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Palliative Care

Comprehensive care that manages total pain and improves quality of life for people with life-threatening illness and those who love them.

An older African couple sharing a red flower on a wooden bench, laughing as they look at each other in soft afternoon light.

Care that starts long before the final days

Palliative care is comprehensive care that manages total pain and improves quality of life. It is recognised by the United Nations, the World Health Organisation and other bodies as a human right for people living with life-threatening illnesses.

It is not the same as giving up treatment. Good palliative care can be introduced from diagnosis, can sit alongside disease-directed treatment, and should support the person as well as their family and caregivers.

DignitySA supports broader access to high-quality palliative care while also advocating for clear, compassionate choices at the end of life. These are not competing commitments. People should be able to receive excellent care and have their values respected.

What palliative care includes

Palliative care responds to physical, psychological, social and spiritual suffering, often through an interdisciplinary team.

Physical comfort

Relief from pain, breathlessness, nausea, fatigue and other distressing symptoms while a person continues to receive appropriate medical care.

Emotional support

Space for fear, uncertainty, grief, family conflict and difficult decisions to be held with honesty and professional care.

Family and caregiver support

Guidance for loved ones, practical planning, respite where available, and bereavement support when it is needed.

Spiritual and social care

Attention to meaning, culture, relationships, values and the social realities that shape a person's experience of serious illness.

Palliative care is for living, not for leaving

Good palliative care holds the whole person and the people they love. It makes room for connection, comfort and ordinary joy alongside serious illness.

A woman gently kisses her father on the forehead as he rests in a hospital bed.
Family at the bedside, present and unhurried.
Two older women holding each other on a couch, smiling.
Decades of love, still being honoured.
An older couple walking arm-in-arm along a quiet shoreline.
Time still to walk together.
An older woman holding a younger woman in a headscarf, both looking out a window.
Standing with each other through serious illness.
An older couple sharing tea, leaning together and laughing.

Palliative care is not giving up

Many people delay asking for palliative care because they associate it only with death, hospice admission or the withdrawal of treatment. APCC guidance makes the opposite point: palliative care is a way of adding support, comfort and clarity earlier in serious illness.

Read DignitySA on APCC's position
Myth

Palliative care is only for the final days of life.

Truth: It should ideally be introduced from the point of diagnosis with a life-threatening illness and can be provided alongside active treatment.

Myth

You have to be admitted to a hospice to receive it.

Truth: Most hospice care in South Africa is delivered in the comfort of a patient's home. Some hospices have inpatient units, but many do not.

Myth

Palliative care is only for the patient.

Truth: It is holistic care for the patient and their loved ones, addressing physical, psychological, social and spiritual dimensions of illness.

Myth

It is unaffordable.

Truth: Some medical schemes cover palliative care, some people pay privately, and many hospices subsidise care through donations depending on capacity.

Myth

Hospices cannot provide high levels of care.

Truth: The Association of Palliative Care Centres maintains standards for palliative healthcare services that are internationally recognised.

Practical routes into palliative care

Access varies by province, service capacity and funding route. These are the clearest starting points for patients, families and clinicians.

Ask early for a referral

A doctor or nurse can refer you to palliative care. It is worth asking from diagnosis, not only when treatment options have narrowed.

Find a palliative care centre

The APCC directory lists hospices and palliative care centres across South Africa, including services in all nine provinces.

Search APCC directory

Find a trained practitioner

PALPRAC helps people locate healthcare professionals with palliative care training in their area.

Search PALPRAC providers

Ask your medical scheme

Some medical schemes fund advanced illness or palliative care benefits. Ask what is covered and what referral paperwork is needed.

APCC World Hospice and Palliative Care Day campaign artwork

Help normalise asking for palliative care

DignitySA supports the Association of Palliative Care Centres' campaign, Through the Palliative Care Lens, which shines a light on palliative care centres across the country and on World Hospice and Palliative Care Day each October.

Myths still prevent people from getting help. You can assist by sharing accurate information, encouraging early referrals, supporting a local hospice or thrift shop, and helping families know that palliative care is a source of support, not a signal that care has ended.

We can help point you in the right direction.

If you are looking for palliative care, planning resources or end-of-life support, contact DignitySA and we will do our best to connect you with appropriate information.