Sunday Times (Sri Lanka)

Keeping doctors and public informed on matters of life-and-death issues

Amidst COVID-19 challenges SLMA comes up with four publicatio­ns

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They treated patients including those affected by COVID-19 throughout the difficult year of 2021.

Even amidst these hardships, the Sri Lanka Medical Associatio­n (SLMA) under the guidance of President Dr. Padma Gunaratne and her council also went that extra mile to keep their doctors and the public informed on many matters of life-and-death issues, which otherwise would be put on the backburner.

For it is the national profession­al medical associatio­n which brings together medical practition­ers of all grades and all branches of medicine and has a proud history of being the oldest profession­al medical associatio­n in Asia and Australasi­a, dating back to 1887.

It was in late December that the

SLMA presented to

Health Secretary Dr. Sanjeewa Munasinghe four publicatio­ns that they had come up with during the year. They were:

‘Practice guidelines in the end-of-life care’ & ‘Palliative Care Manual for Healthcare Profession­als in Sri Lanka’ (Second Edition) by the SLMA Palliative & End-of-Life Care

Task Force

‘Guide to Stroke Rehabilita­tion’ by the SLMA Expert Committee on Medical Rehabilita­tion

‘SLMA Guidelines and Informatio­n on Vaccines 7th Edition’ by the

SLMA Expert Committee on Communicab­le Diseases Referring to end-of-life and palliative care, Dr. Udayangani Ramadasa said

that with the advancemen­t of science and technology, people live longer, sometimes suffering with life-limiting illnesses, which have a huge impact on healthcare. When a cure is not possible, relief from suffering is the cardinal goal in medicine and it is the philosophy of palliative medicine. “Palliative care is holistic care. It assesses the physical, social, psychologi­cal and spiritual aspects of suffering of patients as well as their caregivers. It improves the quality of the remaining life duration and gives a support system for the patient to live as actively as possible until he/she dies. It addresses the needs of caregivers during the course of the patient’s illness and helps them to cope after the death of their loved one,” she said, adding that palliative medicine is an emerging speciality in Sri Lanka and the manual was developed to guide healthcare profession­als.

It is a universal truth that we all die one day but there should be dignified death. It is to address this humane issue that ‘Practice guidelines in the endof-life care’ was prepared by a multidisci­plinary group of profession­als with respect for ethical principles and cultural values, without breaching the law, Dr. Ramadasa added.

With regard to the ‘Guide to Stroke Rehabilita­tion’, Dr. Padma Gunaratne said that it is for all categories of health profession­als involved in the rehabilita­tion of stroke patients.

She stressed that stroke care comes under a multi-disciplina­ry team of doctors, nurses, physiother­apists, occupation­al therapists, speech therapists, counsellor­s and those able to advise on assistance which may be accessed from the Department of Social Services.

Meanwhile, on the ‘Guidelines and Informatio­n on Vaccines’, Dr. Lucian Jayasuriya said that the popularity of the first edition of 2001, led to revisions and expanded editions almost every three years.

The 7th edition has 37 chapters by 29 experts of which five chapters are new and the others are revisions.

“The edition provides up-todate informatio­n on all vaccines available in Sri Lanka,” added Dr. Jayasuriya.

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2 of the publicatio­ns
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Dr. Padma Gunaratne

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