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Fr. Muller College organizes palliative care workshop

Fr. Muller College organizes palliative care workshop


Mangalore Today News Network

Mangalore, Aug 3, 2011: The department of oncology and nursing services at Fr. Muller Medical College organized a workshop on palliative care in its conference hall today.

 

DC Dr. N. S. Channappa Gowda, who inaugurated the workshop, spoke of the importance of palliative care, the last medical care that a person gets. Expressing regrets that medical care and education have now become commercialized, he urged doctors to give patients the best possible palliative care and fill them with hope.

 

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Rev. Fr. Richard Coelho, the administrator of FMMCH, presided over the event. In his address, he urged doctors to serve patients without expecting benefits. He asked doctors to draw their inspiration from Mother Theresa.

Dr. R. N. Bhat, the resource person, spoke of the importance of palliative care, which will help develop the mental ability of the patient. Doctors should help patients be full and life and hopeful of recovery, he added.


About Palliative Care:

Palliative care in this country is too often limited to end of life situations, so that patients often have to go through a lot of suffering during months or years of potentially curative treatment. When one is facing active life threatening illness, we need relief. Relief from total pain (physical, social, psychological, spiritual) that is Relief from other symptoms, such as fatigue, nausea, loss of appetite and shortness of breath , emotional ,social and spiritual stress. All this amounts to total suffering and active total care needs to be provided. This holistic approach helps to better understand their condition and choices for care, to improve ability to tolerate medical treatments. By doing so, patient and family would be able to carry on with everyday life. In short, one could feel better, feel supported and have more control over their care. This is what palliative care can do for you.



During illness patients who are on their treatment for their illnesses require supportive and palliative care .Thus the goal of supportive and palliative care is to relieve suffering and provide the best possible quality of life for people facing the pain, symptoms and stresses of active life threatening illnesses.


Supportive Care helps the patient and their family to cope with their condition and treatment of it – from pre-diagnosis, through the process of diagnosis and treatment, to cure, continuing illness or death and into bereavement. It helps the patient to maximize the benefits of treatment and to live as well as possible with the effects of the disease. It is given equal priority alongside diagnosis and treatment.


Supportive care is fully integrated with diagnosis and treatment. It encompasses:
•    Self help and support
•    User involvement
•    Information giving
•    Psychological support
•    Symptom control
•    Social support
•    Rehabilitation
•    Complementary therapies
•    Spiritual support
•    End of life and bereavement care

Palliative Care is part of supportive care. It embraces many elements of supportive care. Palliative care is the active holistic care of patients with advanced progressive illness. Management of pain and other symptoms and provision of psychological, social and spiritual support is paramount. The goal of palliative care is achievement of the best quality of life for patients and their families. Many aspects of palliative care are also applicable earlier in the course of the illness in conjunction with other treatments.


Palliative care aims to:

•    Affirm life and regard dying as a normal process
•    Provide relief from pain and other distressing symptoms
•    Integrate the psychological and spiritual aspects of patient care
•    Offer a support system to help patients live as actively as possible until death
•  Offer a support system to help the family and caregiver to cope during the patient’s illness and in their own bereavement 


Who Provides Palliative Care: Palliative care is provided by two distinct categories of health and other care professionals:
•    Those providing the day-to-day care to patients and carers in their homes and in hospitals
•    Those who specialize in palliative care (consultants in palliative medicine and clinical nurse specialists in palliative care, social workers, chaplains) 


Those providing day-to-day care assess the care needs of each patient and their families across the domains of physical, psychological, social spiritual and information needs Meet those needs within the limits of their knowledge, skills, competence in palliative care .Know when to seek advice from or refer to specialist palliative care services 


Specialist Palliative Care Services are provided by specialist multidisciplinary palliative care teams and include: Assessment, advice and care for patients and families in all care settings, including hospitals and care homes. Specialist in-patient facilities are for patients who benefit from the continuous support and care of specialist palliative care teams. Intensive coordinated home support for patients with complex needs who wish to stay at home. This may involve the specialist palliative care service providing specialist advice alongside the patient’s own doctor and trained home nurse/carer to stay in their own home. 



The specialist team includes palliative medicine consultants and palliative care nurse specialists together with a range of expertise provided by physiotherapists, occupational therapists, dieticians, pharmacists, social workers and those able to give spiritual and psychological support (chaplains, psychologist and psychiatrist) coordinated with the treating doctor/specialist.



Many teams also now provide extended specialist palliative nursing, medical, social and emotional support and care in the patient’s home, often known as ‘hospice at home’.
•    Day care facilities that offer a range of opportunities for assessment and review of patients’ needs and enable the provision of physical, psychological and social interventions within a context of social interaction, support and friendship. Many also offer creative and complementary therapies.
•    Advice and support to all the people involved in a patient’s care.
•    Bereavement support services which provide support for the people involved in a patient’s care following the patient’s death.
•    Education and training in palliative care. 


Who could benefit from palliative care services?
Palliative care treats people suffering from serious and chronic illnesses including cancer, cardiac disease such as Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), kidney failure, Alzheimer’s, HIV/AIDS and Amyotrophic Lateral Sclerosis (ALS). 


Current Provision at Father Muller hospital is Palliative Care Services for oncology (cancer) patients.
•    In-patient units 
•    Hospital based services(palliative health care team-palliative medicine consultation,socialworkers,chaplainservices,physiotherapy,psychological/psychiatry consultation, Nutritional support, alternative medicine and all specialists services
•    Day care services.
•    Hospice and hometown referrals
•    Bereavement support services.
•    Psychological, spiritual and social support and family rehabilitation.


Palliative care is a person oriented approach. It begins at the start of the illness as supportive and then continues to be palliative that is it helps relieve the symptoms of these diseases Physical (such as pain, shortness of breath, fatigue, constipation, nausea, loss of appetite and difficulty sleeping.) Social, psychological and spiritual pain .In conclusion the aim of palliative care is to relieve suffering and provide the best possible quality of life for both the patient and their family by a Team approach.


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