Public and Private sectors has been the growing hope for the last few decades in the process of development.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
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India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
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R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
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FAQs-on-Palliative-Care.pdf
1. SNEHA
(Society
for
Nutrition,
Education
and
Health
Action)
I
www.snehamumbai.org
Page
1
Frequently
Asked
Questions
about
Palliative
Care
What
is
Palliative
Care?
Palliative
care
is
specialized
medical
care
that
focuses
on
providing
relief
from
the
symptoms
and
stress
of
a
serious
illness.
It
is
provided
by
a
specially-‐trained
team
of
doctors,
nurses
and
other
specialists
who
work
together
with
your
other
doctors
to
provide
an
extra
layer
of
support.
The
goal
is
to
improve
your
quality
of
life.
To
do
this,
the
palliative
care
team
will:
• Relieve
your
symptoms
and
distress
• Help
you
better
understand
your
disease
and
diagnosis
• Help
clarify
your
treatment
goals
and
options
• Understand
and
support
your
ability
to
cope
with
your
illness
• Assist
you
with
making
medical
decisions
• Coordinate
with
your
other
doctors
Which
illnesses
need
palliative
care?
All
serious
conditions
which
can
be
life-‐limiting
or
life-‐threatening,
will
benefit
from
palliative
care.
This
includes
cancer,
kidney
failure,
chronic
lung
disease,
heart
disease
and
liver
failure.
It
also
includes
illnesses
like
stroke,
Parkinson’s
disease,
Alzheimer’s
disease
and
other
dementias.
Palliative
care
teams
also
take
care
of
bedridden
patients.
This
list
is
not
exclusive,
however,
and
if
you
feel
you
have
an
illness
that
is
affecting
your
physical
and
mental
health
adversely,
please
reach
out
to
your
healthcare
providers.
Alternatively,
you
can
also
contact
a
palliative
care
team
close
to
you.
How
Can
Palliative
Care
help
me
or
my
loved
one?
Palliative
Care
will
help
improve
your
quality
of
life.
You
will
have
substantial
relief
from
symptoms
such
as
pain,
shortness
of
breath,
fatigue,
constipation,
nausea,
loss
of
appetite
and
difficulty
sleeping.
This
symptom
control
will
help
you
carry
on
with
daily
life.
It
can
help
you
get
more
control
over
your
illness,
mainly
through
knowledge
about
your
illness.
It
can
help
you
match
your
goals
to
your
treatment
choices.
Can
I
continue
my
primary
doctor’s
treatment
along
with
Palliative
Care?
Yes
of
course!
In
fact,
recent
cancer
guidelines
say
that
cancer
patients
should
receive
palliative
care
early,
and
together
with
other
treatments.
Apart
from
cancer,
other
serious
illnesses
also
require
integrated
care,
and
palliative
care
plays
a
role
along
with
the
other
physicians
and
medical
professionals
taking
care
of
the
patient.
What
issues
are
addressed
in
Palliative
Care?
The
physical
and
emotional
effects
of
an
illness
and
its
treatment
may
be
very
different
from
person
to
person.
Palliative
care
can
address
a
broad
range
of
issues,
integrating
an
individual’s
specific
2. SNEHA
(Society
for
Nutrition,
Education
and
Health
Action)
I
www.snehamumbai.org
Page
2
needs
into
care.
A
palliative
care
specialist
will
take
the
following
issues
into
account
for
each
patient:
• Physical-‐
Common
physical
symptoms
include
pain,
fatigue,
loss
of
appetite,
nausea,
vomiting,
constipation,
shortness
of
breath,
and
insomnia.
• Emotional
and
coping-‐
Palliative
care
specialists
can
provide
resources
to
help
patients
and
families
deal
with
the
emotions
that
come
with
diagnosis
and
treatment
of
a
serious
illness.
Depression,
anxiety,
and
fear
are
only
a
few
of
the
concerns
that
can
be
addressed
through
palliative
care.
Denial,
burden
and
fear
(of
unknown,
pain
or
death)
also
gets
addressed
.
• Spiritual-‐
With
a
diagnosis
of
serious
illness,
patients
and
families
often
look
more
deeply
for
meaning
in
their
lives.
Some
find
the
disease
brings
them
closer
to
their
faith
or
spiritual
beliefs,
whereas
others
struggle
to
understand
why
this
happened
to
them.
An
expert
in
palliative
care
can
help
people
(or
refer
you
to
people
of
your
faith)
explore
their
beliefs
and
values
so
that
they
can
find
a
sense
of
peace
or
reach
a
point
of
acceptance
that
is
appropriate
for
their
situation.
• Caregiver
needs.
Family
members
are
an
important
part
of
patient
care.
Like
the
patient,
they
have
changing
needs.
It’s
common
for
family
members
to
become
overwhelmed
by
the
extra
responsibilities
placed
upon
them.
Many
find
it
hard
to
care
for
a
sick
relative
while
trying
to
handle
other
obligations,
such
as
work,
household
duties,
and
caring
for
other
family
members.
Uncertainty
about
how
to
help
their
loved
one
with
medical
situations,
inadequate
social
support,
and
emotions
such
as
worry
and
fear
can
also
add
to
caregiver
stress.
These
challenges
can
compromise
caregivers’
own
health.
Palliative
care
specialists
can
help
families
and
friends
cope
and
give
them
the
support
they
need.
Palliative
care
provide
support
to
the
family
by
teaching
them
bedside
techniques,
providing
information
on
wound
care,
feeding
through
ryles
tube,
care
of
catheter,
stoma
bag
etc.
Palliative
care
provides
also
provide
psychological
help
by
addressing
issues
like
burnout,
guilt
and
helplessness.
• Practical
needs.
Palliative
care
specialists
can
also
refer
you
to
other
professionals,
organizations
to
assist
with
financial
and
legal
worries,
insurance
questions,
and
employment
concerns.
Discussing
the
goals
of
care
is
also
an
important
component
of
palliative
care.
This
includes
discussion
about
further
ICU
or
ventilator
needs,
facilitating
communication
among
family
member,
caregivers,
and
other
members
of
the
healthcare
team.
How
do
I
contact
Palliative
Care
teams
near
me?
At
Romila
Palliative
Care
Center,
we
cover
an
area
from
Dadar
to
Borivali
in
Mumbai.
There
are
other
palliative
care
providers
in
Mumbai:
https://snehamumbai.org/wp-‐content/uploads/2020/04/List-‐of-‐
Organisations-‐Hospitals-‐and-‐Private-‐Practitioners-‐working-‐on-‐Palliative-‐Care.pdf
3. SNEHA
(Society
for
Nutrition,
Education
and
Health
Action)
I
www.snehamumbai.org
Page
3
How
do
I
contact
Romila
Palliative
Care?
Our
phone
helplines
are
available
from
9
am
to
5
pm
from
Mondays
to
Fridays
and
up
to
1
pm
on
Saturdays.
Please
contact
+919029006333,
+918657462970
or
+918657462970.
Alternatively
you
can
email
with
queries
to
pouru.wadia@snehamumbai.org.
We
also
have
OPDs
in
Bhabha
Hospital,
Holy
Family
Hospital
and
Kandivali
Hitwardhak
Mandal
Hospital.
Which
healthcare
providers
provide
palliative
care?
Palliative
care
is
a
specialized
type
of
care,
and
a
palliative
care
team
usually
includes
doctors,
nurses
and
counsellors.
Other
healthcare
professionals
are
also
associated
with
the
palliative
care
team.
At
Romila
Palliative
care,
we
have,
in
addition
to
these,
the
services
of
a
nutritionist,
occupational
and
physiotherapist
and
trained
volunteers.
Do
Palliative
Care
services
provide
home
based
care?
Yes,
some
palliative
care
services
like
Romila
Palliative
Care
provide
home
based
care.
This
is
an
additional
layer
of
support
for
patients
and
families
of
those
with
serious
illness,
especially
if
the
patient
is
unable
to
visit
the
hospital.
The
home
palliative
care
teams
help
with
pain
and
symptom
relief,
care
of
bedridden
patients,
catheter
and
wound
care,
and
end
of
life
care.
Do
Palliative
Care
teams
offer
Support
groups?
Romila
Palliative
Care
has
a
support
group
for
Breast
Cancer
patients,
who
meet
once
a
month.
Does
receiving
Palliative
Care
mean
I
am
giving
up
or
dying?
Will
Palliative
Care
make
me
die
sooner?
No!
Studies
have
shown
that
patients
with
appropriate
pain
and
symptom
management
often
live
longer
and
enjoy
a
better
quality
of
life
than
those
without.
According
to
the
World
Health
Organization,
palliative
care
is
applicable
anytime
during
the
course
of
an
illness,
early
or
late.
You
can
have
palliative
care
while
you
are
undergoing
treatments
that
may
cure
or
reverse
the
effects
of
your
illness.
In
fact,
palliative
care
can
help
you
cope
with
aggressive
treatments
by
getting
your
pain
and
symptoms
under
control
to
help
you
fight
the
disease.
What
is
a
hospice
and
when
do
patients
need
one?
A
hospice
is
a
medical
institution
for
patients
with
cancer
and
other
serious
illnesses.
There
are
a
few
reasons
why
a
patient
may
need
hospice
care.
Some
terminally
ill
patients
need
medical
care,
but
not
in
the
environment
of
an
ICU
with
machines
and
monitors
around,
but
comfort
care
given
by
nurses
and
doctors,
all
the
while
having
their
family
with
them.
Sometimes
patients
need
support
that
is
not
available
at
home,
e.g.
daily
dressing
for
deep
fungating
wounds,
wounds
with
maggots
etc.
Sometimes,
families
of
patients
with
chronic
serious
conditions
like
paraplegia,
bedridden
patients
etc.
may
need
a
break
from
constantly
caring
for
these
patients.
In
such,
some
hospices
offer
the
facilities
of
‘respite
care’
where
the
patients
are
admitted
and
taken
care
of
by
the
hospice
staff
for
a
few
days,
so
that
the
family
can
rest
for
that
while.
4. SNEHA
(Society
for
Nutrition,
Education
and
Health
Action)
I
www.snehamumbai.org
Page
4
Are
there
hospices
in
the
city?
Yes,
but
mainly
for
cancer
patients
only.
Below
are
their
addresses
1.
Shanti
Avedna
Sadan
216,
Mount
Mary
Road,
Bandra
West,
Mumbai
400050
Tel:
(91)
22
26427464
/
26451702
Website
-‐
http://www.shantiavednasadan.in
2.
Stella
Hospice
Centre
401201,
Maley
Wadi
Varcha
Mala,
Vasai
West,
Vasai,
District
Thane,
Maharashtra
401201
Tel:
0250-‐2328605/6
3.
Cipla
Palliative
Care
&
Training
Centre
Contact
Person-‐
Dr.
Manjiri
Dighe
Survey
No
118/1,Off
Mumbai-‐Bangalore
Highway
Warje,
Pune
:-‐411058
Tel:
020-‐25231130/31
What
happens
when
my
loved
one
dies?
Palliative
care
includes
support
of
the
family
after
the
death
of
a
loved
one.
It
may
be
important
to
patients
that
their
loved
ones
will
be
supported
during
the
emotional
time
around
their
deaths.
We
offer
bereavement
support
to
families
of
patients
we
have
looked
after
and
have
passed
away.
This
includes
support
to
help
people
cope
with
the
loss
of
a
loved
one,
information
about
the
normal
grief
process,
help
with
specific
problems
or
referral
to
other
resources
if
needed.