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Thursday, April 26, 2012

Pain and Palliative Care Policy in Kerala, India.

2nd Batch BCCPAN students now completed their training in Palliative Care from Palliative Care Training center General Hospital Alappuzha. Now 36 Grama Panchayaths of Alappuzha District had comunity Nurses trained in Palliative Care.






 Govt of Kerala declared Pain camp: Palliative Care Policy on 15th April 2008. The policy aims to address the various problems faced by patients with chronic, incurable and life limiting diseases with community participation.


A multidimensional approach offers the best possible quality of care to these patients as no one member of the team has the skills or the insights to provide comprehensive palliative care which encompasses the physical, psychosocial, spiritual on their own.


The policy aims to address two paradoxes in community in the life cycle of patients with chronic , progressive illness 
1. Most dying people would prefer to remain at home till the end, but most of them die in institutions. 
2. 90% of the final year of life for most patients is spent at home, but most people are admitted to hospital to die.The sad fact is that most dying people are admitted in the end without formally consulting to their wishes.


Post graduate certificate programme in palliative care is open to MBBS graduates at INSTITUTE OF PALLIATIVE MEDICINE. KOZHIKODE; TRIVANDRUM INSTITUTE OF PALLIATIVE SCIENCES and at AMRITA INSTITUTE OF MEDICAL SCIENCES. COCHIN.


You can search at the respective sites in net.Govt of kerala recoganised Palliative care as a new speciality in medicine adressing the problems of the incurably and terminally ill patients vide order No- G. O ( P) No.109/ 2008 H camp; FWD. You can refer-- PAIN and PALLIATIVE CARE POLICY. GOVT. OF KERALA.


BCCPAN is the only recoganised training programme recoganised by Govt of Kerala to work as palliative care nurses in the Palliative care project of Local Self Government Institutions. The candidates were Auxillary Nurses with Nursing Council Registration. They must be permenant residents of the respectve LSGI's. 


They were selected by the Palliative care Project monitoring commete of the respectve LSGI with the help of Kudumbasree mission. They were given 3 months training in govt recoganised training institutes like the one in General Hospital, Alapuzha. The expenses for training were met by Kudumbasree mission. Candidates were given a monthly stipend of Rs 2500/- during the period of training. 


After completion of the course they will go back to respective LSGI's to intiate palliative care activities. They were eligible to get an Honorrarium of Rs-3000/- (? raised to Rs- 5000/- from this year). Their work is monitored every month at the training center were difficult cases and problems were discussed.


In the field they were supported by a team of trained Volunteers who were visiting the patients atleast once in two days. We established regular home care programmes in 36 LSGI's. This year we are planning to start the programme in 10 more LSGI's.

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