The population of every Country generally can be divided into three main groups: “Healthy People”, “Potentially Treatable Patients” and “Advanced Chronic Patients”.
Taking into account the above-mentioned groups, evidently, the health care system must also have three principal directions:  

  • Preventive (aimed at healthy people), intending the maintenance of healthy status and decreasing morbidity;

  • Curative (for potentially treatable patients), aimed at the patient convalescence and rehabilitation;

  • Palliative (for Advanced Chronic Patients), intending the maintenance of maximally available life quality.    

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If any of the listed directions is omitted, the health care system can not be considered as perfect, for in this case, the corresponding part of the society becomes deprived of the health care service.
Principally the same outcomes are ensued if any of the listed directions are realized through incorrect strategies and methods: e.g. incorrectly planned and performed preventive programs fail to avoid and/or effectively prevent the development of certain diseases. Similarly, the incorrect palliative care is unable to provide an adequate life quality.  
II. “What the Palliative Care means for advanced patient?!”
Each of us may have countless wishes and possibilities for their realization through the lifetime. These possibilities are given in a shape of big violet circle on the diagram above („Overall life possibilities”).
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This circle involves the wishes and possibilities like love, marriage, health, friendship,   journeys, sport, art and creativity, safety, comfort, wealth gaining, rest etc...
Obviously, due to the suffering from chronic incurable illness, the circle of wishes and possibilities gets smaller for advanced chronic patients. Willingness to realization of remote plans declines and one concentrates on desires like peaceful family life, rest, safety, comfort and freedom from pain and other complaints. This condition is depicted in the smaller, blue colored circle: „Sphere of Wishes and desires for End-of-Life Period”. Unfortunately, not controlled pain and numerous annoying and distressing symptoms make patient refuse to realization of even those limited wishes and, which had been planned for the end-of-life. These severely limited possibilities are depicted in the third, dark blue circle: “What part of desires can be realized without Palliative Care”.
Comprehensive Palliative Care is the very tool for relieving pain and different distressing symptoms (nausea, vomiting, cachexia, bedsores and pressure ulcers, constipation or diarrhea, etc) and achieving maximal comfort. It enables the advanced patient to make the rest of his live biologically and socially active, surrounding him by the atmosphere of not only medical but also the social and spiritual support.
Thus, palliative care has been proven to contribute significantly to the widening of the realm of patient’s possibilities.  This reality is given on the diagram by the circle drawn with the dashed line. There could be nothing surprising in the fact that the limit of possibilities for advanced chronic patients at the end of their lives is wider with palliative care compared to that without the latter, if not given the following circumstance: a dotted area on the diagram with the title – „Unexpected Possibilities Introduced by Palliative Care“. It appears, that the comfort provided by comprehensive Palliative Care can be so significant, that possibilities now given to advanced chronic patients become a fascinating surprise they could never imagine to be real. 
Concerning the case, I would like to bring as an example, a verse by famous Georgian producer, poet and translator Revaz Tabukashvili – „To my grandsons - Rezo and Bombo” written the day before his death, by the author suffering from incurable illness. The poem became his last will not only to his grandsons, but to entire Georgia. The comfort provided by pain relief and symptom control brought him back the endurance and inspiration of creator once more, and enabled him to light the final days with this masterpiece.
Thus the question: „What does the palliative care give a person?” can be answered with the following two words: „Unexpected Possibilities”.
We are not allowed to miss a chance to share these unexpected possibilities, even by the end of life, for if we listen to the old Greek byword – „I feel unexpectedness – that means I live“. 

President of the Association,
Dimitri Kordzaia