According to WHO, palliative care is an approach that improves the quality of life of patients (adults and children) and their families who are facing problems associated with life-threatening illness. The goal of this therapy is to improve the quality of life and is focused on providing relief to the patients from pain, troublesome symptoms, physical stress and mental stress due to a serious illness. In India, cancer and other noncommunicable illnesses are becoming the major public health issues. The need of palliative care in India is immense but quite often there is little accessibility to palliative care services.The concept of yapya and asadhya vyadhi mentioned in Ayurveda are relevant in the context of palliative care. This article tries to explore the scope of panchakarma and allied procedures which can be incorporated with the conventional palliative care services to deliver the best outcome to the sufferings. An integrated approach of Ayurveda along with conventional management can provide better outcome for the complex needs of seriously ill patients and their families.
BackgroundNon-communicable diseases (NCD) are estimated to account for more than 71% of global mortality with low-and middle-income countries bearing 77% of the burden 1 . Among these the number of patients with cancer, autoimmune diseases, congestive heart failure, COPD, neurodegenerative diseases, end stage renal disease, motor neuron disease, metabolic disorders are alarmingly increasing. Such diseases lead to crippling deformities in the end stage of life that demands special care to those patients. As per the Global Atlas of Palliative Care that published on 2020, over 56.8 million people worldwide are estimated to require palliative care every year including 31.1 million prior to and 25.7 million near the end of life. 2 The majority (67.1%) are adults over 50 years old and at least 7% are children. The patients with life threatening illness need physical (viz. pain, urine & bowel related issues, bed sores, fatigue, lack of nutrition), emotional (viz.anger, anxiety, stress, depression) and social support to improve their quality of life. The aim of palliative care is to meet these demands of the patients.