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Indian Journal of Palliative Care

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https://www.readbyqxmd.com/read/28827946/topical-menthol-for-treatment-of-chemotherapy-induced-peripheral-neuropathy
#1
Alessio Cortellini, Lucilla Verna, Katia Cannita, Luca Napoleoni, Alessandro Parisi, Corrado Ficorella, Giampiero Porzio
Chemotherapy-induced peripheral neuropathy is a frequent treatment-limiting factor that significantly impairs patients' everyday life, also because of a lack of valid palliative options. Here, we report a case of a male patient with a history of metastatic colon cancer and previous chemotherapies. He came to our attention with a peripheral neuropathy that impaired his quality of life and could limit the further line of chemotherapy. We treated the neuropathy with menthol aqueous cream with benefit.
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827945/narrative-the-fear-of-disfigurement-in-cancer-patients
#2
Aruna Deshpande, Ravindra Ghooi
Fear of disfigurement affects patients with cancer, in whom the disease or its treatment leaves them permanently marked. Contrary to our thought, disfigurement is equally distressing to male patients, and it causes severe dislocation in their lives. We describe two cases in which disfigurement caused tremendous change in our patients; these cases underline the need for psychotherapy in patients suffering from cancer.
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827944/palliative-care-for-patients-with-nonmalignant-respiratory-disease
#3
Nishkarsh Gupta, Rakesh Garg, Vinod Kumar, Sachidanand Jee Bharati, Seema Mishra, Sushma Bhatnagar
Nonmalignant respiratory diseases are chronic and life-limiting conditions that need holistic palliative care. Such patients not only have a variety of physical symptoms such as dyspnea, pain, cough, depression, and anxiety, but also have a number of psychosocial and spiritual issues, which are not addressed to by us. This leads to a poor quality of life. Hence, these patients require supportive palliative care to relieve their sufferings, but unfortunately such care is not available to them in our country...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827943/the-philosophical-and-cultural-situatedness-of-spirituality-at-the-end-of-life-in-india
#4
Hamilton Inbadas
The sustained interest in exploring the spiritual domain at end of life in the Indian context reflects the recognition of its significance as an integral part of palliative care. A key aspect of findings from studies so far is the identification of challenges, inadequacies, limitations and ethical dilemmas in relation to spirituality at the end of life. India is known for its rich spiritual heritage and has unique ways of understanding, experiencing and expressing spirituality. The philosophical and cultural frames of reference, with which communities in India make sense of life, death and dying, determine the characteristics of Indian spirituality at the end of life...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827942/effect-of-mirtazapine-on-gastric-emptying-in-patients-with-cancer-associated-anorexia
#5
N Kumar, Sukanta Barai, S Gambhir, N Rastogi
BACKGROUND/AIMS: The tetracyclic antidepressant mirtazapine is widely used in cancer patients suffering from anorexia. Although it is known to restore appetite, the exact mechanism remains unknown. The aim of the study was to evaluate if mirtazapine has any effect on gastric emptying in patients suffering from cancer-related anorexia. MATERIALS AND METHODS: Solid-meal gastric-emptying study using radiolabeled meal was performed in 28 patients suffering from cancer anorexia once at baseline and repeated after 15 days of mirtazapine therapy...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827941/analytical-study-of-short-and-long-term-results-of-home-based-palliative-care-services-to-cancer-patients
#6
Dhritiman Datta, Gautam Majumdar, Shiromani Debbarma, Badan Janapati, Amit Kumar Datta
AIMS AND OBJECT: Identification and selection of patients suffering from terminal stage in bed ridden condition upto village level and to determine the type of palliative care need. Also to asses the effectiveness of the palliative care provided at the bed side. MATERIALS: All registered patients under palliative care of Regional Cancer Centre, Agartala from 2014 April to 2016 March. METHODS: A retrospective study. Ten teams comprising of doctors, nurses, pharmacists & Social Workers were trained and engaged in this study for symptom assessment and pain relief of palliative patients...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827940/assessment-of-private-homes-as-spaces-for-the-dying-elderly
#7
Tulika Bhattacharyya, Suhita Chopra Chatterjee, Dipannita Chand, Debolina Chatterjee, Jaydeep Sengupta
AIM: This study makes an assessment of end-of-life care of the elderly in private homes in Kolkata, West Bengal, India. PARTICIPANTS AND METHODS: Primary data were collected from private homes which supported elder care through observation and semi-structured interviews with primary family caregivers of the elderly. RESULTS: The study finds that the major factors preventing private homes from providing adequate care to the elderly were architecturally inadequate housing conditions, paucity of financial support, and scarcity of skilled caregivers...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827939/prognostic-factors-of-30-day-survival-of-patients-with-malignant-pleural-effusion
#8
Zulkifli Amin, Stephen Diah Iskandar, Sibli
BACKGROUND: Treatment of malignant pleural effusion (MPE) depends on the 1 month prognosis of patients. Until now, there is no study evaluate factors affecting 1 month survival. AIMS: This study aims to determine the predictors of survival within 1 month. METHODS: Prospective study of 102 patients with MPE. Biochemistry data of pleural fluid, characteristics of tumor, and massiveness of the effusion were analyzed to determine their effect on 30-day survival of the patients...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827938/the-effect-of-honey-on-radiation-induced-oral-mucositis-in-head-and-neck-cancer-patients
#9
Amna Amanat, Asrar Ahmed, Abbas Kazmi, Bushra Aziz
AIM: The aim of this study is to evaluate the effect of honey on clinically scoring grades of oral mucositis. MATERIALS AND METHODS: This interventional study was carried out in Radiation Oncology Department of Mayo Hospital, Lahore. In this study, 82 patients of both genders, of head and neck cancer, planned for radiotherapy, were divided into two groups by random sampling numbers. Patients in both groups were treated with a total dose of 60-78 Grays in 4-6 weeks...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827937/hypofractionated-radiotherapy-for-palliation-in-locally-advanced-head-and-neck-cancer
#10
R K Spartacus, Rohitashwa Dana, Kartick Rastogi, Aseem Rai Bhatnagar, Dhiraj Daga, Kampra Gupta
CONTEXT: In India, a considerable proportion of patients with head and neck cancer present with locoregionally advanced disease. Symptom palliation becomes a major objective in these cases when they could not be considered for a curative approach. AIMS: The aim of this study is to assess the role of palliative radiotherapy for symptom control in patients with locally advanced head and neck cancer. SETTINGS AND DESIGN: This was a retrospective study...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827936/commentary
#11
Jayita Kedar Deodhar
No abstract text is available yet for this article.
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827935/signs-of-spiritual-distress-and-its-implications-for-practice-in-indian-palliative-care
#12
Sushma Bhatnagar, Joris Gielen, Aanchal Satija, Suraj Pal Singh, Simon Noble, Santosh K Chaturvedi
INTRODUCTION: Given the particularity of spirituality in the Indian context, models and tools for spiritual care that have been developed in Western countries may not be applicable to Indian palliative care patients. Therefore, we intended to describe the most common signs of spiritual distress in Indian palliative care patients, assess differences between male and female participants, and formulate contextually appropriate recommendations for spiritual care based on this data. METHODS: Data from 300 adult cancer patients who had completed a questionnaire with 36 spirituality items were analyzed...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827934/the-process-of-translation-and-linguistic-validation-of-the-functional-assessment-of-cancer-therapy-brain-quality-of-life-instrument-from-english-to-malayalam-the-challenges-faced
#13
Durgapoorna Menon, Chitra Venkateswaran
AIM: Both brain tumors and their treatments have a major negative impact on the quality of life (QoL). EORTC BN20 and Functional Assessment of Cancer Therapy-Brain (FACT-BR) are the most commonly used tools to assess QoL. The FACT-BR is a 23-item questionnaire, especially about the psychosocial aspects of QoL. This paper describes the challenges we faced during the process of translation and validation of the FACT-BR into Malayalam. METHODS: We first screened the patients to ensure their mental status was satisfactory and that they could communicate well in both languages...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827933/validation-of-the-malayalam-version-of-leeds-assessment-of-neuropathic-symptoms-and-signs-pain-scale-in-cancer-patients-in-the-regional-cancer-centre-thiruvananthapuram-kerala-india
#14
Shoukkathali Anzar, Cherian Koshy, Kurian Mathew Abraham
OBJECTIVE: The Self-administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) is a 7-item self-report scale developed to identify pain which is of predominantly neuropathic origin. The aim of this study was to develop a Malayalam version of the LANSS and to test its validity and reliability in chronic pain patients. METHODOLOGY: We enrolled 101 Malayalam-speaking chronic pain patients who visited the Division of Palliative Medicine, Regional Cancer Centre, Thiruvananthapuram, Kerala, India...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827932/comparison-of-neonatal-pain-agitation-and-sedation-scale-with-premature-infant-pain-profile-for-the-assessment-of-acute-prolonged-pain-in-neonates-on-assisted-ventilation-a-prospective-observational-study
#15
Saumil Ashvin Desai, Ruchi Nimish Nanavati, Bonny Bipin Jasani, Nandkishor Kabra
AIM: This study aimed to compare Neonatal Pain, Agitation, and Sedation Scale (N-PASS) with Premature Infant Pain Profile (PIPP) for the assessment of acute prolonged pain in ventilated neonates. METHODS: This study was conducted in two phases. In phase 1 of the study, we assessed whether neonates on assisted ventilation experienced acute prolonged pain. In phase 2, the aim was to compare N-PASS with PIPP for the assessment of acute prolonged pain in neonates on assisted ventilation...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827931/home-based-application-of-sphenopalatine-ganglion-block-for-head-and-neck-cancer-pain-management
#16
Priti R Sanghavi, Bhavna C Shah, Geeta M Joshi
BACKGROUND: Head and neck cancer pain is intractable and difficult to manage. Many a times it is difficult to treat with oral opioids and adjuvants. AIM: This study aims to study the effects of transnasal sphenopalatine ganglion block (SPGB), administered using cotton swab/ear bud by patients' caretaker, at home, for pain management. STUDY DESIGN: This is a prospective, single-arm observational study conducted on 100 head and neck cancer patients, from January 2014 to December 2015...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827930/fluoroscopy-guided-neurolytic-splanchnic-nerve-block-for-intractable-pain-from-upper-abdominal-malignancies-in-patients-with-distorted-celiac-axis-anatomy-an-effective-alternative-to-celiac-plexus-neurolysis-a-retrospective-study
#17
Arif Ahmed, Divesh Arora
INTRODUCTION: The pain from upper gastrointestinal malignancy leads to considerable morbidity. The celiac plexus and splanchnic nerve neurolysis are good therapeutic options. Although splanchnic nerve neurolysis less frequently performed, but it has an edge over celiac plexus as it can be performed in patients with altered celiac plexus anatomy by enlarged lymph nodes. METHODS: The fluoroscopy-guided splanchnic nerve neurolysis was done in about 21 patients with intractable upper abdominal pain with pain intensity of ≥7 in numerical rating scale (NRS) from upper gastrointestinal cancers with distorted celiac plexus anatomy from enlarged celiac lymph nodes as seen by computed tomography scan after positive diagnostic splanchnic nerve neurolysis...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827929/prevalence-of-depression-in-breast-cancer-patients-and-its-association-with-their-quality-of-life-a-cross-sectional-observational-study
#18
Debasweta Purkayastha, Chitra Venkateswaran, Kesavankutty Nayar, U G Unnikrishnan
BACKGROUND: Breast cancer is the leading cause of cancer death among women worldwide. In India, the incidence rate of breast cancer is found to be 25.8/10,000 females. The statistics for Kerala, India, is 30.5 in urban areas and 19.8 in rural areas. Cancer and treatment-related symptoms are major stressors in patients with breast cancer undergoing treatment for the disease. Depression is a prevalent psychological symptom perceived by breast cancer patients, and it also impacts the quality of life (QOL) in these patients...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827928/a-study-to-assess-the-feasibility-of-introducing-early-palliative-care-in-ambulatory-patients-with-advanced-lung-cancer
#19
Jayita Kedar Deodhar, Vanita Noronha, Mary Ann Muckaden, Shrikant Atreya, Amit Joshi, Sandeep P Tandon, Arunangshu Ghoshal, Naveen S Salins, Vijay M Patil, Kumar Prabhash
PURPOSE: Early palliative care is beneficial in advanced lung cancer patients. We aimed to assess the feasibility of introducing early palliative care in ambulatory advanced lung cancer patients in an Indian tertiary cancer center. METHODOLOGY: In a longitudinal, single-arm, and single-center study, fifty patients were recruited and followed up every 3-4 weeks for 6 months, measuring the symptom burden using Edmonton Symptom Assessment Scale (ESAS) and quality of life (QoL) with European Organization for Research and Treatment of Cancer-QoL tools...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28827927/effect-of-yoga-on-sleep-quality-and-neuroendocrine-immune-response-in-metastatic-breast-cancer-patients
#20
Raghavendra Mohan Rao, H S Vadiraja, R Nagaratna, K S Gopinath, Shekhar Patil, Ravi B Diwakar, H P Shahsidhara, B S Ajaikumar, H R Nagendra
BACKGROUND: Studies have shown that distress and accompanying neuroendocrine stress responses as important predictor of survival in advanced breast cancer patients. Some psychotherapeutic intervention studies have shown have modulation of neuroendocrine-immune responses in advanced breast cancer patients. In this study, we evaluate the effects of yoga on perceived stress, sleep, diurnal cortisol, and natural killer (NK) cell counts in patients with metastatic cancer. METHODS: In this study, 91 patients with metastatic breast cancer who satisfied selection criteria and consented to participate were recruited and randomized to receive "integrated yoga based stress reduction program" (n = 45) or standard "education and supportive therapy sessions" (n = 46) over a 3 month period...
July 2017: Indian Journal of Palliative Care
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