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Lessons From an Immersion Experience in Southern India
1Kimberly Chow, MSN, ANP-BC, ACHPN, is clinical program manager and nurse practitioner coordinator, Supportive Care Service, Memorial Sloan Kettering Cancer Center, New York.
Summary
India faces a high cancer burden, necessitating improved palliative care, especially for pain and symptom management. Kerala
Area of Science:
- Oncology
- Palliative Care
- Public Health
Background:
- India has a substantial cancer population with over 1 million new cases annually, often diagnosed at advanced stages.
- A significant majority of advanced cancer patients (80%) experience severe pain, highlighting the urgent need for accessible palliative care.
- Current palliative care services in India require expansion, with a focus on pain and symptom management.
Purpose of the Study:
- To outline the historical development and current state of palliative care in India.
- To highlight specific initiatives in Kerala focusing on community volunteer engagement in chronic serious illness care.
- To share practical insights from a palliative care nurse fellow's immersion experience.
Main Methods:
- Review of palliative care history and status in India.
- Case study focus on Kerala's community volunteer programs.
- Qualitative insights from a 2-week clinical immersion.
Main Results:
- Palliative care in India is evolving, with Kerala demonstrating innovative community-based approaches.
- Community volunteers play a crucial role in supporting patients with chronic serious illnesses.
- The immersion provided valuable lessons on implementing and scaling palliative care services.
Conclusions:
- Strengthening palliative care infrastructure and accessibility is critical in India.
- Community engagement models, like those in Kerala, offer a scalable solution for comprehensive patient care.
- Further research and sharing of best practices are essential for advancing palliative care nationwide.
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