PALLIATIVE CARE

When we are in medical school, we have a totally different mindset, we enjoy learning the science and the pathophysiology of diseases, and we are eager to save the world. Later , during our clinical rotations and patient interactions, we eagerly await hearing the cardiac murmur, lung sounds, and crackles, among other findings . Then we grow up a little more, and we learn the various blood investigations and imaging. As time goes by, we probably touch the patients less and spend more time figuring things out through the investigations. There are certain clinical situations when a diagnosis has been made, and the patient’s prognosis is poor. We feel like we have done our part, and perhaps not much can be done from our side. There is still so much that the team looking after a patient with end-of-life issues can do. It is important to be straightforward with the patient from the day the diagnosis of cancer, or organ failure such as cardiac failure, liver failure, or dementia, ...