Journal of Medical Research and Health Education

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Palliative Care Issues

More than 50 million people die throughout the planet annually . The majority –

four fifths – of these deaths are in developing countries. HIV has increased the

number of deaths, with 3 million people dying in 2000, 2.4 million in sub-Saharan

Africa. Even where advanced therapies are available, length of life could also be

reduced for those with HIV. In addition, advanced HIV illness is associated with

severe pain. People living with HIV in developing countries can therefore expect a

shorter lifetime , and their death is probably going to be unnecessarily painful and

undignified.

Care for the dying is not new, and different cultures have different approaches to

helping people at the end of their lives. Palliative care is based on a model

developed in response to the needs of cancer patients by the hospice movement

in the UK. It aims to form death a pain-free process which incorporates support,

comfort and relief of symptoms, making it possible for people to die with dignity.

For people with HIV, palliative care is an important a part of treatment, not only as

death approaches but also through the treatment of probably fatal symptoms of

opportunistic infections. Such treatment, while not curative, nevertheless

prolongs life for considerable periods of time and restores quality of life.

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