By reflecting on the effects of change and alleviating unnecessary human suffering in a country of approximately 1.25 billion people, almost one-sixth of the world's population, palliative care reassures the patient that, whatever whatever the disease, whatever its advanced stage, whatever the treatment. is already given, there is always something to do to improve the quality of life that remains for the patient. Say no to plagiarism. Get a tailor-made essay on “Why violent video games should not be banned”?Get the original essay Palliative care as defined by WHO is “the quality of life of patients and their families facing the associated problem to life-threatening illness, through prevention and means of early identification and impeccable assessment and treatment of pain and other physical, psychological and spiritual problems. “Just because I'm not dead doesn't mean I'm alive. » The dilemma facing every terminally ill patient is to truly live out their last days on earth as they wish. And no one has the right to prevent this person from carrying out their last wishes and living without pain. Providing high-quality care during the final days and hours of life is therefore an important part of palliative care. Palliative care should be initiated when the patient becomes symptomatic of an active, progressive, and very advanced disease and should never be withheld until all therapeutic alternatives for the underlying disease have been exhausted. Understanding that having a particular illness can impact quality of life and that seemingly simple things like good communication and being treated as an individual can make such a difference, but it doesn't always happen. Many patients are most afraid of not knowing what the process of dying is like, of pain, and of being alone at the end of their lives. According to several published reports, the challenges mainly faced by patients can be categorized into two types: - one which is physically obvious and one which no one talks about. Physically obvious challenges include: 1. Pain2.Depression3.Adaptation4.Dignity5. Need for control Challenges that no one talks about include: 1. Poverty 2. Legal situation 3. Unacceptable for family 4. Unacceptable for social circle 5. No awareness Palliative care includes all medical specialties and therefore all doctors must be trained and work together to produce lasting and effective results for patients. Physicians must avoid clinical nihilism, that is, thinking that there is nothing more to be done. And as reports suggest, the main challenges facing the doctor are: 1. Inadequate training. 2. Insufficient compensation. 3. Personal discomfort with death. In a developing country like India, persistent pain is estimated to affect more than seven million patients every year. In India, which represents one-sixth of the world's population, several million people suffer from severe untreated pain due to cancer (2.09 million), HIV (2.5 million) and other long-term illnesses. Approximately 70% of cancer patients accessing health services are at an advanced stage, requiring pain relief to maintain their quality of life. Oral opioids are essential, effective and inexpensive analgesics recommended by the World Health Organization (WHO) according to the three-step analgesic ladder. Although India recognizes several opioids as essential medicines, more than 96% of patients.