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Palliative Care



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Palliative care is a branch of modern medicine that aims to provide compassionate, comprehensive care to patients facing serious illnesses, ensuring comfort, dignity, and the highest quality of life possible.

Mission statement / Departmental philosophy: To provide symptom relief, dignity and support to patients and their families who face serious illnesses, at all times during their treatment journey.

About Us

The state-of-the-art Palliative Care Department at Sir HN Reliance Foundation aims is to provide compassionate, comprehensive care to patients facing serious illnesses, ensuring comfort, dignity, and the highest quality of life possible.

It is led by a specialist with Dual Expertise: Chronic pain medicine and Palliative medicine which positions the institution at the top of the corporate medical sector offering comprehensive care to all people and families who approach it for medical help.

For instance, although less than 2% of the people who have advanced cancer in India have access to palliative care. Our department caters to those who attend oncology and non-oncology departments to make sure they have access and opportunity to achieve the best quality of life.

About the Team:

Lead: Pain and palliative care: Dr Mahesh Menon

  • University First Rank, MD Anesthesiology, Gujarat University
  • Fellowship in Pain management (Singapore General hospital)
  • First Indian doctor to be awarded European Diploma in Pain medicine (European pain federation)
  • Set up Pain and palliative care services in hospitals in Mumbai and Navi Mumbai
  • Post graduate diploma in Medical Law and Ethics, National Law school of India University, Bengaluru
  • Founding member and Secretary, Society of Integrated pain and palliative care
  • Consultant at Bahrain oncology centre, the largest tertiary cancer centre in Bahrain.

 

Services

List of services offered by the department:

Diagnostic tests and procedures

  • C-arm guided diagnostic nerve blocks for chronic pains
  • Point of care Ultrasound guided Diagnostic nerve blocks for chronic pains

Treatments and therapies for pain

Pain Nerve blocking injections or Nerve blocks

  • For people with chronic spinal pain, back and neck pain and joint pains
  • For people with illnesses like cancer, neurological illness, kidney or liver failure.
  • For people with sports injuries

 

Pain Nerve Ablations (or Radiofrequency ablations to eliminate pain causing nerves using heat energy)

  • For spinal pains
  • For conditions like Trigeminal Neuralgia which cause facial pain
  • For conditions like headaches
  • For conditions like knee, shoulder or hip pain
  • For Cancer pain syndromes

 

Specific list of pain interventions and minimally invasive pain and spine interventions

  • Transforaminal epidural steroid injections
  • Facet joint injections
  • Radiofrequency ablation for spinal pains
  • Radiofrequency thermocoagulation trigeminal ganglion
  • Sphenopalatine block
  • Glossopharyngeal nerve block
  • Stellate ganglion block
  • Intercostal nerve block
  • Brachial plexus and lumbar plexus block
  • Chest wall blocks
  • Abdominal wall blocks
  • Ganglion impar injection
  • Superior hypogastric plexus block
  • Splanchnic nerve block
  • Ultrasound guided musculoskeletal injections like Carpal tunnel, tennis elbow
  • Regenerative medicine including platelet rich plasma injections

Treatment strategies in palliative care

Treatment strategies are highly personalized. Starting from offering multidisiciplinary meetings, analysing case histories in detail and tailoring a plan that involves.

  • Medical management, with the best possible medical treatment guidelines
  • Minimally invasive surgical procedures and pain management interventions
  • Supportive management including psychosocial support and rehabilitation
  • Establishing home care plans

 

Does my loved one need “palliative care”?

Unfortunately, most people who demand good quality of life ask for it after experiencing bad quality of life and distress during their disease journey. This is avoidable thanks to modern science. Reducing distress, and ensuring comfort and dignity always is paramount to good ethical medical care of every individual. Yes, it is your right to good quality of life, and a life with dignity.

Conditions We Treat

Any pain lasting more than 3 months is considered chronic pain

  • Chronic spinal pain
  • Chronic headaches
  • Chronic pain in children
  • Chronic neuropathic pain
  • Chronic abdominal pain
  • Chronic pelvic pain
  • Chronic widespread pain, like Fibromyalgia
  • Pain due to serious illness:
    • Cancer pain
    • Post stroke pain
    • Pain in people with Chronic kidney disease and dialysis
    • Pain in people with liver disease
    • Pain in people with vascular disease
    • Pain in people with rheumatological conditions
  • Pain in special populations like Children and Elderly
  • Other symptoms:
    • Breathlessness in cancer
    • Nausea, vomiting and other symptoms in palliative care
    • Orphan symptoms like hiccups, itching etc in palliative care
  • Care of caregivers in families whose relatives are facing diseases

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