Dear Editor:The incidence and mortality of hematologic malignancies have steadily increased, and most patients with advanced disease eventually face physical, psychiatric, and psychological symptoms, treatments, or comorbidities.The goal of palliative care is to prevent and relieve suf fering and to support the best possible quality of life for patients and their families. Patients with advanced, irreversible disease need palliative care in every country of the world. Palliative care was not considered a priority even in developed countries for a long time. Terminally ill patients have been sent home with a limited amount of medication, with no assured follow-up. Palliative care is a culturally sensitive issue and requires a specific approach that reflects diverse realities, including those at the local health system level. The challenges to the implementation of palliative and hospice care in low-income countries are significant.
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