Indian journal of palliative care
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Indian J Palliat Care · Apr 2018
Analgesic and Opioid Use in Pain Associated with Head-and-Neck Radiation Therapy.
The aim of the study is to find the incidence of analgesic and opioid use in pain associated in HNC patient undergoing radiation therapy. ⋯ More than 90% of all head and neck cancer patient undergoing radiation therapy experience therapy related pain for more than 6 weeks. 53% of the patients require opioids and 15% require strong opioids. The use of concurrent chemotherapy was significantly associated with severe pain.
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Indian J Palliat Care · Apr 2018
Parents' Voice in Managing the Pain of Children with Cancer during Palliative Care.
Pain experienced by children can adversely affect their growth and development. Pain is a major health problem for cancer patients and remains an unresolved problem. ⋯ It can be concluded that the child's pain is the main cause of mothers' stress and pressure and also affects the daily lives of mothers and children. Along with the most effective intervention, nurses need to provide mothers and children with adequate information about cancer pain.
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Indian J Palliat Care · Apr 2018
Professional Quality of Life among Professional Care Providers at Cancer Palliative Care Centers in Bengaluru, India.
Being a professional care provider at cancer palliative care settings is demanding and stressful. Literature has indicated the prevalence of high burnout (BO) and distress; however, there is a dearth of studies in India, with no study available on professional quality of life in the field of palliative care. ⋯ The overall results strongly suggest that a short intervention targeting STS and BO can help the study population and further enhance their CS and patient care.
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Indian J Palliat Care · Apr 2018
Perceived Barriers to Symptoms Management among Family Caregivers of Cancer Patients.
Caring for patients with advanced disease involves many concerns for caregivers. All aspects of health of the caregiver is compromised in the process of caring for the cancer patients. Usually, most of the terminally ill cancer patients live with their caregivers at home. ⋯ FCGs take the major responsibilities both at the hospital and at home in caring for the cancer patients. Since FCGs had lack of knowledge on caring of cancer patients, there is a need for awareness program on the assessment and management of symptoms among cancer patients.
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Indian J Palliat Care · Jan 2018
ReviewChallenges of Using Methadone in the Indian Pain and Palliative Care Practice.
Palliative care providers across India lobbied to gain access to methadone for pain relief and this has finally been achieved. Palliative care activists will count on the numerous strengths for introducing methadone in India, including the various national and state government initiatives that have been introduced recognizing the importance of palliative care as a specialty in addition to improving opioid accessibility and training. Adding to the support are the Non-Governmental Organizations (NGOs), the medical fraternity and the international interactive and innovative programs such as the Project Extension for Community Health Outcome. ⋯ The psychological acceptance of the patient, the professional training of the team and the place where care is provided are also challenges which need to be overcome. These challenges could well be the catalyst for a more diligent and vigilant approach to opioid prescribing practices. Start low, go slow could well be the way forward with caregiver education to prescribe methadone safely in the Indian palliative care setting.