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Abstract

Introduction: Death is inevitable; death is bound to happen be it through illness or any other mode. As a consequence, many people die in hospitals, alone and in pain. Helping patients and their families understand the nature of illness and prognosis is a crucial aspect of palliative care near the end of life. Additionally, palliative care specialists help patients and their families to determine appropriate medical care and to align the patient’s care goals with those of the healthcare team. Finally, establishing the need for a medical proxy, advance directives, and resuscitation status is an integral part of palliative care at the end of life.

Aims and Objectives: The study aims to determine the effect of palliative care at end-of-life Stage.

Methods: It was Prospective observational hospital-based study conducted in the Palliative Department of Mahatma Gandhi Medical College and Hospital, Jaipur, (Rajasthan) for a period of 01 year in all the patients in the end of Life who gave their consent. We assessed the 04 components of Total pain, Psycho, Social and Spiritual assessment of patients with life threatening illness. Questions in 02 sections were asked that could help the Clinicians to Plan the care.

Results: Total Number of 70 Patients was studied of which 05 died during the period of study. The age group of the study was between 45-70 years of which 38 were Males and 27 were Females. Maximum Patients were of Cancer. It was observed that interpersonal problems as loneliness, financial stress and family tensions constituted 70% of 04 constituents of Pain. Among the Psychosocial assessment, Family stress was 75% whereas Psychiatric Vulnerability and Patient Physicians relationship constituted 70%. Most of the patients approximately 76.9% wanted to be remembered by their loved ones some or the other way.

Conclusion: The role of palliative care at the end of life is to relieve the suffering of patients and their families by the comprehensive assessment and treatment of physical, psychosocial, and spiritual symptoms patients experience.