In a renewed effort to gain for all of us the right to live with dignity even with disease (and to die with dignity too), a group of people got together on 18 September 2016 at Changampuzha Mandiram, Sahitya Academy, Thrissur to discuss Government of India’s draft law for protection of terminally ill patients and medical practitioners. There was active participation in the proceedings by patients, family members, doctors and several interested others.
The event was organised under the joint auspices of the Pain and Palliative Care Society Thrissur, Pallium India and Indian Association of Palliative Care (Kerala).
The participants demanded that the draft law must be amended to ensure the following:
1. Any advance directive (living will) made by a competent person in accordance with the provisions laid down in this law must be binding on the medical system.
2. Those who decide against artificial life support must be offered palliative care by the medical system, and
3. The provision in the draft law for having to approach the high court for permission to withdraw life support must be removed in favour of more practical provision for decision by institutional ethics committee.
Ibuprofen, Diclofenac, Aceclofenac, Piroxicam and many other NSAIDs (Non-steroidal anti-inflammatory drugs) can have serious consequences if the prescribed dose is exceeded or if they are taken in situations where there is risk of kidney disease, bleeding or erosions in the stomach wall. And this becomes particularly dangerous as mosquito-borne viral fevers are becoming rampant. See the news in Times of India of Sep 16, 2016. (Thank you Mr Hamza for calling this to our attention).
This is not to advise anyone to avoid all pain medicines.
Pain itself can be harmful. This is only to remind everyone that unlike the much-feared oral morphine which is very unlikely to result in life-threatening situations, inappropriate consumption of NSAIDs can be dangerous. (Well, that is certainly not to say that oral morphine is recommended in these viral fevers either. It is not).
So what should one do?
- Take pain-killers only on doctors’ advice.
- Avoid NSAIDs beyond the prescribed dose.
- Take a medicine that your doctor would prescribe to avoid stomach trouble whenever you are taking NSAIDs.
- Avoid NSAIDs in any situation when there is not enough water in the body (like when one has vomiting or diarrhoea, or when one is unable to drink enough water).
- Avoid NSAIDs in any situation in which the kidney is not functioning properly.
- Avoid NSAIDs in presence of any tendency for bleeding.
Venue: Kerala Sahitya Academy, Changampuzha Mandiram, Thrissur.
Dr E. Divakaran invites you all to an event jointly organised by Pain and Palliative Care Society, Thrissur, Pallium India and Indian Association of Palliative Care (Kerala) to discuss the proposed End of Life Care Law. Prof. C. Raveendranath, Hon. Minister for Education will deliver the inaugural address.
There certainly needs to be more public awareness to a serious malady that has affected medical practice in India – the tendency towards over-medicalisation of death and of torture in an intensive care unit. As the co-ordinator, Dr E Divakaran says, “If somebody with an incurable disease would like their end to be amidst loving family, the medical system must facilitate it. If someone expresses a desire against a tortured death in isolation, in an air-conditioned intensive care unit with a tube in every orifice, that desire must be respected.”
If you are in Thrissur or nearby, do please attend the event.
Contact: Dr E. Divakaran, 94473 08707
How to Apply
Application can be made by filling this form online along with the references and verifiable evidences through media and pictures in order to identify the leadership of the applicants/ nominees to be sent by email to email@example.com.
Last date of Application is Midnight (India Time) of 7th November 2016.
PALLIATIVE CARE AWARD – 2016 will be given by His Excellency the Governor of Uttar Pradesh during the “Conference on the Role of Spirituality in Palliative Care” to be held on 8th December 2016 at Lucknow and Cheque of ₹1,00,000/- will be presented at the 24th International Conference of the Indian Association of Palliative Care- February 2017 to be held at Coimbatore India.
Cancer Aid Society is an NGO in Special Consultative Status with United Nations ECOSOC, working across India since 1987 on Palliative Care, Advocacy, Prevention and Control of Tobacco, Cancer and other Non Communicable Diseases.
Job Title: Palliative Care Physician
No. of Requirements: 1 (Nos.)
Nature of Job: Permanent – Full Time
Remuneration: Depends on candidates’ KSA’s
Place of Job: Pallium India Trust, Arumana Hospital Building, Eanchakkal-West Fort Road, Vallakadavu P.O., Trivandrum
As a Palliative Care Physician,
- Provide symptom management, pain relief and supportive care for the patient in inpatient care, outpatient clinic and home based care.
- Facilitate clarification of patient and family goals of care.
- Facilitate information sharing and decision making regarding patient care.
- In addition to providing expert symptom management, as a palliative care physician you need to devote time to intensive family meetings, ensure coordinated care across health care settings, link patients and family members to support groups and other services and improve access to information so patients can make confident, well-informed decisions about their care.
- Consult with fellow physicians and the interdisciplinary team in establishing a written plan of care at intervals specified in the plan.
- Adhere to the practice of confidentiality regarding patients, families, staff, and the organization.
- Assist in the development of standards of care and practice.
- Participate first and organise academic sessions and training programs for skill development.
- Facilitate and participate awareness campaigns in the community.
- Collaborate with similar Palliative care organisations and oncology community to create awareness and advocate for palliative care in India and overseas.
- Undertake and guide research and projects in the field of Palliative care.
- Any other duties assigned by the reporting authorities.
Qualification: M.B.B.S (Full-Time) from a recognized university
Experience: > 2 years
Interested candidates can send detailed and updated CV at firstname.lastname@example.org Please mention “Application for Palliative Care Physician” in the subject.
For more details, Contact: Arathy V Nair +91 9746745501