Pain

Opioid Availability and Palliative Care in Nepal: Influence of an International Pain Policy Fellowship


Opioid Availability and Palliative Care in Nepal: Influence of an International Pain Policy Fellowship

Recently published in  the Journal of Pain and Symptom Management, this article details the achievements of 2008 International Pain Policy Fellow Dr. Bishnu Paudel in his efforts to improve opioid availability and palliative care in Nepal.

(No sign-up or registration to access this article is needed up until Feb. 11)

bishnu

About Pain policy & palliative care

Improving global pain relief by achieving balanced access to opioids worldwide

Discussion

2 thoughts on “Opioid Availability and Palliative Care in Nepal: Influence of an International Pain Policy Fellowship

  1. Pain management is an integral part of health care. It is important for any age, disease and suffering, particularly to reduce amount of suffering towards end of life. Narcotic analgesics are easily available in western world but not readily available in developing world for fear of abuse, trafficking and various other social and cultural barriers.
    Dr. Bishnu Paudel has done a wonderful work in Nepal as part if his international pain policy fellowship. It is not just a good service but a transformational change in care of terminally ill Nepalese and their family.
    Kudos to Dr. Paudel

    Posted by Kamala Neupane | January 21, 2015, 9:08 PM
  2. Today the Constitutional Assembly in Nepal is due to promulgate the new constitution. Nepal has been in transition for a number of years since the end of a ten year Maoist insurgency and the implementation of an interim constitution which committed Nepal to move from a monarchy to a secular democratic federal republic. The transition process has led to many uncertainties and has been slowed development within the country. However, in the area of health Nepal has achieved remarkable success, for instance, maternal mortality has decreased from over 900 per 100,000 live births in 1990 around to 170 per 100,000 and infant mortality rates have similarly reduced, so that Nepal is likely to meet its Millennium Development Goals by the end of 2015.

    The provision of morphine to enable patients with advanced life limiting conditions to live free of pain is not a MDG, therefore the achievements of making morphine available in appropriate formulation and free of burdensome restrictions are maybe not so well known. It is good therefore to see this achievement celebrated in this journal article.

    As the authors indicate, the palliative care community in Nepal is not resting on its laurels and continues to seek ways to make palliative care available throughout Nepal, through training, service model development and implementation. Until now, morphine is available mostly in urban areas and patients in rural areas, particularly remote hill and mountain districts do not benefit. Developing systems for morphine supply and its safe use in remote districts is an import aspect of future palliative care development in Nepal.

    Posted by Daniel Munday | January 22, 2015, 1:08 AM

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