Riaz Rahman

PALLIATIVE / HOSPICE CARE http://www.pamelasuttonmd.org/palliativecare/Pakistan.html#PakistanWorkshop Cancer is on the rise in Pakistan, as is elsewhere in the world.

‎80% of the cancer patients in Pakistan present in very late stages, with terminal disease, because of lack of awareness and poor health facilities in the rural areas where the majority population lives. These unfortunate terminal cancer patients die a painful miserable death. These poor patients are at the mercy of the, either traditional care givers, or of the medical physicians, who exploit and cash on their disease , by giving them false hopes and giving them very expensive chemotherapy even in stage 4 terminal disease, it is not uncommon to see a cancer patient with Lung, Bones liver, and brain secondries getting expensive chemotherapy, purchased by the patients. What these patients need is Palliative Care. There should be some legislation to control the multinationals, pharmaceuticals who are promoting unethical business, by giving incentives, to doctors, using these expensive medications to terminally ill dying patients, who may not benefit, from these drugs, Palliative Care is not against research and development of new drugs, but advocate the judicious use of these drugs, especially in a country like Pakistan where there is no health insurance system, We need to set up Hospice and Palliative care units in all the tertiary hospitals in the government sector, as a first step, encouraging the caring society to come forward with hand in hand in providing care to these unfortunate dying patients. THE HAVE ALL's are i feel obligated to give back to the society at least a fraction of what the almighty has bestowed on them, it is an opportunity for them to earn for themselves in the hereafter as well. Its just the realization of the fact if one does, he is blessed..

The first 120 bedded Hospital based Palliative Care unit under construction by the C C H & R C . A model of care in which the terminally ill cancer patients will be admitted for not only pain, symptom management but also to make a needs assessments as well as to train the primary carer , provide volunteer support, who would be a link between the patient at home and the palliative care unit for providing total care. The Palliative unit will loan out equipment, the patient may require for care at home.

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