CIPLA PALLIATIVE CARE & TRAINING CENTRE (CPC), PUNE
It was to support cancer patients and their loved ones, beyond medicines and treatment, that Cipla started a world-class palliative care centre in 1997 in Warje, Pune.
of those with serious health conditions in India have access to pain relief 1
PALLIATIVE CARE IS
Personalised to suit the individual needs of patients and their loved ones
Not Just End-of-Life Care
It should start right from the time of diagnosis of a serious illness
Needed Beyond Cancer
Every chronic life-limiting illness calls for palliative care
HOLISTIC CARE APPROACH
CPC provides free-of-cost holistic palliative care for patients and their caregivers through:
In-patient | Homecare | Out-patient Services
Patients and their loved ones cared for since 1997
UNIQUE FAMILY CARE MODEL
Our service is deeply rooted in the Indian ethos of family and community.
A family member stays with the patient at our Centre and is equally cared for by our team.
Our team of doctors, nurses, medical social workers, pain specialist, physiotherapist, nutritionist and volunteers extend total pain management support to relieve the physical, emotional and psycho-social pain.
HOMECARE & OUT-PATIENT SERVICES
Our homecare team extends regular high quality free-of-cost care to patients living around our Centre. We offer them the flexibility and convenience to receive care in the comfort of their homes.
We also run out-patient clinics in hospitals in Pune.
While medical therapies remain critical, we offer much-needed emotional comfort for patients and their caregivers through engaging activities like art, craft, music and games. Our varied efforts aim to help them cope with the all-consuming demands of a serious illness.
TRAINING & UPSKILLING
Our unique model of family care, in-patient facilities and multi-disciplinary team makes us the preferred site for several state, national and international level training programmes in palliation for doctors, nurses, social workers and volunteers.
Our thriving community of volunteers instill an atmosphere of hope and happiness at the Centre.
With activities, performances and heart-to-heart conversations they add life to the days of patients and their loved ones.
SERVED PATIENTS AND CAREGIVERS THROUGH
STORIES OF CARE
PEACE OF MIND FOR A MOTHER
“I don’t have enough words to explain how the Centre has helped me. I am now so much more at peace when I can see Arti playing, drawing, eating better…and smiling again. I can sleep at night now, knowing that my daughter is finding happiness in her life…whatever has to happen in the future, I am prepared for it now.”
Meena Pathak, Mother of Arti Pathak, a Pediatric cancer patient admitted at the Centre in late 2017
CPC - A HOME AWAY FROM HOME
With no immediate family to care for her, CPC became home and the team became the extended family for Hirabai Shitole, 71 years. She relied on the Centre for her day-to-day needs, for her pain relief and for emotional support. Occasionally, however, Hirabai expressed sadness about not having any connection with her family. To fill this gap, the CPC team reached out to her distant relative with the assurance that CPC would remain the primary caregiver. After repeated follow ups, the relative got the confidence to support in Hirabai’s caregiving in little ways and started visiting her at the Centre. With the team by her side and the family connection restored, Hirabai was able to pass away peacefully at the Centre.
Hirabai Shitole, a destitute patient with breast cancer who stayed at CPC for a year in 2018
HOMECARE - BUILDING BONDS OF TRUST & COMFORT
When 70 year old Sarita Devi was diagnosed with breast cancer, she refused treatment due to financial constraints and fear of surgery. Her cancer had advanced and she was finding it hard to cope with the pain. Our homecare team managed her pain and counselled her and her family to go ahead with surgery. After a week Sarita Devi underwent surgery and our Centre’s team supported her for management of her wounds. Our physiotherapist helped her with exercise and applied sequential pneumatic compressions to manage the lymphedema. Our homecare team has been visiting her regularly for the last four years. Today, Sarita Devi continues to enjoy a good quality of life with her family.
Sarita Devi, patient who CPC homecare team has been caring for over the years
LENDING A HAND TO HOLD AND A HEART TO UNDERSTAND
When Pawan, the only earning member in his family, came to CPC with his wife and parents, they were in denial about his condition. The medical social work team worked extensively to ease their burden through heart-to-heart conversations between Pawan and his wife Shital who was planning to start a family when the diagnosis disrupted their life. Over many sessions, Pawan was able to mentally stabilize himself and his wife to prepare for what lay ahead financially and socially. The parents were counselled to accept the situation and find ways to cope with the inevitable.
Pawan Ramesh Waikar, diagnosed with Globlastoma in 2018, passed away in 2019
PALLIATIVE CARE, IS ABOUT BEING THERE
“What started as indiscernible tremors in the left hand had a devastating underlying cause in the case of our 3-year-old daughter Ira. She was diagnosed with a midline diffuse glioma. For 2 years, Ira was taken care of by the Cipla Palliative Care & Training Centre team both at the Centre and at our home. Each member of the team from the doctors, nurses, medical social workers to the volunteers was there for us – answering our calls at odd hours, supporting us with advice, medication, heartfelt conversations and more. As parents, nursing Ira in the face of psychological trauma and heartfelt sorrow wouldn’t have been possible without Cipla’s timely advice, medication and assurance.”
By Pratima Mehta- Mother of Ira Mehta, 4 years old, who left us on 7 November 2018
LEARNING TO COPE AND CARE - CAREGIVING SKILLS
“When I came to the Centre, I could not sleep because my husband would be up crying in pain. I was scared to touch his bandages and couldn’t handle the smell at times. The Centre’s team explained to me what I needed to be prepared for as a caregiver. They taught me how to undo a bandage, and to assist in other small ways, so I could take care of my husband back at home. Slowly my confidence increased and I felt I could look after my husband at home. Watching other family members in the ward coping with the same issues also gave me the strength to continue.”
Leela Pawar, Caregiver for her husband admitted at the Centre in 2018
PALLIATIVE CARE PARTNERSHIPS
EXPANDING ACROSS THE COUNTRY
We support 15 palliative care providers across the country with the aim to increase access to palliative care services beyond CPC. This enables us to serve patients in remote communities and roll out training programmes for healthcare professionals.
Our wide range of training programmes include :
- Certificate in Essentials of Palliative Care
- End-of-Life Nursing Education Consortium (ELNEC)
- Certificate Course in Palliative Medicine / Nursing
- Education in Palliative and End-of-Life Care (EPEC) for Pediatrics
Click here to know more
OUR PARTNERS SHARE
“Cipla Foundation has been an avid partner of CanSupport in promoting and providing palliative care in North India. Together, we have been able to extend free homecare services to the most underserved patients and families. Our collaborative training courses have equipped hundreds of healthcare professionals, students and interns with skills to meaningfully help patients with serious illnesses.”
Dr. Ambika Rajvanshi
“Our work together with Cipla Foundation is special. We run the first-of-its-kind community palliative health care project, that is gradually introducing ‘Palliative Health Care’ in the lexicon of government health workers, especially field workers – the ASHAs. The team at the Palliative Care Centre in Pune has been our mentor since the beginning. Our partnership supports projects that include staff trainings to stakeholder orientation to management of patients who need palliative care.”
Dr. Swati Jha
Director, Community Health & Research, Aga Khan Health Services India
“Cipla Foundation stood by Karunashraya and supported us at a very critical time when one of our long-term funders had decided to wind down their funding. With the Foundation entirely supporting us with one ward, it has now been possible for us to provide care to many more patients and families in need. We are delighted to forge a strong partnership that supports our journey in Palliative Care.”
Mathew George Chandy
CEO, Bangalore Hospice Trust – Karunashraya
“Cipla Foundation interacts with its grantees as extensions of its own team, which in turn creates a bond of trust and harmony. At PALCARE, a home-based palliative care facility in Mumbai, this kind of support has encouraged us to reach new heights. The Foundation constantly ensures that its partners are provided with opportunities to expand their knowledge through seminars and workshops that otherwise we would not have had access to.“
Pheroza Jimmy Bilimoria
Founder Trustee, PALCARE – The Jimmy S Bilimoria Foundation
“Cipla Foundation’s support has been instrumental in setting up the Palliative & Supportive Care Unit (PSCU) at B J Wadia Children’s Hospital Mumbai – the first-of-its-kind such facility in India. Cipla Foundation has also facilitated and encouraged training of the PSCU team members, through courses, workshops and online palliative nursing programmes for health professionals from within and outside the hospital.”
Dr. Veronique Dinand
Palliative & Supportive Care Unit, B. J. Wadia Hospital for Children, Mumbai
“Dr B Borooah Cancer Institute, Guwahati is running a home based palliative care service project for terminally ill cancer patients in Guwahati that is being supported by Cipla Foundation. The project has been a tremendous boost for patients and relatives who are getting free-of-cost care in the comfort of their homes. This project has especially helped the critically ill patients to get supportive care by trained palliative care physicians and nurses at their doorsteps.”
Dr. Kabindra Bhagabati
Professor and Principal, Medical Officer (Palliative Medicine) & In-charge, Department of Palliative Medicine, Dr B Borooah Cancer Institute, Guwahati
“Cipla Foundation is deeply committed to palliative care and with their support, in these short years, we have seen the growth for Pediatric Palliative Care. In the field of palliative education and training also, they are actively supporting courses like the Education in Palliative and End-of-Life Care (EPEC) for children and adults in India. They are also an integral component of introducing Palliative Care for Training for Pediatricians through the platform of the Indian Academy of Pediatrics.”
Dr. Mary Ann Muckaden
MD Professor, Department of Palliative Medicine, Tata Memorial Centre, Mumbai,
Past-Chairperson, International Children’s Palliative Care Network
“Cipla Foundation is a significant partner in conceptualising and coordinating the EPEC programs in India that has provided a platform for specialists across disciplines to learn about palliative care and also to become a trainer. Moreover, it enabled the multi-disciplinary team of physicians, nurses and allied health professionals to have a team learning experience that provided an impetus for future team working. The Professional Development Workshop (PDW) was conducted for the first time in India. It focussed on advanced teaching methods in palliative care that enabled the EPEC trained professionals to be Master Trainers.”
Dr. Naveen Salins
Professor and Head, Department of Palliative Medicine and Supportive Care, Manipal Comprehensive Cancer Care Centre Director, EPEC India programme
“The Pediatric Palliative Care Project at Chhatrapati Shivaji Maharaj Hospital, Kalwa, supported by Cipla Foundation, has been providing personalised care to children with various non-oncological conditions and their families. Home visits are helping in assessing social and psychological issues of families. Support group meetings, networking with other NGOs, schools, rehabilitation centres have helped most of the families while dealing with life-limiting conditions.”
Dr. Jayita Deodhar
Ad Hoc Officer in Charge, Dept of Palliative Medicine, Tata Memorial Hospital
PALLIATIVE CARE LANDSCAPE
Influencing policy and government
Since 2018, we have been supporting the integration of palliative care into the Non-Communicable Disease (NCD) Programme with the National Health Mission, Government of Maharashtra and Aga Khan Health Services (India).
Under this innovative multi-partner project, in two blocks (Bhor and Purandar) in Maharashtra’s Pune district, we are supporting the training of doctors and community health workers to diagnose and identify palliative care needs in the community and drive referrals to public health facilities.
700+ cases identified and referred by trained ASHA workers till date
We are partnering with All India Institute of Medical Sciences (AIIMS) across India, to train their nurses to address total pain of patients and support the mission of a pain-free hospital with implementation of end-of-life policy.
“We at ELNEC are working together with CPC and AIIMS across India to bring about a sustainable and interactive model for nursing education. The course empowers nurses to make a change in patient care. The fact that they can teach and mentor others, gives them the confidence to make a difference in their profession.”
Hanife MacGamwell, Certified ELNEC Trainer, Oncology and Palliative Care Nurse Specialist
We are working with the Indian Academy of Pediatrics (IAP) to include pediatric palliative care as a Continuing Medical Education (CME) for all members.
“Introducing Pediatric palliative care to Pediatricians across the country was a key change I wanted to bring in. CPC agreed with this vision and supported us by conducting a series of workshops on palliative care across the country. Due to Covid the trainings are now being conducted online. Together, we hope to create awareness on a subject that needs more attention.”
Dr. Bakul Jayant Parekh, National President IAP 2020
We are supporting National Palliative consortia – IAPC (Indian Association for Palliative Care) to organise their annual seminar and provide training materials for the courses for doctors and nurses.
“CPC has always supported the annual international conference organised by IAPC to create awareness, education, research and development of activities in the field of palliative care in our country. CPC has also been collaborating with us for running one of the most popular training programs in palliative care in India – the IAPC Certificate Course in Essentials of Palliative Care.“
Dr. Sushma Bhatnagar, President, IAPC
We are working closely with global players like the (World Hospice and Palliative Care Alliance (WHPCA) and End-of-Life Nursing Education Consortium (ELNEC) to include palliative care in the national agenda. CPC is the only official recognized training facility for the ELNEC course in India.
“I am honoured to support the Cipla Palliative Care and Training Centre’s contribution to patient and family care through training and demonstrating strategies, methods and working in a culturally sensitive way with people’s strengths and resources in living life to the fullest.”
David Oliviere, Former Director of Education and Training, St Christopher’s Hospice, London (who runs a five-day intensive course for social workers at the Centre)
At Cipla Palliative Care & Training Centre, Pune
24/7 IN-PATIENT SERVICES
The Centre continues to admit and care for patients and their families with stringent Covid safety precautions and protocols. The team also runs Covid awareness sessions to ensure adherence to all guidelines.
After a brief pause, we re-started homecare in April 2020 to serve critical patients and their loved ones in the comfort of their homes. This includes wound and pain management and medicine drop offs. Follow ups are also done via audio and video calls.
Our team continues to provide clinical and psycho-social consultation to patients and their families in select Pune hospitals. Virtual support is also being extended via audio and video calls.
We have been serving patients and their families through audio and video calls for medical support, physiotherapy, diet assistance, psycho-social and other support such as linkages with General Physicians in times of emergencies.
STORIES OF COVID CARE
RELIEF FROM SEVERE PAIN & DISTRESS
Post the surgery and chemotherapy for her breast cancer, Asha Devi, 80 years, was finding it very painful to cope with her condition. A social worker from the Aga Khan Health Services visited her in April 2020 and referred the case to the CPC team that provided regular counselling and physiotherapy exercises over video calls as well as asked her to visit the Centre for a check-up. With intensive follow-ups, Asha Devi’s pain was relieved, she was able to sleep, eat, and felt mentally supported in the lockdown.
A PAIN-FREE & PEACEFUL END
After seven years of breast cancer surgery, Shanta Devi Purandare, 72-years had a relapse in April 2020. However, due to lockdown in her residential area there was no medical support available. At first, a telephonic consultation was organized in May 2020 with the CPC team. Medicines advised by CPC doctors were also especially sent to Shanta Devi’s home to give her relief from pain. When the severity of her symptoms increased, she was admitted to CPC. With the end-of-life care from the Centre’s team, Shanta Devi was able to pass away in peace and dignity.
CARING FOR CRITICAL SYMPTOMS
50 year old Ramesh Lohar was recovering from chemotherapy sessions for his blood cancer when Covid locked him into his home. He was experiencing severe abdominal pain, insominia, loss of appetite and depression. After being admitted to CPC, he received care to manage his symptoms and was also counselled for his unstable emotional condition. Even during Covid, Ramesh got the pain relief he needed. He was able to go back home, sleep, eat and feel mentally stable and strong.
Seema Shinde, 58 years, admitted in CPC in March 2020 was in her last days but relatives in Pune refused to visit for fear of Covid infection. Seema’s husband Manjunath was emotionally distressed with the fear of losing his wife and managing the last rituals all alone by himself. The CPC team spoke to Manjunath’s relatives and counselled them to support him. The team also organized stay in Pune for the relative who finally agreed to visit. As Seema breathed her last, she was able to meet her family members and see that her husband found support to lean on.
REACHING OUT WITH RATION & FOOD SUPPLIES
Simran Chadda and her husband moved to Pune from Shirdi, their home town, for her cancer treatment which gradually exhausted all their savings. The lockdown made it worse and Simran’s husband could not afford her medicines and groceries. Soon there was no food left at home. This affected him psychologically and he felt guilty for not caring for Simran. Our Medical Social Worker connected with the couple and coordinated with few NGOs and arranged for food supplies for the family.
INDIA’S FIRST TOLL-FREE EMOTIONAL SUPPORT LINE FOR CANCER
Toll-free – 09511948920
Everyday between 10am – 6pm
A unique helpline to support patients and their families coping with the challenges of cancer in Covid times. It is being run by experienced counsellors and volunteers from Tata Memorial Centre, Mumbai and the Cipla Palliative Care & Training Centre, Pune. In association with Municipal Corporation of Greater Mumbai and Pune Municipal Corporation.
VIRTUAL SESSION ON
MAKING PALLIATIVE HOMECARE POSSIBLE IN COVID TIMES
Over 200 healthcare professionals from diverse backgrounds and geographies joined the online discussion on finding solutions to continue caring for the seriously ill.
“CPC took the lead to re-start homecare during the pandemic and that gave a lot of us confidence and understanding of how to implement in our respective organisations or work areas.”
Dr. Babita Varkey
Senior Medical Officer, Karunashraya, Bangalore Hospice Trust
ONLINE DISCUSSION ON
INTRODUCING PALLIATIVE CARE IN GENERAL PRACTICE
“Very informative webinar on holistic care approach in treating terminally ill patient, pain management and issues faced by General Practitioners in Covid times.”
Dr. Rahul Kalbhor
President of Purva Haveli Doctor’s Association, Pune
RESEARCH AND PUBLICATION
The Centre has contributed three articles in the Indian Journal of Palliative Care, June 2020 edition on issues of palliative care in Covid times.
Palliative care interventions from a social work perspective and the challenges faced by patients and caregivers during Covid
Homecare and the Covid pandemic – experience at an urban specialist cancer palliative center
How the Covid pandemic experience has affected pediatric palliative care in Mumbai
Click here to learn more about our Covid Response
1. Alleviating the access abyss in palliative care and pain relief—an imperative of universal health coverage: the Lancet Commission report, 2017