Open AccessEnd-of-Life Care and Psychiatry: Current Trends and Future Directions in India
Author(s) -
Jayita Deodhar
Publication year - 2016
Publication title -
mens sana monographs
Language(s) - English
Resource type - Journals
eISSN - 0973-1229
pISSN - 1998-4014
DOI - 10.4103/0973-1229.193077
Subject(s) - dignity , dementia , limiting , end of life care , mental capacity , psychological intervention , nursing , quality of life (healthcare) , medicine , psychology , psychiatry , palliative care , political science , disease , mechanical engineering , pathology , law , engineering
Although 80% of the deaths worldwide occur in middle- and low-income countries such as India, there is less awareness of end-of-life care (EOLC) for people with chronic, serious, progressive, or advanced life-limiting illnesses, including dementia. EOLC involves good communication, clinical decision-making, liaison with medical teams and families, comprehensive assessment of and specialized interventions for physical, psychological, spiritual, and social needs of patients and their caregivers. The psychiatrist can play a significant role in each of the above domains in EOLC. The current trends in India are examined, including ambiguities between EOLC and euthanasia. Future directions include formulating a national EOLC policy, providing appropriate services and training. The psychiatrist should get involved in this process, with major responsibilities in providing good quality EOLC for patients with both life-limiting physical illnesses and severe mental disorders, supporting their caregivers, and ensuring dignity in death.