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Indian Journal of Palliative Care

Pradhum Ram, Benjamin Horn, Arthur Siegel
No abstract text is available yet for this article.
July 2018: Indian Journal of Palliative Care
Hamed Mortazavi
No abstract text is available yet for this article.
July 2018: Indian Journal of Palliative Care
N A Bishurul Hafi, N A Uvais
No abstract text is available yet for this article.
July 2018: Indian Journal of Palliative Care
Abhijit S Nair
No abstract text is available yet for this article.
July 2018: Indian Journal of Palliative Care
Astha Koolwal Kapoor, Sushma Bhatnagar
Suicide risk is very high in the patients suffering from advanced cancer. Around 60% of patients with advanced cancer suffer from cancer related pain and this further accentuates the risk of psychiatric disorders as well as suicide. A fifty year old male who was a known case of carcinoma of floor of mouth, post chemotherapy and post radiotherapy came in the outpatient clinic with complains of throat pain which increased on swallowing. On further probing, it was revealed, that he consumed poison in the recent past while being agitated and upset with the severe throat pain...
July 2018: Indian Journal of Palliative Care
B Manju, Cherian Koshy, Sibi M Ismail, O Rajasree, Rachel C Koshy
We report a case of massive upper-limb edema necessitating disarticulation, in a cancer survivor who tended to ignore instructions regarding preventive exercises since 2002 after completion of her treatment for breast cancer. However, she was in a family situation where she was constrained to physically involve in daily chores. Consequently, she presented 14 years later with a lymphedematous arm which weighed over 31 kg, necessitating disarticulation. We highlight the role of preventive exercises in postmastectomy patients and also the efficacy of continuous nerve block techniques in preventing the development of phantom limb pain in cases of disarticulation and amputation...
July 2018: Indian Journal of Palliative Care
Arunangshu Ghoshal, Shamali Poojary, Anuja Damani, Naveen S Salins, Jayita K Deodhar, Maryann Muckaden
Emergencies in palliative care need to be defined by the potential distress that a clinical issue raises for a person. A 58-year-old male with carcinoma vallecula referred for palliative care presented with recurrent syncopal attacks. On examination, a swelling at the left angle of mandible pressing on the carotid sinus was detected. A clinical diagnosis of carotid sinus syndrome was made, which is an exaggerated response to carotid sinus baroreceptor stimulation and results in dizziness or syncope from transient diminished cerebral perfusion...
July 2018: Indian Journal of Palliative Care
Nishkarsh Gupta, Sidharth Puri, Vinod Kumar, Rakesh Garg, Sachidanand Jee Bharati, Seema Mishra, Sushma Bhatnagar
The patients often present to palliative care with intractable nausea and vomiting. This may reduce the effectiveness of oral drugs and significantly affects the quality of life of these patients. Despite multiple drugs available for treatment, it is often difficult to control the symptoms. Olanzapine is an atypical antipsychotic and acts on multiple receptors and may help in treating vomiting in a patient with advanced malignancy. We report a case of gallbladder carcinoma who presented to us with intractable vomiting which was not relieved with a combination of traditional antiemetics but showed marked improvement with olanzapine...
July 2018: Indian Journal of Palliative Care
Kumari Padma, Sagar Nanaware, Nikhil Pande, Ramdas Ransing, Krishnaji Kulkarni
The aim of this case report is to highlight diagnostic and therapeutic challenges for consultation-liaison psychiatrist in the case of radiation-induced neuropsychiatric syndrome. We report the case of a 61-year-old man presented with neurological and psychiatric manifestations following the radiation therapy for non-small cell lung carcinoma with brain metastasis. We have briefly reviewed and discussed the risk factors, clinical features, diagnostic, therapeutic, and preventive aspect of radiation-induced neuropsychiatric manifestations...
July 2018: Indian Journal of Palliative Care
H S Sachin, Preethi Shetty, C S Pramesh, Sarbani Ghosh Laskar
A lady walks in with complaints of dysphagia mostly to solids to begin with and gradually progressive to liquids requiring naso-gastric tube feeding, with history of vomiting after taking food and weight loss of 20kilograms over 2months. Upper gastrointestinal endoscopy showed an ulceroproliferative growth starting at 28cms from the central incisor and extending upto 36 cms with luminal compromise. Biopsy from the lesion was found to be moderately differentiated squamous cell carcinoma. As part of metastatic work-up a PET-CT (Figure 1 shows lesion in the left ventricle) was done which revealed a metabolically active lesion involving the lower third of esophagus and a metabolically active lesion in the wall of the left ventricle which was the only site of metastatic diseae(Figure 2...
July 2018: Indian Journal of Palliative Care
Ratna Basak, Shirley Louis, Nan Shin, Michael Sherman, Ilana Harwayne-Gidansky
Anoxic brain injury in children is a rare and devastating occurrence. Families are shocked by the unexpected nature of their child's neurologic injury, which may be the result of a sudden and prolonged cardiac arrest. Organ donation in these children is subject to much discussion and controversy. Recently, we encountered three pediatric patients with anoxic brain damage who progressed to brain death within a few days of admission. Pediatric palliative care was involved from the time of arrival to the hospital in all the patients...
July 2018: Indian Journal of Palliative Care
Digpal V Dharkar, Sonia Moses
Couple of decades ago, Palliative Mastectomy for locally advanced breast cancers was common, if not frequent surgical procedure in the surgical armamentarium. The advent of better understanding of tumor biology and better multidisciplinary management has certainly narrowed down its role. However there are situations where it is still a potent option. In the subset of patients where palliative mastectomy is to be performed, it is important to aim for clear surgical margins, with good clearance at the third dimension, i...
July 2018: Indian Journal of Palliative Care
Maria Tolia, Nikolaos Tsoukalas, Michail Nikolaou, Eftychia Mosa, Ioannis Nazos, Antigoni Poultsidi, Jiannis Hajiioannou, Konstantinos Tsanadis, Despoina Spyropoulou, Nikolaos Charalampakis, Dimitrios Kardamakis, Vasileios Kouloulias, Kyriaki Pistevou-Gombaki, George Kyrgias
Purpose: Several trials on noncancer population indicate that yoga is associated with meaningful clinical effects. This study evaluated the physical and psychosocial outcomes of yoga in oncologic patients treated with radiotherapy. Methods: We focused on a research through Cochrane Register of Controlled Trials (CENTRAL), BioMed Central, and MEDLINE studies up to May 2017. Results: Yoga was found to have a substantial benefit in cancer patients' distress, anxiety, and depression...
July 2018: Indian Journal of Palliative Care
Roopa Hariprasad, Gayatri Palat, Ravi Mehrotra, Nandini Vallath
With unprecedented surge in the incidence and prevalence of cancer in India, it has become imperative to strengthen the workforce for all the domains of cancer care. A large proportion of the activity required for prevention as well as for palliation, lie outside of tertiary institutions, in the community. Palliative care (PC) as a field is expanding exponentially across the country and the service providers often engage and work actively within the local community in their region. This article describes the scope for reducing the cancer burden in the community, through capacity building of community based PC healthcare functionaries in the domains of Prevention, and Early detection of common cancers along with Palliative care - the PEP domains...
July 2018: Indian Journal of Palliative Care
Sumeet Vimal Kishore Singhania, Shriram Sudhakar Shenoy
Chronic fibrotic interstitial lung disease (ILD) forms a substantial proportion of disabling lung diseases and leads to significant morbidity and mortality. The mortality of these patients when admitted to the Intensive Care Unit with acute respiratory worsening requiring mechanical ventilation can reach up to 90%. Indian law does not allow the physician to make the final decision about mechanical ventilation, we are forced to follow the wishes of the family despite knowing the extremely poor outcome of aggressive intervention and invasive ventilation...
July 2018: Indian Journal of Palliative Care
Martin Curtice, Jessica Two, Jonathan Packer
The last 15 years has seen clarification of the terminology used to describe prolonged disorders of consciousness within the United Kingdom leading to the emergence of a new diagnosis - minimally conscious state (MCS) in 2002. MCS is distinct from vegetative states, in that a person demonstrates wakefulness with some degree of minimal awareness. The Mental Capacity Act (MCA) 2005 in England and Wales provides a legal framework for assessing an individuals' capacity to make decisions for themselves. The Act also authorizes others to make decisions on behalf of an individual who is assessed as lacking capacity in their best interests...
July 2018: Indian Journal of Palliative Care
Sungur Ulas, Sibel Eyigor, Ismail Caramat
Context: While the survival of cancer patients is prolonged due to the development of new treatment strategies and advancing technologies, the prevalence of symptoms such as neuropathic pain affecting the quality of life is also increasing. Aims: The aim of this study is to determine the relationship between neuropathic pain (NP) and quality of life in hospitalized cancer patients and to compare patients in general wards and those in palliative care wards in terms of NP and quality of life...
July 2018: Indian Journal of Palliative Care
Birudu Raju, N Krishna Reddy
Background: Glioblastoma (GBM) is a terminal illness and associated with poor prognosis. Brain cancer creates significant traumatic effects including death and dying fears not only on patients but also in Asia's tightly knitted families. Very few studies made attempt to elicit the death and dying issues among brain cancer patients. Therefore, the study aimed to explore the patient's perspectives on death and dying among GBM patients during hospitalization. Methodology: The study used qualitative approach...
July 2018: Indian Journal of Palliative Care
Lovely Antony, Linu Sara George, Tessy Treesa Jose
Aim: The aim of this study is to assess stress and coping among caregivers of cancer patients on palliative care and to acquire a deeper understanding of their lived experiences. Materials and Methods: A mixed method study was conducted among caregivers of cancer patients on palliative care using mixed method approach and triangulation design. Data were gathered using self-administered stress rating scale, brief COPE inventory, and structured interview schedule...
July 2018: Indian Journal of Palliative Care
Kartick Rastogi, Sandeep Bhaskar, Shivani Gupta, Sandeep Jain, Daleep Singh, Pawan Kumar
Context: Brain metastasis is one of the most feared complications of cancer that poses significant mortality and morbidity in patients with advanced cancer. The incidence is rising because of greater use of magnetic resonance imaging and spectroscopy; and increased survival from recent advances in immunotherapy and modern radiotherapy techniques. Despite all, the prognosis remains poor. Aims: This study aimed to analyze prognostic factors and overall survival in patients with brain metastases...
July 2018: Indian Journal of Palliative Care
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