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Indian Journal of Palliative Care

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https://www.readbyqxmd.com/read/27803578/conference-report-international-update-on-pain-management-and-palliative-care-advances-2016
#1
Mayank Gupta
No abstract text is available yet for this article.
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803577/preoperative-palliative-care-a-conceptual-framework
#2
Mayank Gupta
No abstract text is available yet for this article.
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803576/continuous-cervical-epidural-analgesia-in-metastatic-spinal-cord-compression
#3
Mahesh Menon, Nafisa Taha, Navita Purohit, Vatsal Kothari, Shweta Singh
Metastatic spinal cord compression is a devastating complication of cancer. Patients may often require high doses of opioids that may cause side effects, myoclonus being one such. A 63-year-old male suffering from malignant spinal cord compression was admitted to our institution. The primary team managed him conservatively with pharmacotherapy with no relief of pain, and he experienced myoclonus and sedation as adverse effects. A continuous cervical epidural catheter with local anesthetic infusion was inserted for 5 days to control his pain...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803575/aggressive-surgery-in-palliative-setting-of-lung-cancer-is-it-helpful
#4
Suman Byregowda, Kumar Prabhash, Ajay Puri, Amit Joshi, Vanita Noronha, Vijay M Patil, Pankaj Kumar Panda, Ashish Gulia
With increase in survival and progression-free survival in the advanced metastatic cancers, the expectation of quality of life (QOL) has increased dramatically. Palliative care plays a vital role in the management of these advanced cancer patients. At present scenario, palliative care in advanced cancer has seen a completely different approach. Aggressive surgical procedures have been performed to improve the QOL in the advanced cancer patients. We report a case of advanced lung cancer with pathological femur fracture, treated with extensive total femur replacement surgery to provide better QOL...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803574/speech-outcome-in-oral-cancer-patients-pre-and-post-operative-evaluation-a-cross-sectional-study
#5
Gomathi Saravanan, Venkatesan Ranganathan, Anitha Gandhi, V Jaya
AIM: The tongue plays a major role in articulation. Speech outcome depends on the site of lesion, extent of resection, and flexibility of the remaining structures. The aim of this study is to evaluate the speech outcome measures such as sounds that are misarticulated and speech intelligibility and its connection to tumor site before and after surgery. METHODOLOGY: Totally, 24 (12 pre- and 12 post-operative patients) patients who had buccal and tongue cancer underwent speech intelligibility rating and articulation screening...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803573/end-of-life-characteristics-of-the-elderly-an-assessment-of-home-based-palliative-services-in-two-panchayats-of-kerala
#6
R Jayalakshmi, Suhita Chopra Chatterjee, Debolina Chatterjee
BACKGROUND: Home-based palliative services form the cornerstone of Kerala's palliative program. However, two issues need research: (a) whether family-homes can be considered as the locus of ageing and dying for marginal populations who experience deprivation and poverty and (b) whether the present delivery structure meets the needs of elderly population. These issues are examined in the context of two rural areas. The study explores end-of-life characteristics of the elderly - their sociodemographic status and living patterns, morbidity profile, and functional status...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803572/awareness-and-attitude-of-select-professionals-toward-euthanasia-in-delhi-india
#7
Sheetal Singh, Shakti Gupta, I B Singh, Nirupam Madaan
INTRODUCTION: The topic of euthanasia has induced differences not only among professionals in the medical fraternity but also in other fields as well. The dying process is being lengthened by the new state of art technologies erupting as such higher pace, and it is at the expense of standard quality of life and of a gracious death. AIM: To study the awareness and attitude toward euthanasia among select professionals in Delhi. METHODOLOGY: It was a questionnaire-based descriptive cross-sectional study...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803571/initial-experience-of-head-and-neck-cancer-patients-treated-in-an-oncologist-led-palliative-cancer-care-clinic-at-a-tertiary-cancer-care-center-in-uttar-pradesh-is-the-initiative-of-a-full-fledged-palliative-care-for-cancer-patients-justified
#8
Punita Lal, Mranalini Verma, Gaurav Kumar, Resham Shrivastava, Shaleen Kumar
INTRODUCTION: Poor socioeconomic status and illiteracy attribute to the advanced presentation of head and neck cancer (HNC) patients in India and are candidates for palliation in our setup. We set up a palliative cancer care clinic (PCCC), and an audit of initial 153 HNC patients is presented. AIMS AND OBJECTIVES: To assess the impact of palliative cancer care services. METHODOLOGY: Data of advanced HNC patients suited for palliation were collected to document demography, symptomatology, cancer treatment, and supportive care...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803570/impact-of-health-awareness-campaign-in-improving-the-perception-of-the-community-about-palliative-care-a-pre-and-post-intervention-study-in-rural-tamil-nadu
#9
Ankit Chandra, Sonali Sarkar, S Adinarayanan, Karthik Laksham Balajee
BACKGROUND AND OBJECTIVE: The only way to provide palliative care to a huge number of people in need in India is through community participation, which can be achieved by improving the awareness of the people about palliative care. We conducted a study to assess the impact of health awareness campaign in improving the awareness of people about palliative care. MATERIALS AND METHODS: This was a pre- and post-intervention study conducted in Kadaperikuppam village of Vanur Taluk in Villupuram district, Tamil Nadu...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803569/structural-challenges-of-providing-palliative-care-for-patients-with-breast-cancer
#10
Tahereh Alsadat Khoubbin Khoshnazar, Maryam Rassouli, Mohammad Esmaeil Akbari, Farah Lotfi-Kashani, Syrus Momenzadeh, Shahpar Haghighat, Moosa Sajjadi
INTRODUCTION: To establish a palliative care system (PCS) in Iran, it is necessary to identify the potential barriers. AIM: This study aims to highlight the views of stakeholders to know the challenges of providing palliative care for women with breast cancer. MATERIALS AND METHODS: Semi-structured in-depth interviews are used with purposeful sampling conducted in Tehran, Iran; from January to June 2015. Twenty participants were included in the study: nine patients with breast cancer and ten health-care providers...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803568/the-effects-of-music-therapy-on-anxiety-and-depression-of-cancer-patients
#11
Madineh Jasemi, Sanaz Aazami, Roghaieh Esmaili Zabihi
BACKGROUND AND PURPOSE: Cancer patients often suffer from anxiety and depression. Various methods are used to alleviate anxiety and depression, but most of them have side effects. Music therapy can be used as a noninvasive method to reduce anxiety and depression. This study aimed to examine the effect of music therapy on anxiety and depression in patients with cancer. MATERIALS AND METHODS: This quasi-experimental study was conducted attaching hospitals in Urmia city...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803567/assessment-of-anxiety-and-depression-in-oral-mucositis-patients-undergoing-cancer-chemoradiotherapy-a-randomized-cross-sectional-study
#12
Nallan Csk Chaitanya, Komali Garlapati, Danam Reshma Priyanka, Sravani Soma, Ujwala Suskandla, Niharika Harsha Boinepally
INTRODUCTION: Oral mucositis is an unavoidable complication occurring during the treatment of cancer by radiotherapy, concurrent chemoradiotherapy (CCRT), or chemotherapy. This is a painful sequelae, significantly affecting the nutritional intake and quality of life. MATERIALS AND METHODS: A multicentric cross-sectional study was done at four cancer centers in Hyderabad. About 455 subjects of both genders between 20 and 80 years undergoing cancer treatment such as chemotherapy (Group I), CCRT (Group II), radiotherapy within 14 days of initiation (Group III), and radiotherapy after 14 days of initiation of therapy (Group IV) who had oral mucositis were included in the study...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803566/clinical-impact-of-education-provision-on-determining-advance-care-planning-decisions-among-end-stage-renal-disease-patients-receiving-regular-hemodialysis-in-university-malaya-medical-centre
#13
Albert Hing Wong, Loh Ee Chin, Tan Li Ping, Ng Kok Peng, Lim Soo Kun
INTRODUCTION: Advance care planning (ACP) is a process of shared decision-making about future health-care plans between patients, health care providers, and family members, should patients becomes incapable of participating in medical treatment decisions. ACP discussions enhance patient's autonomy, focus on patient's values and treatment preferences, and promote patient-centered care. ACP is integrated as part of clinical practice in Singapore and the United States. AIM: To assess the clinical impact of education provision on determining ACP decisions among end-stage renal disease patients on regular hemodialysis at University Malaya Medical Centre (UMMC)...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803565/patient-and-health-care-provider-interpretation-of-do-not-resuscitate-and-do-not-intubate
#14
Heather Pirinea, Thomas Simunich, Daniel Wehner, John Ashurst
BACKGROUND: Advance directives and end of life care are difficult discussions for both patients and health-care providers (HCPs). A HCP requires an accurate understanding of advanced directives to educate patients and their family members to allow them to make an appropriate decision. Misinterpretations of the do not resuscitate (DNR), do not intubate (DNI), and the Physicians Orders for Life-Sustaining Treatment (POLST) form result in ineffective communication and confusion between patients, family members, and HCPs...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803564/the-palliative-care-information-act-and-access-to-palliative-care-in-terminally-ill-patients-a-retrospective-study
#15
Kitty Victoria, Sarita Patel
BACKGROUND: Studies have shown that over 50% of end-of-life discussions take place for the first time in the hospital and that terminally ill patients often have unrealistic views regarding the possible scope of treatment. The Palliative Care information Act (PCIA) was passed in an attempt to address the lack of access for terminally ill patients to palliative care services. A multi-database systematic review was performed on published studies from 2010 to present, and there were none found measuring the effectiveness of the PCIA...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803563/fatigue-and-quality-of-life-outcomes-of-palliative-care-consultation-a-prospective-observational-study-in-a-tertiary-cancer-center
#16
Arunangshu Ghoshal, Naveen Salins, Jayita Deodhar, Anuja Damani, Mary Ann Muckaden
PURPOSE: Fatigue is one of the most common symptoms seen in patients with advanced cancer. It is known to influence the Quality of Life (QoL) of patients. This study examines the interrelationship of fatigue and QoL in patients with advanced cancer on palliative care. METHODS: A prospective cohort study was conducted in the outpatient clinic of the Department of Palliative Medicine from January to June 2014. Patients with advanced cancer registered with hospital palliative care unit, meeting the inclusion criteria (Eastern Cooperative Oncology Group [ECOG] ≤3, Edmonton Symptom Assessment Scale [ESAS] fatigue score ≥1), and willing to participate in the study were assessed for symptom burden (ESAS) and QoL (European Organization for Research and Treatment of Cancer QoL Core 15-Palliative module [EORTC-QoL PAL15])...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803562/perspective-of-orthopedists-on-pain-management-in-osteoarthritis-a-qualitative-study
#17
Jose Austine, Shoba Nair, Kiyana Mirza
CONTEXT: Osteoarthritis (OA) is a degenerative disorder characterized by pain, stiffness, and loss of mobility of the joint. As the most prevalent form of arthritis and a leading cause of impairment, it is imperative to understand the treating doctor's perception of pain relief among these patients. OBJECTIVES: To assess orthopedists' perspectives on pain management in OA. MATERIALS AND METHODS: In this qualitative study, a guide-based interview was conducted on 15 orthopedists of a tertiary care hospital and audio-recorded simultaneously...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803561/communication-needs-of-patients-with-breast-cancer-a-qualitative-study
#18
Tahereh Alsadat Khoubbin Khoshnazar, Mrayam Rassouli, Mohammad Esmaeil Akbari, Farah Lotfi-Kashani, Syrus Momenzadeh, Nahid Rejeh, Maryam Mohseny
INTRODUCTION: Since communication is considered to be one of the central concepts in caregiving practices, this study aims to examine the perception of women with breast cancer in terms of their communication needs. METHODS: In this qualitative study, 20 participants (9 women with breast cancer, 10 of health-care professionals, and one family caregiver) were selected through purposive sampling, and a face-to-face semi-structured interview was conducted with each of them...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803560/re-designing-orem-s-self-care-theory-for-patients-with-chronic-hepatitis
#19
Ali Hasanpour-Dehkordi, Nooredin Mohammadi, Alireza Nikbakht-Nasrabadi
BACKGROUND: Hepatitis is an inflammatory disease which has many adverse effects on patients' life because of its chronic nature. Since Orem's theory of self-care is a grounded theory, the concepts and applications of this theory in patients with chronic hepatitis who have special needs may lead to some challenges. The purpose of this study was to explore self-care in patients with chronic hepatitis. METHODS/DESIGN: A directed content analysis was used in this qualitative study...
October 2016: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/27803559/self-care-concept-analysis-in-cancer-patients-an-evolutionary-concept-analysis
#20
Ali Hasanpour-Dehkordi
BACKGROUND: Self-care is a frequently used concept in both the theory and the clinical practice of nursing and is considered an element of nursing theory by Orem. The aim of this paper is to identify the core attributes of the self-care concept in cancer patients. MATERIALS AND METHODS: We used Rodgers' evolutionary method of concept analysis. The articles published in English language from 1980 to 2015 on nursing and non-nursing disciplines were analyzed. Finally, 85 articles, an MSc thesis, and a PhD thesis were selected, examined, and analyzed in-depth...
October 2016: Indian Journal of Palliative Care
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