DEPARTMENT:Pain and Palliative Care Unit 
Dr. Ranajit Kumar Mandal, MD, DNB, PGDHHM
Associate Professor (Specialist Grade I)
Head of the Unit
TEAM:Faculty-Dr. Debasish Jatua (Senior Medical Officer)
Dr. Prabir Chaudhuri ( Palliative Care Consultant)
Detail:Objectives of the department
Palliative care improves the quality of life of patients and families who face life‐threatening illness, by providing pain and symptom relief, spiritual and psychosocial support to from diagnosis to the end of life and bereavement. Palliative care:
1. Provides relief from pain and other distressing symptoms.
2. Affirms life and regards dying as a normal process.
3. Intends neither to hasten or postpone death.
4. Integrates the psychological and spiritual aspects of patient care.
5. Offers a support system to help patients live as actively as possible until death.
6. Offers a support system to help the family cope during the patients illness and in their own bereavement.
7. Uses a team approach to address the needs of patients and their families, including bereavement counseling, if indicated.
8. Will enhance quality of life, and may also positively influence the course of illness.
9. Is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and includes those investigations needed to better understand and manage distressing clinical complications.
The patients experience pain often at presentation, sometimes during treatment and even during post treatments follow up as a sequential result of the treatment or as a result of treatment failure rather with the further progress of the disease. The efficient and judicious management of pain at any stage thus helps to reduce the pain and improves the QOL of the sufferer. With a well designed target, the functioning of this unit is continued with the regular supply and distribution of Morphine tablets at free of cost and with the nerve block procedures as applicable in individual cases at this institute.
Brief description of the work done
The number of patients attending this unit is gradually increasing. In house patients are also attended on theirneeds. Approximately 62,000 tablets of Morphine (10 mg n& 30 mg‐IR) have been supplied to the patients of thisinstitute during the last one year to meet the challenge of pain management effectively and adequately. The Fentanyl patches of 25 and 50 mcg are also distributed to the needy patients. The unit OPD is functional twice in a week, on Mondays and Saturdays and also in the other working days of a week when specially required. A total number of 423 patients have been newly registered in the unit during the period between April’ 2015and March’ 2016.The unit also have treated 1153 of old cases during the year. Total number of cases during the year is 1576. The patients are tabulated according to the site of malignancy as below:
Distribution of cases ‐ New and Old
Disease Site / New cases / Old cases
Head & Neck/ 156/ 351
Thorax /85/ 235
Abdomen/ 92 /281
Gynaecological sites /52/ 211
Misc. malignancies/ 38/ 75
Total 423/ 1153
RumaAbedona Hospice, a city based NGO has started functioning in this institute since June’13.This NGO helps the patients of this hospital and their care givers with careful and effective counseling as and when required. With the help of this NGO with its team members, we have started with home based Palliative care services to the needy and deserving patients free of cost. This organization offers healthy dressings of the wounds of the patients under care of the Palliative care unit effectively under close supervision of the doctors. We are getting the active support of this NGO at this institute OPD twice in a week as a routine. They are also providing the medicines to the poor patients free of cost. Thus the QOL of the patients concerned are taken care of.
Workshop Held
One workshop was arranged during 7th December on ‘Lymphedema management for terminally ill cancer patie ’ at CNCI seminar room. The main attraction was the lecture delivered by renowned palliative care teacher Dr M R Rajagopal of Pallium India, Trivandrum. Approximately 50 nos of nursing staff participated in the programme.

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