TODAY -

Palliative care: Live and let live

Margaret Ningthoukhongjam *



Humans are mortal and death is inevitable. Whether we take the long way or the short cut, our sole destination remains the same. How we choose and which one we choose is predestined, most importantly, by our fate and our idea of responding to it. Life is unpredictable and living points / discloses the tentative thread that binds one's life with death. Since time immemorial, hope continues to be the greatest medicine that strengthens this thread and prolongs one's journey. Our advanced and triumphant medical system and culture are also the basic precursors which are instrumental in culturing hope.

Our fate I would say, works in its own unique way and it alters its role individual wise. Fate makes life unpredictable. Let's take the example of a woman who had never smoked a cigarette or had never lived with a smoker throughout her life and still suffers from lung cancer, while a chain smoker leads a healthy life without any problems.

Similarly, some people suffer from severe illness which can be cured by undergoing proper medical treatments and surgeries while some suffer from chronic incurable illness like cancer, AIDS and mental illness like Schizophrenia, Multiple personality disorder, depression etc, Paralysis of limbs, mutilation memory loss due to accidents may also occur.

Either way suffering is painful and exhausting. Life becomes miserable for them and their families. Hope is deprived as living becomes meaningless and they start doubting their existence. Let us also consider the live of elderly people. They are the most unfortunate as they are at the most tender stage of life. Their bodies are 80 -90% degraded and are prone to certain physical as well as mental illness. Love and care is the most essential to allow them live their remaining days the way they like and experience a pain free death with no regrets is their only desire.

However, it is easy to provide care and motivation to patients who are suffering from illness which can be cured but when it comes to those who are terminally ill and are suffering from incurable illness, the process demands a static and a very delicate approach. This new level of care is collectively known as palliative care providing care, help and motivation to dying and bedridden people socially, physically, mentally, financially and spiritually so that they can cherish their remaining last days of their life. All these aspects of living are mandatory for the psychological and physical well being of a terminally ill or bedridden person and thus improve their quality of life.

Palliative care is a genuine approach which provides love, care, relief, motivation and help to depressed and dying people while rejuvenating their hope once again. Palliative care volunteers ignite the life of these people by putting themselves in their shoes and taking part in their despair. They take the patients' problems overhead and directly reach out to their hearts. Their main purpose is to make the other person feel loved and contented and to walk hand in hand at all times.

Palliative care givers should be honest, optimistic, trustworthy, patient, caring, loving, hardworking, understanding, empathetic, alert, should possess good communication skills, be tactful and loyal. They should be responsible, diligent, very firm with their objectives and avoid distraction due to factors like sex, religion, race, caste, politics, etc, Impartiality and altruism are also important determiners. To extend support, spread love and guarantee happiness is a divine act and this approach is patient centered and not disease / problem centered.

Our instinct to survive works in a miraculous yet, simple way and it is this force that drives us to strive for the same. Darwin's "Survival of the fittest" theory explains about the various curriculums that promote a person's ability to adopt to the ever changing surroundings and comforts him to act accordingly. He observes, interprets, thinks, interacts, evaluates and responds in the most reliable way.

Like I mentioned earlier, people choose different ways and get into hard and long fights to avoid the obvious result. They sometimes, put their life at stake and trust the erstwhile medical system. But "death" being the ultimate enemy, it will knock at each door sooner or later. The long way might give you more time and meanwhile make you weaker and weaker, unconscious about your very existence but still you will breathe and still survive. Appreciating life and being conscientious about it implies living.

Literally, 'to live' and 'to survive' are synonymous but psychologically, there exists a fine differentiation between these two prospects. Subjectively, 'to survive' is to avoid death at any cost while 'to live' is to inhale the real essence of life and embrace death as a part of it.

According to Maslow's need hierarchy, the five basic needs required for living are physical needs, safety needs, social needs, need for self esteem and self actualization. These deficiency needs and growth needs are the main sources of motivation and are fundamental for a person to live.

Palliative care givers aim on providing all these needs and at the same time, motivating and encouraging them through thick and thin. Moreover, the volunteers are developed spiritually and psychologically. They are trained and preordained to face the reality of life to be compassionate, be objective and subjective when required, be faithful and enhance their prosocial behavior. Their outlook and views of life becomes more realistic.

The working of palliative care is easily accessible if the system is well established. Herein, trained doctors nurses along with volunteers visit the patient's palace; study their problems and provide quality help and care. This system was first established in Kerala 23 years ago and since then, has taken a firm root. At present, there are more than 1000 Palliative Care centers in Kerala.

As part of the plan, Manipur has come foreward and the Palliative Care Society, Imphal has been founded on 16th April, 2015. Many doctors, nurses, other professionals, teachers and more than 100 students from different colleges have enrolled as volunteers. They are well trained personnel. However, regular training programmes and meetings have been organized for new volunteers.

The Palliative Care Society, Imphal has adopted Thangmeiband Assembly Constituency for its pilot project in Manipur and started home visit based Palliative Care. The society has taken a step closer to fulfilling its aim of extending unconditional support and care to hate inflicted souls. Various awareness programme, fund raising programmes and regular discussions have been organized for the sole aim of expanding and strengthening the society's objectives.

The energetic and audacious volunteers / workers of the society has marched a cycle rally on 20th September 2015 and a walk on world tourism day for fund drive and awareness

The backbone of this system is the student volunteers and the success of the project wholly lies in the hands of the media, the community, their co operation and most importantly, the zeal and enthusiasm of the volunteers. Such a project is a humane approach; is "one of a kind "and a 'boon' in disguise for the people. Their main objective is to enlarge their project; sensitize people and help as many patients, requiring Palliative Care as possible. The meaning of life is well experienced and defined through this process.

On November 19 and 20, 2015 Palliative Care Society, Imphal organized an International Conference on Palliative Care at Imphal which attracted more than 500 delegates from all walks of life. Several experts on Palliative Care from within the country and abroad deliberated during the conference. Such conferences will indeed help widen the awareness among our public.

Therefore, Palliative Care allows a person to live and also helps others to live. The Palliative Society is a society for the society. It is impossible to move on without the support and consent of the people. The society is by far the greatest contributor for success. This is the genuine call for the society by the society. Palliative Care is at the mercy of the society and it is our duty as a social being to feel responsible and join hands this very moment.


* Margaret Ningthoukhongjam wrote this article for The Sangai Express
The writer is MA Psychology student in Punjab University, Chandigarh.
This article was posted on December 09, 2015.


* Comments posted by users in this discussion thread and other parts of this site are opinions of the individuals posting them (whose user ID is displayed alongside) and not the views of e-pao.net. We strongly recommend that users exercise responsibility, sensitivity and caution over language while writing your opinions which will be seen and read by other users. Please read a complete Guideline on using comments on this website.




LATEST IN E-PAO.NET
  • Old Manipuri Movie #1 :: eRang Classic
  • Krishna Janma @ISKCON :: Gallery
  • Natural Body Building #4 :: Gallery
  • The struggle so far...
  • Shadowy Lies :: Poem
  • Time for Modi to release all jailed militant..
  • Students, agitation & symptomatic treatment
  • The Killing Fields :: News Timeline
  • A Political Messiah Has Come to Nagaland
  • Nungbi Khullen, Ukhrul #2 :: Gallery
  • Protest in Kangpokpi District :: Gallery
  • Cirrhosis: Basics & laboratory diagnosis
  • Impact of television in rural development
  • The Echoing Hills :: Poem
  • Inner Line Permit (ILP) Demand : Timeline
  • Nagaland CM respond to Dr. SL's bureau
  • Unauthorized CEC meeting
  • Student leaders detained for mobilizing ILPS
  • Earning our keeps
  • Meira Rally on Patriots' Day #2 :: Gallery
  • ... All The Flowers Gone? #2 :: Gallery
  • Shri Shri Govindaji Temple #1 :: 360 ° View
  • My Japanlan memoir after 4 score yrs
  • Traffic jam and 13th August
  • Manipur District Demand :: Articles / Photos
  • The Law is Mightier Than The Pen
  • Let the law decide
  • ...health insurance scheme for scribes
  • Absurd 1 Village, 1 Denomination decree
  • Singcha Wuya Won (flower) #3:: Gallery
  • Sunday Cup Football @Lamshang :: Gallery
  • Gurmayum Robert wins gold at World Event
  • Loktak Project & corporate unaccountability
  • Supremacy Of The Party :: NPF
  • Binding the wound: The district row
  • Admission Notice - AiTC, Imphal
  • 'Sexuality & Internet' at Digital Summit
  • Zeliang welcomed support from NPF Minority
  • NSU site and undue communal overtones
  • Tripartite Talk: GOI/GOM/UNC :: Gallery
  • Governor's Cup Fencing :: Gallery
  • 13 Aug @Kangla & BT Park :: Gallery
  • Bruce Dickinson: "son-rise" of Iron Maiden
  • Biren should learn from Mamata Banerjee
  • The globe is in your fist
  • AR I-Day festivities with Myanmar army
  • AR celebrates 71st Independence day
  • Unconstitutionality of TR Government
  • Stadium upgrade for I-League
  • NE film festival in Delhi from Aug 18
  • Myanmarese advised to follow traffic rules
  • The human torch and AFSPA
  • The real taste of Independence Day
  • Mission XI football @ Andro :: Gallery
  • Krishna Janma @ Mahabali :: Gallery
  • Blood Donation for 13 August:: Gallery
  • Mahabali Temple , Imphal :: 360 ° View
  • Graphic & plastic arts of Zeliangrong #3
  • Silence :: Poem
  • Sport Univ: Promises kept but corruption?
  • Job requirements at SKY Hospital
  • Jobs @ National Informatics Centre (NIC)
  • I-Day Celebration at BJP State Office
  • Celebrations amid militant boycott call
  • 3 Manipur terrorists arrested in Delhi
  • NSCN/GPRN condemns raid
  • NSCN-K signing hinges on cross-border..
  • Meira Rally on Patriots' Day #1 :: Gallery
  • Patriots' Day @ Kolkata :: Gallery
  • 26th NAMA Convention Report, Houston, TX
  • Forming Plurals in Manipuri Language
  • Mammography and frequently ask question
  • Indo-Naga Talks 2017 :: News Timeline
  • NPF Office Bearers reaffirm support
  • DAN Co-ordination Meeting Resolutions
  • India and China: From rivalry to enmity
  • For better tomorrows
  • Security forces round up NSCN (IM) cadres
  • 13 August @Hicham Yaichampat :: Gallery
  • Achingliu, Haokhulan, Hiyaichenbi: eMing
  • Patriots' Day @ Hojai, Assam :: Gallery
  • Protest: malpractices of MPSC :: Gallery
  • On MPSC scam & people defending it
  • 126th Patriots' Day observed in Delhi
  • 126th Patriots' Day observed in Hojai
  • Lajong U-12 to represent India in BRICS
  • Learn something from 2015 experience
  • The district creation headache
  • State Thang-Ta Competition :: Gallery
  • Search operation [Aug 12] :: Gallery
  • 13 August Patriots' Day : Read all about it
  • Thangal General : The Patriot
  • Proxy examination and Wrong politics
  • Women should not live in fear ....
  • Summer Thoughts :: Poem
  • NPF Youth serve Ultimatum to Rio
  • A slap on the face of Christianity
  • U-Morok @ Shirarakhong :: Gallery
  • Dangers of 'Trial by Media' & the MPSC
  • Is Culture of insensible activism taking root
  • Meiteilon never been Tibeto-Burman
  • Mechanized threshing of foodgrains #2
  • ZSUB Foundation Day, Fresher's Meeting
  • Sadar Hills District Demand: News Timeline
  • Breaking the barrier
  • National Handloom Day @ GHY :: Gallery
  • Chirom Indira shine in hearts of NE Weavers
  • Investigate killings as ordered by SC
  • MSTC CMD met with CM of Manipur
  • Conspiracy behind the toppling game
  • Armed groups attack..a human right abuse
  • Drawing Competition at Khengjoi, Chandel
  • Save the indigenous people cry : Valley..
  • A matter need to ponder
  • Earthen wares of Ningthemcha Karong
  • Indigenous Wrestling @ SPT #2 :: Gallery
  • Awunching Biodiversity Park #3 :: 360 ° View
  • XXVIII State Thang-Ta Competition 2017
  • India's HLPF review of SDGs & Manipur
  • Robotics as career options
  • International Day of Indigenous People
  • Rejoinder Issued By Shurhozelie Liezietsu
  • Hard facts of political crisis (Nagaland)
  • Viewing through one's community
  • Darkening shadows of doubt
  • Ziumi village, Maram Landscape:: Gallery
  • Inter School Handball Tournament :: Gallery
  • The Proud Bamboo Tree :: Folk Tale
  • Populated Attitudes :: Poem
  • Marijuana, Mahadev and Maneka
  • Notice for MSc Biochemistry Admissions
  • Assam edition of NE India Fashion Week
  • Being different from Cong Govt
  • Cracking down on fraudulence
  • Hanuba-hanubi paan thaba :: Funga Wari
  • ... All The Flowers Gone? #1 :: Gallery
  • Need to bust racket running inside MPSC
  • Will PM Modi betray Assam in No ST, no rest
  • State Level Essay Writing Competition
  • RIST Condolence Function at MU
  • When we stumble and fall
  • Customer Care Executive @ basicP, Imphal
  • Petition for Disqualification of 10 MLAs
  • Cracking down on fraudulence
  • Rape of small newspaper
  • Landscape of Ukhrul District #2:: Gallery
  • Jhulon Nupi Pala Phamsak :: Gallery
  • TR is CM by technicality sans Legality
  • One Day in Heaven :: Poem
  • Libraries Vs Google: Are we heading there
  • ..for electrical distribution rearrangement
  • Lessons to learn from CCpur: public hygiene
  • Angaoba Film Scenes #1 :: eRang
  • Eyek Tamba :: Learn Manipuri script
  • The dawn of cricket in Manipur
  • Lumbini Leikolda Shat-houba Leirang
  • Workshop on MU Reservations held
  • Job posting at C-DAC Silchar
  • Lafikul murdered to stir communal tension
  • Wayward rules of law
  • Indigenous Wrestling @ SPT #1 :: Gallery
  • Tourist Watch Tower, Khongjom #4 :: 360 °
  • Admission for B.Ed at Manipur University
  • The Evening Blues :: Poem
  • A village called Nbena :: Book Review
  • Employment Generating Hands on Skill
  • Unnatural death of Sainik School student
  • Condemns killing of KNO/KNLF leader
  • AR conducts Pre Recruitment Training
  • Makeshift sheds at Lamphel
  • For a clean future generation
  • Mr Maipak Body Building #2:: Gallery
  • CM referring to ST Comm is ultra vires
  • VIP culture out, VVVIP culture in
  • Be an unchained raindrop :: Poem
  • Holistic education : Trends & challenges
  • Jobs - Going Officers Pamjei
  • Providing Various Health Benefit Plans
  • larification to Tokheho's recollections
  • SoO groups in the news for wrong reasons
  • Confession
  • Nongbrang, bank of Thoubal River :: Gallery
  • Pukpha Fest @Tamenglong :: Gallery
  • Binalakshmi Nepram at UN, NYC : 1 Aug
  • Free Computer Course by KEN @ Imphal
  • Where is the justice in mob justice
  • Ishu : Feature Film in Assamese :: Review
  • Flood: State efforts are too little too late
  • Crisis within NPF unfortunate : KG Kenye
  • decision-making body of NPF resolve: 2 Aug
  • NPF Legislature Party Statement : 2 Aug
  • ..honoring martyrs by raising Tri-colour
  • ..strong Opposition: Cong MLA striving hard
  • Battle Of Khongjom & Manipuris in 1891 #3
  • Khongjom War Memorial #2 :: 360 ° View
  • Oops! They've Done It Again!
  • Photography: Career through lenses
  • Mega Marathon Manipur : Download Form
  • Chemical Ecology: Info for college/Univs
  • Jobs - Nursing Aides in Singapore
  • NPF responds to MLAs' demand
  • Overlooking one's own Cabinet decision
  • Potential of our state
  • Drinking joints in a dry State : Liquor tragedy
  • Landscape of Manipur #7: Wallpaper
  • Singcha Wayawon opening #2:: Gallery
  • Manung Kangjeibung, Kangla :: 360 ° View
  • 1st Mao Market day @Nagamapal:: Gallery
  • ILP : Students protest [27 July] :: Gallery
  • Shwedagon Pagoda in Yangon #2 :: Gallery
  • Ethoi Oinam (Actress) #2 :: eRang Photos
  • Echum Lairembi, Khurkhul #3:: Gallery
  • Tapta :: Funga Wari
  • Featured Photo for 2017 #3 :: Gallery
  • Lai Khong Chingba @Thangjing #4
  • Manipur Sangai Festival 2016 #5 : Ooba
  • SPONSORED ADS