title: Impact of pain and palliative care services on patients.
abstract: BACKGROUND
  Palliative care has become an emerging need of the day as the existing health-care facilities play only a limited role in the care of the chronically ill in the society. Patients with terminal illness in most cases spend their lives in the community among their family and neighbors, so there is the need for a multi disciplinary team for their constant care. Volunteers are primary care givers who originate normally from the same locality with local knowledge and good public contact through which they can make significant contributions in a team work by bridging the gap between the patient community and outside world.
  
  
  OBJECTIVE
  The present study has been undertaken to analyze the impact of palliative care services on patients by considering 51 variables.
  
  
  METHODS
  The respondents of the study include 50 pain and palliative care patients selected at random from 15 palliative care units functioning in Ernakulam district. The analysis was made by using statistical techniques viz. weighted average method, Chi-square test, Friedman repeated measures analysis of variance on ranks and percentages.
  
  
  RESULTS
  The study revealed that the major benefit of palliative care to the patients is the reduction of pain to a considerable extent, which was unbearable for them earlier. Second, the hope of patients could be maintained or strengthened through palliative care treatment.
  
  
  CONCLUSIONS
  It is understood that the services of the doctors and nurses are to be improved further by making available their services to all the palliative care patients in a uniform manner.
authors.affiliation: Post Graduate Department of Commerce and Research Centre, St. Peter's College, Kolenchery, Ernakulam Dist., Kerala, India.
authors.forename: S
authors.initials: S
authors.lastname: Santha