In palliative care, quality improvement is concerned with the maximization of quality of patient’s life. Several practices are implemented such as relief from physical and psychosocial symptoms; communication about prognosis, patient care with personalization and compassion, planning and prevention of crises and opportunities for comfortable life closure etc.
Extensive evidences such as different kinds of medications and numerous interventions are available to treat pain in palliative care supported by strong evidence (Carr DB, Bloch R, Balk EM et al., 2004). In addition various guideline based treatments can provide significant reduction of severity in pain and improvements in quality of life (Chang VT, & Kasimis B., 2002). However various existing studies have exemplified that such medications and interventions have not properly executed into medical and nursing practice. In a study of a patient with terminal cancer provided initial oncology consultations, alternative to chemotherapy was offered by less than half of oncologists.