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Palliative care involves offering comprehensive support and care for patients with severe or life-threatening illnesses, such as heart disease, cancer, and neurological diseases like Parkinsonism. The primary goal of palliative care is to improve the quality of life and provide a supportive network for patients living with serious illnesses to maintain an active lifestyle. At Manipal Hospitals, Broadway, Kolkata, our team of doctors, nurses, paramedics, physiotherapists, pharmacists, and volunteers works together to ensure all-encompassing and holistic care and management for palliative patients.
Patients considering palliative services in Kolkata are provided with available programmes and resources to support them with their cancer. An open discussion is made about treatment options, the reasons for every option, and making informed decisions that align with the patient’s values and goals. An individualised palliative plan is then designed to prevent and alleviate any suffering and improve the patient’s daily life. Palliative care is accessible regardless of age, prognosis, or whether the patient is undergoing any treatments. Our team endeavours to attain the best results for patients' conditions, ensuring they receive the highest quality care accessible.
While both palliative care and hospice care prioritise meeting the needs of patients and enhancing their well-being, hospice care specifically caters to individuals who are nearing the end of life, particularly those with a prognosis of less than six months to live. Patients receiving hospice care typically have exhausted curative treatment options or have opted against further interventions due to the outweighing balance of side effects over benefits. Unlike patients in palliative care who may still undergo curative or therapeutic treatments, those in hospice care focus primarily on improving physical and emotional aspects of life, such as managing symptoms like high blood pressure or anxiety.
Palliative care is tailored to each individual’s circumstances, as treatments are designed to meet the patient’s personal requirements and level of discomfort tolerance. Palliative care specialists provide various support and services through palliative care that focus on symptom management, and care techniques such as meditation, breathing techniques, healing touch, visualisation, or listening to music. Moreover, palliative care specialists may employ a multidisciplinary approach to your illness by referring you to psychiatrists, pain management specialists, or integrative medicine specialists to address your psychological and pain issues related to your disease.
Patients receiving palliative care offer several benefits, some of which include:
Enabling patients or carers to make informed decisions regarding patient health
Assisting in managing symptoms
Reduced level of anxiety and depression
Support and enhanced satisfaction for both, family members and carers
Prolonged survival and improved quality of life
Palliative care specialists address pain and symptom management by employing a comprehensive assessment of pain levels, with immediate treatment being a priority. Specialists implement pain management plans by following certain guidelines and according to patient conditions, which may include Non-steroidal anti-inflammatory drugs (NSAIDs) like Ibuprofen and Opioids, such as Hydrocodone. In cases of severe pain, palliative care specialists may prescribe a stronger opiate, such as morphine or fentanyl. Specialists also prescribe helper drugs, which include, steroids, anti-depressants, anti-convulsants, muscle relaxants, local anaesthesia, and bisphosphonates. Surgery is often employed as a last resort but may provide relief from pain caused by conditions such as hip fractures in individuals with advanced cancer.
You can receive palliative care at home, or in a hospital, depending on the resources that are available in your area. Patients who choose home-based palliative care may follow certain medication schedules and utilise the prescribed methods of care outlined by our patient care team. Alternatively, family members and carers may require assistance and support as they provide care for the patient’s needs. The patient care team extends support not only to patients but also to carers within the home environment.
Psychologists and counsellors play a vital role in palliative care by addressing emotional and psychological challenges that may arise. They assist individuals in managing stress, coping with loss, and navigating changes in identity. At Manipal Hospitals, Broadway, our department provides counselling and therapy services for palliative care patients, as well as companionship and social support. Additionally, some patients may benefit from spiritual guidance to explore life's purpose during their palliative journey. Our hospital encourages patients to connect with friends who share similar interests, seek guidance from religious leaders, or reach out to community healthcare organisations for support during this time.
Based on general conditions, treatment options, personal values, and preferences, our team of palliative care specialists, helps patients or carers navigate complex decisions by providing individualised information, support, and guidance, including for patients requiring advanced care planning. This enables caregivers and patients to make informed choices that align with their goals and improve their quality of life.
Palliative care is not confined to cancer patients alone; it's inclusive of a diverse array of conditions. In addition to advanced cancer, individuals grappling with conditions such as stroke, end-stage respiratory, cardiovascular, and renal diseases, as well as AIDS, can derive significant benefits from palliative care services. Moreover, the availability of palliative care extends its support to alleviate suffering not only in the elderly during their final phase of life but also in patients facing life-threatening diseases, regardless of their potential for cure.
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