Services Available in Dharamshila Rahat Medical Centre

• Consultation with Palliative Care Specialist who can chart out a detailed long term care plan after understanding the following :-
• Disease profile of the patient and need to involve any other specialists / superspecialists. Need for urgent relief from distressing physical symptoms.Understanding Emotional, Psychological, Social and Spiritual needs of the patients and their loved ones / care givers. 
• Managing symptoms and fullfilling above listed needs by involving members of a multidisciplinary team as per needs of the patient & family members.
•  Ensuring their cultural and spiritual practices are not violated.

• Pain Clinic: To relieve all types of pain i.e Acute, Neuropathic, Chronic, Radicular, Emotional, Spiritual, Psychological, Social etc.
• Care techniques that promote comfort, good, physical and mental well being.
• Emotional and spiritual upliftment through breathing techniques, meditation, yoga, spiritual courses, music therapy and balanced diet.
• All basic investigations which will help in charting out the care plan.
• Compassionate Nursing care
• End of life planning for the patients requiring hospice care
• Bereavement counseling
• Respite care for family members / care givers.
• Teaching and Training of family members / Care givers.   
Cooperation and positive attitude of the patients is must to achieve the goals of palliative care

Details of facilities are as under:

• OPD and Pain Clinic (for pain management)
• Emergency & Day Care
• X-ray & Ultrasound
• Lab Investigations
• Symptomatic Relief
• Counselling
• Physiotherapy and Rehabilitation
• Wards and HDU (high Dependency Unit)
• Pharmacy
• Training of care givers for homecare
• Kitchen, cafeteria and Dining Hall
• Prayer Room and Meditation Hall

TRAINING

Advanced clinical training aims to achieve high level of knowledge and skills, to be able to respond to complex needs of patients and their families.
Current training programmes at Dharamshila Rahat

• Certificate programme in home based health care providers
• Fellowship in palliative care
• Training of the caretakers (Family members, friends, paid workers, volunteers)

Palliative Care Tags:
Pain Management Doctor
Geriatric Care
Pain Doctor
Pain Treatment Services
Palliative Medicine
Palliative Care Centre
Palliative Care Hospital
Pain Management Specialist
Center for Pain Management
End of Life Care at Home
Pain Therapy
Best Geriatrician
Geriatric Specialist
Chronic Pain Treatment
Pain Relief Clinic
Hospice Care
Hospice Centre
Palliative Care for Cancer
Respite Care
Palliative Care Services
Advanced Care for Cancer
Palliative Care Nursing

Palliative Care Services

Control of Pain and Other Symptoms

Pain Management

Unrelieved pain can lead to multiple problems like loss of mobility, loss of appetite, loss of sleep, poor respiratory effort and depression. Assessment of pain, its prevention and relief are most important. Patients and their caretakers are taught how to prevent pain by modifying the dose of pain killers, using the Universal Pain Assessment Tool. 0-10 scale is used to describe the intensity of pain as under:-

• 0 No Pain
• 1-3 Mild Pain
• 3-5 Moderate Pain
• 5-5 Severe Pain
• 7-8 Very Severe Pain
• 9-10 Worst Pain possible.

Oral Medicines are prescribed to relieve pain and patients are requested to come for follow up in the Pain clinic to adjust their dose of oral medicines. In case oral medicines do not work, injectable medicine and nerve blocks are also used.

Palliative surgical Procedures

• Tracheostomy
• Gastrostomy
• Feeding Jejunostomy
• Colostomy
• Suprapublic Catheterization
• Percutaneous Nephrostomy
• Toilet Mastectomy
• Intercostal Drainage
• External Carotid Artery Ligation.

Palliative Medical Procedures

• Pleural, Ascitic and Pericardial Tapping. Ryles tube insertion
• Catheterization.

Palliative Radiation Therapy

Radiation is given to relieve pain and relieve pressure symptoms to prevent paralysis.

Medical And Nursing Care

• Treating infections with first line antibiotics
• Treating bed sores
• Blood transfusions, I/V fluids
• Compassionate Nursing Care
• Assisted Feeding
• Colostomy Care

Physiotherapy & Rehabilitation

• Occupation Therapy
• Onco Rehabilitation
• Neuro Rehabilitation
• Musculoskeletal Rehabilitation
• Lymphedema Clinic
• Tobacco Cessation Clinic
• Physiotherapy at home

Emotional and Spiritual Upliftment

• Temple
• Yoga and Meditation
• Satsang and Spiritual discourses
• Music and Reading of Scriptures and Preparing for Death.

Homecare