Palliative care in Saudi Arabia: a brief history.

The palliative care service started at the King Faisal Specialist Hospital and Research Center in Riyadh, Saudi Arabia over a decade ago by Dr. Isbister is slowly expanding. Excellent facilities for investigations and curative treatment are available in the hospital, and these are useful when supportive facilities are needed. Nevertheless, there are problems. Most of the staff is western, and this is a hindrance when psychosocial and spiritual support is needed by Saudi patients. Patients have poor facilities for follow-up in between outpatient visits every month. The team has overcome the problem of poor availability of opioids, but these essential drugs are not available to the patients at the national level. Educational and research services have begun.