Nilgiris Development Society (NDS) in association with Amala Hospital, Pattavayal, started the Pain and Palliative Unit and Karunai Ambulance Service. Pain and palliative care is a specialized medical approach focused on improving the quality of life for patients facing serious illnesses or conditions, particularly those with life-limiting illnesses. Palliative care takes a holistic approach, considering not only physical symptoms but also emotional, social, and spiritual needs. This may involve counseling, support groups, and spiritual care. Palliative care often involves a multidisciplinary team, including doctors, nurses, social workers, chaplains, and other specialists. This team works together to provide comprehensive care and support. Pain and palliative care unit aim to improve the well-being of patients facing serious illnesses, providing relief from symptoms and support for patients and their families throughout the illness journey. It emphasizes a patient-centered approach that respects individual preferences and values.