Palliative Care

 

The Rotary Club of the Nilgiris, Coonoor, established in November 1941, has been deeply engaged in public service to improve the quality of life for the community in Coonoor and in the Nilgiris ever since its inception. The Club has supported the community in a variety of ways, especially in preventive and curative health interventions. It has spearheaded free eye, dental and NCD camps; besides initiatives in education and literacy; vocational training; water and sanitation; rainwater harvesting; environment protection and conservation of the carbon footprint among the myriad areas of community life. The Club has established and operates an LPG fired crematorium in Coonoor since 2005 and currently the Club is also in the process of upgrading and adding value to the Rural Government School at Bettati, near Coonoor. All these initiatives have become possible only because of very generous and kindhearted support from individual, Corporate and Institutional donors, and well-wishers from the Rotary Club’s network and members.

In the last few years, with the pandemic looming large, the Rotary Club of the Nilgiris noticed the need for augmenting and modernizing the facilities in the 100+ years old Government Lawley Hospital in Coonoor. Beginning with the donation of a Digital X-ray machine, the Club created a brand new 6- machine Dialysis unit; completely renovated and upgraded the Outpatient Department Complex; upgraded with modern medical equipment the Neonatal, Labour, Family, Blood Bank, and the Casualty wards of this Hospital. Further, the Club recently launched a fully equipped and staffed Advance Life Support Ambulance for transporting critically ill patients from the hills to larger metros in the plains with the generous support of Individual, Corporate and Institutional Donors.

As a Club we recognize that Healthcare in the hilly region of the Nilgiris has always been a challenge and patients either bear their misery or must go to nearby metros like Coimbatore for advanced medical treatment at great cost and inconvenience. Unfortunately, healthcare had not received the focus it requires as our region is far away from the metros. Here, in the Coonoor region, especially the underserved segments of our society have been left to fend for themselves if they need a little more than basic medical attention. As highlighted above, our Club has created certain facilities that have reduced the challenges considerably, however, one area in which we have no infrastructure is in Palliative and Geriatric care.

With the advancing age of our population and modern lifestyles that are increasing the occurrence of Cancer & other life-threatening ailments coupled with the tendency for the younger members of families moving away from the hills in search of better livelihoods, the need for focused Palliative and Geriatric care has become essential.

The Government Lawley Hospital is the primary health care facility in the Taluk and because of its location in the district, it plays a very proactive role in health care of the entire district especially for the economically weaker segments of our society.

The Rotary Club of the Nilgiris has planned to establish a Palliative and Geriatric care facility in a large, double storied building within the Government Lawley Hospital, Coonoor that the health department has made available to the Club in a Private Public Partnership mode. While the SADP (Special Area Development Programme) has developed, at great cost, relevant retaining walls and other related civil works to make the building structurally safe and gated, the building itself needs a lot of repair and renovation to meet the physical, medical, and psychological needs of the patients needing palliative and geriatric care and management. The Government Lawley Hospital will handle all operations and will provide free consultation, treatment and necessary residential facilities and care to admitted patients.

Attached to this appeal is a detailed scope of work and estimate for the project.

PROJECT DEVELOPMENT BACKGROUND
The building allocated to the Rotary Club of the Nilgiris by the Government Lawley Hospital for the establishment of the Palliative and Geriatric care Centre is an old double storied building that in earlier times was used as the quarters for the key staff members of the Hospital and is locally known as the ‘Stone House’. The SADP (Special Area Development Programme) has recently redeveloped the surrounding areas with very elaborate civil works and has made the building structurally very safe for use with relevant
renovation and upgradation. The Rotary project therefore is to modify, renovate and upgrade the building, create specific consultation, treatment, counseling, stores, toilets, elevator, and other
ancillary and special facilities to cater to the specialized care and capacity required and create the
infrastructure to meet creature comforts and make it usable as a modern healthcare facility.
THE SCOPE OF WORK AND THE TENTATIVE ESTIMATES
Serial
No.

Item of work Estimate
(In INR)

Remarks

1. Ground Floor: Creating adequate handicap friendly
Toilets and bathing cubicles on either flank, including
building of partition, wall plastering, providing, and
laying of Glazed Ceramic Tiles for Toilet Walls, doors
with frames & safety grips for patients

4,75,630.00 There will be two
sets of toilets on
either flank with 2
toilets, 2 bathing
rooms and 2 wash
basins.

2. Ground Floor: Providing and laying Ceramic Tiles
across the full Ground Floor including Toilets.

4,40,467.50 The current status
of floors is plain
cement flooring.

3. Ground Floor: Providing and laying of Glazed
Ceramic Tiles for the walls (Less the Toilets)

4,23,885.00

4. Ground Floor: Repair / replacement/scraping and
painting of doors and internal windows.

2,47,290.00 Internal doors and
windows need
extensive
maintenance.

5. Ground Floor: Painting of ceilings with two coats of
Emulsion over necessary Putty and Primer effort.

91,840.00

6. Ground Floor: Painting on walls with two coats of
Emulsion over primer & full application of putty after
extensive scraping and removal of current paint.

1,68,535.00

7. Providing and fixing of Granite for Risers and Threads
in the main central staircase between ground and first
floor.

61,600.00

8. First floor: Removing the existing Reapers & Tiles
and replacing with new Reapers and Tiles

6,04,800.00

ROTARY CLUB OF THE NILGIRIS
R. I. Dist. 3203 * Club No. 15875 * Chartered 1941

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9. First Floor: Creating adequate handicap friendly
Toilets and bathing cubicles on either flank, including
building of partition, walls, plastering, wall tiling,
doors with frames & safety grips for patients

4,76,555.00 There will be two
sets of toilets on
either flank with 2
toilets,2 bathing
rooms and 2 wash
basins

10. Providing and laying Glazed Tiles for complete first
floor including Toilets.

4,69,507.50 Current status of
floors is plain
cement flooring

11. Providing and fixing Glazed Ceramic Tiles for walls
(less Toilets)

4,23,885.00

12. First Floor: Painting with two coats of enamel paint
on corrugated ceiling.

88,000.00

13. First Floor: Painting on walls with two coats of
Emulsion over primer & full application of putty after
extensive scraping and removal of current paint.

2,11,900.00

14. First Floor: Providing and fixing of false ceiling 1,55,520.00
15. Exterior: Providing and fixing of Rainwater Guttering
& Providing and fixing of GI /PVC pipes for roof run
off water.

2,15,400.00

16. Exterior: Septic Tanks and associated plumbing. 70,000.00
17. UPVC Windows in verandah, partitions and doors for
consulting, treatment, Nurses station, etc.

11,00,000.00 A consolidated
figure pending
exact design
Requirements
being finalized.

18. Renovating the rear service building for Pantry,
Physiotherapy room, stores, Pump house and other
service requirements

7,00,000.00

19. Complete Electrical and plumbing work including
redesign, provision of stores and labor for the entire
complex.

20,00,000.00

20. Creation of relevant infrastructure and establishing a
service size lift between the two floors for movement
of stretcher borne patients.

15,00,000.00

21. Complete Furniture for the entire complex. 6,00,000.00

ROTARY CLUB OF THE NILGIRIS
R. I. Dist. 3203 * Club No. 15875 * Chartered 1941

3
NOTES FOR CONSIDERATION
I. Estimates are not exact and could vary up to 5% upwards or vice versa.
II. Established vendors who have been most reasonable in our earlier projects and compassionate
to the social cause will be preferred.
III. A team of qualified and dedicated Rotarians will oversee the project from end to end.
IV. Detailed discussions with experts and practitioners in the field of Palliative and Geriatric care is
in progress and it is planned that the Centre will be designed for a holistic approach to Palliative
and Geriatric care as explained earlier and most amenable to housekeeping conveniences.
V. The complex will be handicapped friendly at every point of use.
VI. Adequate conveniences and privacy will be ensured for the Nursing and Support staff.
VII. The surroundings will be suitably landscaped and made environment friendly.

The same is self-explanatory. This is based on physical survey and measurements taken in its current state and may change a little with unforeseen requirements cropping up as development work and positioning of furniture and medical equipment progresses.
In keeping with health care protocols and best practices, we plan to ensure a Holistic treatment
approach and hence the Centre will have outpatient consulting and treatment facilities, suitable
essential physiotherapy for the patients, open spaces for mental destressing, facility for counselling
of patients, family members and care givers and other necessary ancillary facilities.
We have been and will be continuing to seek guidance from experts in the field, and it will be our endeavor
to make the facility holistic, modern, and futuristic.
THIS IS AN APPEAL FOR YOUR GENEROUS AND GRACIOUS SUPPORT FOR THIS NOBLE VENTURE!
Registration and Bank Details of the Trust:
The Rotary Club of the Nilgiris Charitable Trust is the financial management entity of the Club.
The Rotary Club of the Nilgiris Charitable Trust has been approved for Tax exemption by the IT Department
and has both section 12 A (a) and 80G tax exemption approvals. All donations will therefore be entitled for
tax exemption under section 80 G of the Income Tax act 1961.
The Trust is registered with the Registrar of Companies and is approved as an entity authorized for
executing CSR funded projects.
Donations are solicited and may be credited to the Rotary Club of the Nilgiris Charitable Trust Account.
Details of the account are as under:
Name of Beneficiary: Rotary Club of the Nilgiris Charitable Trust.
Name of Bank: State Bank of India.
Branch name: DSSC Branch, Wellington, The Nilgiris, PIN 643231.
Current account no: 38948888407.
IFSC code: SBIN0015221.
WE WILL BE DELIGHTED TO SHOW YOU OUR COMPLETED PROJECTS!
We will be most happy to organize visits to our completed projects, clarify any queries that you may have,
share any document that you may consider necessary and even make power point presentations if so
required to help ensure total transparency. For any questions, queries or to plan a visit to our completed
projects please reach out to Lt General M G Girish, who will be the point of contact on our behalf for your
convenience. Contact details are included below:
Lt General M G Girish (Retd)
Chairman,
Rotary Foundation,
Rotary Club of the Nilgiris, Coonoor.
Mobile: +91 9900032535.
Email: mggirish@hotmail.com