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.

Annual ‘Helping Hands Mela’ by HSBC

2014 September 30

Pallium India was honored to be a participant in HSBC’s annual “Helping Hands Mela”, a week-long event organized in HSBC branches across India to encourage charitable giving through the sale of products designed by NGOs and communities.

The mela began on 22nd September. The event in the Trivandrum branch of HSBC was inaugurated by Mr. Rakesh Kumar Gupta, MD Allianz Cornhill Information Services. Mr. Santanu R, Vice President & Branch Head of HSBC Trivandrum, and the staff of HSBC bank participated in the event. The mela concluded on 27th September.

We thank HSBC for inviting us to be a part of this event.

HSBC Mela

End of Life Care Training for Volunteers

2014 September 28

It was Pallium India’s privilege to host 46 volunteers from various parts of Kerala for three days from the 19th to 21st of September. We planned it to be a Training the Trainers session, where some training on facilitating learning was given, followed by some recapitulation of fundamentals and then, people got down to the serious business of supporting End of Life care.

There were numerous problems, we have no doubt, but the experience will help us by planning more effective training programs in future and, the positive energy that the volunteers left behind, will stay in our team for a long time to come.

End of Life Care Training

This will relieve pain in the West. Will it cause more pain in India?

2014 September 27

Amazing discoveries are happening every day in the field of pain management. Despite all scientific advances, it is very difficult for us to treat movement-related pain, especially in conditions like various kinds of arthritis.

See this news, which describes one such advance: New technique enables targeted, controlled delivery of pain meds.

We fear the pain that scientific advances like this cause in India.

Most innovations like this carry with them the cost of the research as well as the enormous profit (usually 50 times the cost of production) that the industry seems to need. The average person, when given an advice by a doctor, sees it as a prescription to cure. Families get destroyed by the cost of treatment. It is seldom the practice in India to explain to the person in detail what exactly the new innovation is going to achieve and the downside of it all. It is essential to have some kind of ethical guidelines before innovations are offered to patients, often destroying families in the process.

Choice of Medicine and the Power of the Industry

2014 September 27

Please see the article on Prescribing practices for nausea in palliative care published in the Journal of Palliative Medicine. (The whole article is available for free download.) Ref: Timothy H.M., Agar Meera, Yates Patsy, and Currow David C.. Journal of Palliative Medicine. September 2014, 17(9): 1032-1036. doi:10.1089/jpm.2013.0610.

The article shows that for nausea in palliative care, clinicians were widely using metoclopramide as the first line agent (69%), followed by haloperidol(26%). The international data show that Ondansetron was used by an almost non-existent minority; then why is it used so widely in India, especially remembering that it is expensive and constipating, and also that constipation is a very common symptom encountered in palliative care? Do we have any evidence favouring it in the majority of palliative care situations? Is it simply not the power of the healthcare industry in promoting it and we, gullible professionals, swallowing everything meted out to us?

Elisabeth Kubler-Ross’s books re-released

2014 September 27

Elisabeth Kubler-Ross at Arizona House, 2001, Editorial use only, No TabsElisabeth Kubler-Ross’s son Ken Ross and Dianne Gray, the current head of EKR Foundation write to inform that EKR’s books – On Death and Dying, On Grief and Grieving and Life Lessons, were all re-released by Simon and Schuster on August 12. On Death and Dying was first released in 1969!

Dr. Ira Byock wrote the new foreword for On Death and Dying and Maria Shriver graciously wrote the new foreword for On Grief and Grieving.