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PalliativeCareAtIGMCShimla

Shimla, December 19, 2024: Ensuring comfort, dignity, and compassionate care for terminally ill patients is not just a moral duty but a practical necessity.

This was the message at a workshop on palliative care hosted by the Cancer Hospital, ICMC Shimla. The workshop saw the participation of over 60 attendees.

Leading medical professionals spoke about the urgent need for home-based and empathetic care in Himachal Pradesh’s challenging hilly terrain.

Dr. Sita Thakur, Principal of ICMC Shimla, inaugurated the workshop. She said palliative services must focus on reaching patients in remote areas.

"For patients in these regions, home-based care isn’t just convenient—it’s essential," she said. She called for a collaborative approach involving physicians, nurses, and social workers.

The importance of empathy and listening was at the heart of the discussions.

Dr. Manish Gupta, Head of Radiotherapy, said that listening to patients' concerns is the foundation of effective care.

Professor Ajay Sood from the Anesthesia Department said that the decreasing focus on this basic skill weakens the trust between patients and doctors.

Dr. Vinay Somia, Pain and Palliative Care Physician, called for policies to make IGMC a pain-free hospital.

He also said there should be an end-of-care policy allowing patients to opt for directives like "Do Not Resuscitate" (DNR).

Dr. RS Negi, Professor of Pulmonary Medicine, spoke about the proper use of oxygen therapy.

He said not all breathless patients need oxygen. “The right masks and opioids often work better for managing symptoms,” he said.

Dr. Vikas Fotedar said there is an urgent need for a dedicated pharmacist in the department to manage essential medications like morphine.

“Palliative care isn’t just about the end of life—it’s about ensuring comfort from diagnosis through treatment and beyond,” he said.

The workshop highlighted that palliative care must be more empathetic, accessible, and patient-centric.

It must address not just the medical but also the emotional and logistical needs of patients and their families.

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