Palliative care is not new in Nepal but having dedicated staff trained in the area is new. THis Christian mission hospital has a long history of employing counselers (Social Services) who are available to speak to patients wnd their relatives on a deeper level about their worries and concerns and spiritual needs as well as theit financial needs.
How they balance these tasks amazes me. However we now have a new innovation with the allocation of a Palliative Care Nurse available to patients, relatives staff and doctors.
I have called this trained nurse to help on three occasions in three days. Non of the cases have been for terminal cancer. One was a small child dying of massive burns, one a patient with end stage cardiorespiratory failure and the third a lady with Severe dementia who had been to multiple hospitals (family looking for a cure) and for three weeks had stopped eating. The family are demanding intervention with i/v fluids and ng feeding etc. The help of the palliative care nurse has been excellent and would recommend such an innovation to any institution dealing with a diverse range of needs.