Test Your Knowledge – Jan 2018
Code Krishna: An Innovation to Synthesize Spirituality in the Intensive Care Unit during End of Life Moments
Code Krishna is an innovative healthcare practice, aimed at introducing a culturally relevant fabric comprising of collective prayer, ﬂoral tribute and observation of silence in a solemn atmosphere at the bedside of a deceased patient, by the healthcare team along with family members
Interventional pain constitutes an important arm in the management of chronic pain and in the palliative care of patients, to improve their quality of life and thereby reduce the need for opioids. This article describes the various interventional pain management strategies that were performed in a patient with Complex Regional Pain Syndrome, who was not responding to the medical line of management.
End of life care is a person-centred approach of care of an individual, at his or her end of life, guided by a personalized perception of “good death” that encompasses all aspects involved in the comprehensive care of that individual. It involves several key features such as (i) applicability to any person, place and illness (ii) relief of physical, psychological, social, spiritual and existential symptoms (iii) dying at the preferred place of choice and receiving appropriate care by a trained health care provider (iv) having universal access to standard palliative care at the end of life and every individual having a right to a good, peaceful, and digniﬁed death.
Dr. Edward Livingston Trudeau had articulated a phrase that later went on to becoming a guiding principle of ethical medical practice, and in many ways laid the foundation for the concept of palliative care; “to cure sometimes, to relieve often, to comfort always.” In an age, when medical practitioners increasingly focus on interventions and treatments aimed at cure, the concept of ‘comforting’ often takes a backseat, and is not always seen to be in the domain of what the health care professional is required to do. To comfort is the cornerstone of quality palliative care, and to comfort is often presumed to be synonymous with communicating.