Palliative Care Research Paper

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Review Article VARIOUS ASPECTS OF PALLIATIVE CARE IN BANGLADESH Md. Reyad-ul- Ferdous1, A. H. M. Mahmudur Rahman2, Lutful Haque Saran3, Md. Mamun-Ur-Rashid4, Adnan Taher5
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Abstract: Palliative care (‘palliative’ approaches from the Latin ‘pallium’ meaning cloak) is several form of medical care and multidisciplinary approach that focuses on reducing severity of symptoms of diseases rather than delay progression of the disease itself or provide cure. Palliative care is all about accomplishing the possible highest quality of life (QOL) and promoting relieve and dignity for patients whose are suffering with incurable and life limiting diseases. The aspects of the palliative care in Bangladesh concern the matters of concentrating on the rights of the patients in getting relief from sufferings of all kinds (physical, psychological, social and spiritual). Introduction: World Health Organization (WHO) relates palliative care as "an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and treatment of pain impeccable assessment and other problems, physical, psychosocial and spiritual." Around a million people die in Bangladesh every year where approximately 0.6 million are estimated in need of palliative care.
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Inside the plan of palliative care, some upsetting ethical issues are nursing ethics and bioethics. The aspects of palliative care in Bangladesh verbalize a lot for the move of the rights of the patients to have a holistic and humane treatment. Palliative Care in Bangladesh is a basic right! Article 15A & 18(1) of Bangladesh Constitution instructs on the state the provision of basic medical care. 15A: the provision of the basic necessities of life, including food, clothing, shelter, education and medical care 18(1): The State shall regard the raising of the level of nutrition and the improvement of public health as moving its primary duties, and in particular shall adopt effective measures to prevent the consumption, except for medical purposes or for such other purposes as may be prescribed by law, of alcoholic and other intoxicating drinks and drugs which are injurious to health. The concept of palliative care in Bangladesh so far remained limited to the sympathetic caring of the family members toward their loved ones with fatal illness. It is clear that palliative care in Bangladesh is set at basic level, where some could be sought from the extended family care support system. Quality of life (QOL) issues are rarely practiced or even thought in Bangladesh. Furthermore, palliative medicine, in the perspective of total palliative care service does not have its due recognition in Bangladesh. Challenging issues for palliative care in Bangladesh: • First of all misconception comes. The general misconception that only whose are terminally sick and those whom health center have given up hopes of any progress, need palliative care. Palliative care is an advancement which can improve the quality of patients life and their family facing the problems associated with threatening illness which is life taking through the prevention and relief of suffering by means of early identification and faultless assessment and treatment of pain and other problems like physical, psychological and spiritual. • In advanced stage of diseases pain is the dominant symptom. Pain …show more content…
https://en.wikipedia.org/wiki/Palliative_care

2. Farzana Khan1, Nezamuddin Ahmad1*, Mostak Anwar1, ‘Palliative care is a human right’, (Journal of BSA, 2008; 21(2): 76-79)

3. Md. Jobair Alam, REFLECTIONS ON THE RIGHT TO PALLIATIVE CARE IN BANGLADESH: LEGAL REGIME REVISITED, Bangladesh Journal of Bioethics 2013; 4(3):25-33

4. Shamima Parvin Lasker, CHALLENGES OF PALLIATIVE CARE, Bangladesh Journal of Bioethics 2013; 4(3):19-24

5. Masud Ahmed1. Md. Manowarul Islam2. Nadeem Parvez Ali3. Azizun Nessa4. Kamal Krishna Karmakar5, Palliative Care : Our Moral Obligation, J. Dhaka National Med. Coll. Hos. 2011; 17 (02): 52-55

6. A.K.M Mahbubur Rahmana, Nezamuddin Ahmadb, Palliative Care: We should begin to Think, Journal of Bangladesh College of Physicians and Surgeons, Vol. 29, No. 1, January 2011

7. Nezamuddin Ahmad, Mustafa Kamal, AHM Mostak Anwar, AKM Shafiqur Rahman, NEEDS OF TERMINALLY ILL PATIENTS AND THEIR FAMILIES: AN EXPERIENCE WITH FIFTY THREE PATIENTS ATTENDING A NEWLY ORGANIZED PALLIATIVE CARE SERVICE IN BANGLADESH, Journal of BSA, Vol. 19, No. 1 & 2, 2006
8. CONSTITUTION OF THE PEOPLE'S REPUBLIC OF BANGLADESH, 4th November 1972
9. WHO. World Health Organization

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