At this moment, over a million people in India are in unimaginable pain. We refuse to look the other way. We choose to hear the cry, and to do what we can.
Please join us. Your help is needed.

Call for Developing Countries Project Initiative for Improving Pain Education Grant Applications

2018 January 17

The IASP Developing Countries Project Initiative for Improving Pain Education Grant support clinicians in developing countries to improve essential pain education. Multiple grants of US$10,000 each are awarded each year.

You are a candidate for an IASP Developing Countries Project Initiative for Improving Pain Education Grant if you are:

  • an IASP member (a full year of membership is required)
  • based in a developing country
  • not already the recipient of a grant that provides support equal to or greater than the IASP Developing Countries Project Initiative for Improving Pain Education grant.

Click here to apply

Deadline is March 14, 2018.

Let’s Join Our Hands To Prepare a Very Special New Year Gift.

2017 December 30

Geetha (not her real name), 57 years old, spends her days in a wheelchair – she has been suffering from spinal muscular dystrophy, diabetes mellitus and hypertension since 2003. Now, she can move her upper limbs to some extent, but is completely dependent on others for almost all her activities of daily living.

Financial constraints due to out-of-pocket expenditure and separation from spouse have added to her agony. She lives with her only son, who is a daily wage earner.

With the Kerala government’s disability pension of ₹1000 per month and financial aid to build a house, she has begun construction of a house; however she needs financial assistance to complete it.

Geetha and her son had been living in a shed. Realising that the shed would not withstand the rain, they had to move to their incomplete house.

What can you do?

You can help Geetha attain her dream of a house of her own: with wheelchair-friendly living room, bathroom and kitchen.

This will be the greatest gift you can give a woman who has to live the rest of her life in a wheelchair: a certain amount of independence, and dignity.

Please donate and make Geetha’s dream a reality. http://palliumindia.org/donate/

To know more, please contact us: babu@palliumindia.org / 9746745502

E Divakaran – winner of Pratheeksha award

2017 December 30

Dr E. Divakaran, founder of Institute of Palliative Care, Trissur, is the winner of the annual award given by Pratheeksha Palliative Care, Koottanad.

Congratulations, Dr Divakaran! Your humility, able leadership and quiet efficiency are a model to all. All of us at Pallium India are proud to be associated with you.

ESMO’s position paper expresses commitment to palliative care during cancer treatment:

2017 December 29

“Supportive and palliative care interventions should be integrated, dynamic, personalised and based on best evidence. They should start at the time of diagnosis and continue through to end-of-life or survivorship.”

The position paper by Jordan K et al published as a special article in the Annals of Oncology dated Dec 8, 2017 highlights the evolving and growing gap between the needs of cancer patients and the actual provision of care. The concept of patient-centred cancer care is presented along with key requisites and areas for further work.

“Care” vs “overzealous treatment”: Pope Francis speaks on end of life issues

2017 December 29

Pope Francis has advised doctors to avoid “overzealous treatment” of patients at the end of life, saying that “burdensome” treatment may not be in the best interests of the person.

Addressing the World Medical Association European Regional Meeting on End of Life Questions — a conference jointly organised by the World Medical Association, the German Medical Association and the Pontifical Academy of Life — the Roman Pontiff said that that the development of powerful medical technologies calls for prudent discretion on the part of clinicians:

“greater wisdom is called for today [in end of life care], because of the temptation to insist on treatments that have powerful effects on the body, yet at times do not serve the integral good of the person”.

The Pope broached the much discussed topic of “overly burdensome treatment”, and discussed a series of ethical principles outlined by his predecessors Pius XII and John Paul II.

“…in the face of critical situations and in clinical practice, the factors that come into play are often difficult to evaluate. To determine whether a clinically appropriate medical intervention is actually proportionate, the mechanical application of a general rule is not sufficient. There needs to be a careful discernment of the moral object, the attending circumstances, and the intentions of those involved. In caring for and accompanying a given patient, the personal and relational elements in his or her life and death – which is after all the last moment in life – must be given a consideration befitting human dignity. In this process, the patient has the primary role.”

Roman Pontiff’’s comments follow a statement earlier this year from the Pontifical Academy for Life on the controversy surrounding British infant Charlie Gard. In the statement, Academy president Vincenzo Paglia said:

“The proper question to be raised in this and in any other unfortunately similar case is this: what are the best interests of the patient? We must do what advances the health of the patient, but we must also accept the limits of medicine and, as stated in paragraph 65 of the Encyclical Evangelium Vitae, avoid aggressive medical procedures that are disproportionate to any expected results or excessively burdensome to the patient or the family.”

 

This blog was originally published here: https://www.bioedge.org/bioethics/care-vs-overzealous-treatment-pope-francis-speaks-on-end-of-life-issues/12532