Pain and Palliative: The aim of the Pain and Palliative care unit is to improve the quality of life of patient’s especially poor and marginalized suffering from incurable or long-term illness like Cancer, HIV/AIDS etc. by providing them palliative care which is affordable and acceptable to them, through community participation. For this Hospital have got collaboration with HOPE, (Health Oriented Project Establishments) Alakode for the well function of Pain and Palliative Care Unit. It is a charitable society accomplished through several likeminded organizations and kind hearted persons. The disease and the cost of curative treatment often plunge the family into depths of poverty and HOPE is a sister charity to our hospital consist its functions in 4 punchayaths of Kannur District which created to help rehabilitate such patients and their families. Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, socio-economical, physical, and spiritual. Palliative care provides relief from pain and other distressing symptoms. It affirms life and regards dying as a normal process. Intends neither to hasten nor postpone death. Integrates psychological and spiritual aspects of patient care. Offers a support system that helps the patient to live as happily as possible till death. Offers a support system that helps family cope with patient's illness and their own bereavement. The idea is to `add life to their days and not days to their life.

Death is a natural and unavoidable fact of life. The attitude of a community, a society, to the dying elderly who constitute the majority of global deaths, and to the chronically ill is more important for a good death than the purely medical approach. Palliative care starts here. The four principal needs identified as important to provide in-home care of the terminally ill in order of importance to size of the problem are: social support, psycho-spiritual support, nursing care, and medical clinical help and management. Achieving proper nutrition, relieving social isolation, alleviating poverty, establishing contacts, assuring family support, and maintaining basic hygiene are the priorities in social support that the HOPE has effectively addressed when covering the majority of the terminally ill in their areas. Information, referrals, and needed transport have been provided for too. Transportation is not by expensive ambulance services or project cars but by the volunteer privately owned cars. Psycho-spiritual support starts to work when the terminally ill are recognized as such and given attention and their families are supported in their care. To share a moment, a look, a silence - to touch, to listen, and to show empathy as the volunteers do goes a long way. Helping with unfinished business helps as does recognizing a depression and informing the health professionals.