Challenges of using methadone in the Indian pain and palliative care practice
This article outlines the challenges of procuring methadone and also discusses the challenges specific to methadone. Balancing the availability and diversion in a setting of opioid phobia, implementing the amended laws to improve availability and accessibility in a country with diverse health-care practices are the major challenges in implementing methadone for relief of pain. The unique pharmacology of the drug requires meticulous patient selection, vigilant monitoring, and excellent communication and collaboration with a multidisciplinary team and caregivers. The psychological acceptance of the patient, the professional ...
Source: Indian Journal of Palliative Care - January 16, 2018 Category: Palliative Care Authors: Vidya Viswanath Gayatri Palat Srini Chary Ann Broderick Source Type: research

Practical guide for using methadone in pain and palliative care practice
Gayatri Palat, Srini CharyIndian Journal of Palliative Care 2018 24(5):21-29Since the 2014 Amendment to the NDPS Act methadone has been released in India for pain management. The methadone is supplied as racemic mixture with R & S methadone with benefit in pain management and associated adverse effects. Physicians need to be aware of adverse effects so that methadone can be administered safely. Similarly, patients and families need to store and use methadone carefully and experience the benefits and not increase the risk of further morbidity. Considerable amount of literature on methadone is available and sometimes con...
Source: Indian Journal of Palliative Care - January 16, 2018 Category: Palliative Care Authors: Gayatri Palat Srini Chary Source Type: research

When to use methadone for pain: A case-based approach
Gayatri Palat, Nandini Vallath, Srini Chary, Ann BroderickIndian Journal of Palliative Care 2018 24(5):15-20The case studies are written in this article to illustrate how methadone might be used for pain in the Indian context. These cases might be used for discussion in a multidisciplinary team, or for individual study. It is important to understand that pain requires a multidisciplinary approach as opioids will assist only with physical, i.e. neuropathic and nociceptive pain, but not emotional, spiritual, or relational pain or the pain of immobility. The social determinants of pain were included to demonstrate how emotion...
Source: Indian Journal of Palliative Care - January 16, 2018 Category: Palliative Care Authors: Gayatri Palat Nandini Vallath Srini Chary Ann Broderick Source Type: research

Practical pharmacology of methadone: A long-acting opioid
MM Sunilkumar, Kashelle LockmanIndian Journal of Palliative Care 2018 24(5):10-14Methadone is a naturally long-acting analgesic with unique pharmacodynamic and pharmacokinetic properties compared to other opioids, available now in India, to treat severe pain. It has the potential to dramatically relieve suffering among patients with serious illness who are living with persistent physical pain. However, clinicians must appreciate its unique pharmacologic properties and its use in clinical practice safely and effectively. The available formulation in India is a racemic mixture of the S- and R-enantiomers, and as such, it wil...
Source: Indian Journal of Palliative Care - January 16, 2018 Category: Palliative Care Authors: MM Sunilkumar Kashelle Lockman Source Type: research

Methadone for pain management: Past, present and future
Srini CharyIndian Journal of Palliative Care 2018 24(5):6-9Methadone for pain management in this article describes briefly pain, methadone as a Level 3 World Health Organization ladder opioid in the context of India and rest of the world, as well as the relationship to past, present, and future possibilities of pain management. Acute pain is proportional to the injury most of the times, and such proportionality may not exist in chronic pain. Pain management over decades has changed because of knowledge and availability of molecules and compounds to reduce chronic pain. Naturally occurring opioids from “poppy” s...
Source: Indian Journal of Palliative Care - January 16, 2018 Category: Palliative Care Authors: Srini Chary Source Type: research

Safe use of methadone for cancer pain using & #8220;Opioid circle of safety & #8221;
Sushma BhatnagarIndian Journal of Palliative Care 2018 24(5):4-5 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 16, 2018 Category: Palliative Care Authors: Sushma Bhatnagar Source Type: research

Methadone is now available in India: Is the long battle over ?
Conclusions: Two steps are suggested. Firstly, the palliative care community in India must launch an educational program on methadone freely available to all potential prescribers of this medicine. Secondly, we must advocate with drug controllers of states and union territories for making methadone available only through recognized medical institutions and for ensuring that indiscriminate sale through pharmacies is avoided. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 16, 2018 Category: Palliative Care Authors: MR Rajagopal Source Type: research

Use of analgesics in palliative care patients in Trivandrum rural areas
Indian Journal of Palliative Care 2018 24(1):122-122 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Source Type: research

Volunteers in palliative care: An experience in South Australia
Chandragupta PavaskarIndian Journal of Palliative Care 2018 24(1):119-121 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Chandragupta Pavaskar Source Type: research

Ziconotide: Indications, adverse effects, and limitations in managing refractory chronic pain
Abhijit S Nair, Anne Poornachand, Praveen Kumar KodisharapuIndian Journal of Palliative Care 2018 24(1):118-119 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Abhijit S Nair Anne Poornachand Praveen Kumar Kodisharapu Source Type: research

Beware! reduced functional capacity and quality of life with increased fatigue level among the breast cancer survivors undergoing chemotherapy in India
S Ramachandran, Selvaraj Sudhakar, Fousiya Thaslim, S Veena Kirthika, K Padmanabhan, Asir John SamuelIndian Journal of Palliative Care 2018 24(1):117-118 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: S Ramachandran Selvaraj Sudhakar Fousiya Thaslim S Veena Kirthika K Padmanabhan Asir John Samuel Source Type: research

Intravenous lignocaine infusion for intractable pain in Ewing & #39;s sarcoma
Nivedita PageIndian Journal of Palliative Care 2018 24(1):115-116A 23-year-old female presented to our palliative care center with Ewing's sarcoma of the humerus with lung metastases. Pain in her arm was unrelieved by nonsteroidal anti-inflammatory drugs, neuropathic medication as well as morphine. She could not tolerate any further increase in opioid dose but was so distraught due to the pain that she wanted to die. An intravenous lignocaine infusion in a dose of 2 mg/kg was given over an hour for three successive days. This successfully relieved her pain after which she was settled with her original medication. We fe...
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Nivedita Page Source Type: research

Ultrasound-Guided real-time pterygopalatine block for analgesia in an oral cancer patient
We describe a case of oral carcinoma successfully managed with ultrasound-guided pterygopalatine block. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Nishkarsh Gupta Rohini Dattatri Sachidanand Jee Bharati Sushma Bhatnagar Source Type: research

Quality of Life of patients with chronic kidney disease in Iran: Systematic Review and Meta-analysis
Conclusion: The mean score of quality of life of patients with CKD was lower in different dimensions in comparison with that of normal people. Therefore, interventional measures should be taken to improve the quality of life of these patients in all dimensions. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Bahareh Ghiasi Diana Sarokhani Ali Hasanpour Dehkordi Kourosh Sayehmiri Mohammad Hossein Heidari Source Type: research

Empowering nurses in providing palliative care to cancer patients: Action research study
Conclusions: To facilitate the process of providing palliative care to cancer patients, necessary actions and measures must be conducted including improvement of interaction between the members of health team, organizing continuing educational courses on palliative care and development of providing palliative care all over the country by managers of health centers. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Fariba Taleghani Mohsen Shahriari Nasrollah Alimohammadi Source Type: research

Aspiring pain practitioners in India: Assessing challenges and building opportunities
Conclusion: India needs a structured teaching and training program in the area of pain medicine that is affiliated by the Medical Council of India or other reputed boards of medical education and certification. There is an urgent need to include pain management in the undergraduate and postgraduate medical curriculum. Enhancing community level awareness by public health education campaigns, developing networks of pain physicians, and appropriate marketing of the specialty is needed to make pain medicine recognized and utilized as a valuable specialty. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Sushma Bhatnagar Anuradha Patel Srinivasa N Raja Source Type: research

Effectiveness of the certificate course in essentials of palliative care program on the knowledge in palliative care among the participants: A cross-sectional interventional study
Conclusion: The CCEPC is an effective program and improving the knowledge level about palliative care among the participants. The participants should implement this knowledge and the skills in their day-to-day practice to improve the quality of life of patients. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Sushma Bhatnagar Anuradha Patel Source Type: research

Anxiety and depression: A cross-sectional survey among parents of children with cancer
Conclusions: Parents of children with cancer experienced high levels of anxiety and depression. Effective interventions are essential to improve the mental health of parents of children with cancer. These interventions may include mental health screening, psychological counseling, and training programs to cope with the problems caused by the child's disease. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Azad Rahmani Arman Azadi Vahid Pakpour Safieh Faghani Ebrahim Ali Afsari Source Type: research

& #34;Personified as paragon of suffering...... Optimistic being of achieving normalcy: & #34; A conceptual model derived from qualitative research
Conclusion: The conceptual model developed with the phenomenological approach is very specific to the women suffering from HNC, which will be contributing to develop strategies to improve the QOL of women. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Shalini G Nayak Mamatha Shivananda Pai Linu Sara George Source Type: research

Assessment of psychological distress and its effect on quality of life and social functioning in cancer patients
Conclusion: Psychosocial stress associated with cancer and its treatment can impact the QOL and social functioning of the patient and needs to be addressed along with the cancer-directed therapy. Decreasing the symptom burden and distress level by palliative care intervention might improve the QOL and social function. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Gunaseelan Karunanithi Rapole Pragna Sagar Aswin Joy Parthasarathy Vedasoundaram Source Type: research

Validation of malayalam version of national comprehensive cancer network distress thermometer and its feasibility in oncology patients
Conclusion: It can be concluded that the Malayalam validated DT has high face validity, utility, and it is feasible for its use. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: MS Biji Sampada Dessai N Sindhu Sithara Aravind B Satheesan Source Type: research

Benefit or Harm ? A study on impact of collusion on the quality of life among palliative care patients
Conclusion: Collusion is fairly prevalent and it worsens the QOL among cancer patients. Since the main driver for collusion is the strong desire among caregivers to protect the physical and psychological well-being, the findings of the study could motivate the caregiver for a more open and honest communication. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Anju Victor Carolin Elizabeth George Leeberk Raja Inbaraj Gift Norman Source Type: research

Intranasal ketamine for the management of incidental pain during wound dressing in cancer patients: A pilot study
Conclusion: Ketamine appears to be a safe and effective analgesic when used intranasally for incidental pain. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Nivedita Page Vivek Nirabhawane Source Type: research

Palliative care policy analysis in Iran: A conceptual model
Conclusion: In the past 6 years, attention to palliative care has increased significantly as a result of the National Cancer Research Network with the support of the Ministry of Health. The success of health system plan requires great attention to its aspects of social, political, and executive feasibility. Careful management by policymakers of different stakeholders is vital to ensure support for any national plan, but this is challenging to achieve. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Mojgan Ansari Maryam Rassouli Mohhamad Esmaiel Akbari Abbas Abbaszadeh Ali Akbarisari Source Type: research

Prevalence and intensity of dyspnea in advanced cancer and its impact on quality of life
Conclusions: The prevalence of dyspnea in advanced cancer patients is as high as 44.37% and has a negative impact on their overall quality of life. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Anuja Damani Arunangshu Ghoshal Naveen Salins Jayita Deodhar MaryAnn Muckaden Source Type: research

Hypnotic intervention for unexplained dizziness in patients with advanced cancer: A preliminary retrospective observation study
Conclusions: The rapid improvement in dizziness in the hypnotic group was considered to result from a change in patients' awareness of self-manageable neck muscle hypertonicity as the cause of dizziness. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Hideaki Hasuo Kenji Kanbara Mikihiko Fukunaga Naoko Yunoki Source Type: research

Prevalence and severity of sleep disturbances among patients with early breast cancer
Conclusions: Patients with nonmetastatic breast cancer experience an increase in sleep disturbances during the treatment phase. Physicians should be aware of the need to routinely screen for sleep disturbance in breast cancer patients undergoing chemotherapy. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Rami Fakih Mahmoud Rahal Lara Hilal Lana Hamieh Mohammed Dany Simone Karam Latifa Shehab Nagi S El Saghir Arafat Tfayli Ziad Salem Hazem Assi Sally Temraz Ali Shamseddine Deborah Mukherji Source Type: research

Comparison of two intervention strategies on prevention of bedsores among the bedridden patients: A quasi experimental community-based trial
Conclusion: Training of caregivers for the prevention of bedsores among the bedridden patients was effective in improving the practices of the caregivers and also in reducing the risk factors of bedsores. One-to-one training with SIM distribution yielded better results than the use of only SIM. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Sukhpal Kaur Amarjeet Singh Manoj K Tewari Tejinder Kaur Source Type: research

Patients with end-stage oncologic and nononcologic disease in emergency service of an Urban Tertiary Hospital
Conclusions: End-stage disease is frequent in readmitted patients to emergency, more of nononcologic kind. These patients use frequently emergency service, with high mortality (more elevated in oncologic). (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Jose P Amado Rolando Vasquez Roberto W Huari Andrea S Sucari Teodoro J Oscanoa Source Type: research

A retrospective study of end-of-life care decisions in the critically Ill in a surgical intensive care unit
Conclusion: 71.7% of patients who passed away in the ICU or within 7 days of discharge from the ICU were managed conservatively. More timely, EOL discussions and better advance care planning may be needed to improve our patient care for patients on conservative management. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Yi Lin Lee Yee Yian Ong Sze Ying Thong Shin Yi Ng Source Type: research

Commentary
Abhijit DamIndian Journal of Palliative Care 2018 24(1):15-16 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Abhijit Dam Source Type: research

Is every life worth saving: Does religion and religious beliefs influence paramedic & #39;s end-of-life decision-making ? A prospective questionnaire-based investigation
Conclusions: The paramedic's religiosity is not the prime factor in his/her decision-making regarding resuscitation. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Alexander Leibold Christoph L Lassen Nicole Lindenberg Bernhard M Graf Christoph HR Wiese Source Type: research

Rural palliative care in North India: Rapid evaluation of a program using a realist mixed method approach
Conclusions: Excellent palliative care appropriate for rural north India is delivered through the EHA model. It could be extended to other similar sites. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Daniel F Munday Erna Haraldsdottir Manju Manak Ann Thyle Cathy M Ratcliff Source Type: research

Reflective practice in palliative care
Naveen SalinsIndian Journal of Palliative Care 2018 24(1):1-2 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - January 15, 2018 Category: Palliative Care Authors: Naveen Salins Source Type: research

Effect of aerobic exercise on cancer-related fatigue
Conclusion: Aerobic exercise for 6 weeks has beneficial effects on cancer-related fatigue in patients with solid tumor after chemotherapy and/or radiotherapy. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Jaivika Govindbhai Patel Anjali R Bhise Source Type: research

Reversal of opioid-induced toxicity
This article presents a case report of 61-year-old female, a case of advanced pancreatic cancer, progressed on disease-modifying treatments and referred to palliative care for best supportive care. She developed features of morphine toxicity that was promptly identified and managed with use of naloxone and other supportive measures. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Shrenik P Ostwal Naveen Salins Jayita Deodhar Source Type: research

Chronic cancer pain: Diagnostic dilemma and management challenges
Deepti Ahuja, Sachidanand Jee Bharati, Seema Mishra, Sushma BhatnagarIndian Journal of Palliative Care 2017 23(4):480-483A 32-year-old female, diagnosed case of neuroendocrine tumor of pancreas, was admitted to the pain and palliative care unit with complaints of diffuse abdominal pain which was severe in intensity with score on numerical rating scale-9/10. Pain was not relieved even after taking tablet morphine immediate release 360 mg every 4 hourly, paracetamol 500 mg 6 hourly, and gabapentin 300 mg 8 hourly. She had undergone distal pancreatectomy with splenectomy and also received multiple lines of chemotherapy. After...
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Deepti Ahuja Sachidanand Jee Bharati Seema Mishra Sushma Bhatnagar Source Type: research

Complementary therapies for symptom management in cancer patients
Aanchal Satija, Sushma BhatnagarIndian Journal of Palliative Care 2017 23(4):468-479Cancer patients are often poly-symptomatic which distressingly affects their quality of lives (QOLs). Alhough, conventional management provides adequate symptom control, yet is coupled with some limitations. Complementary therapies (CTs) have shown beneficial effects in cancer patients for symptomatic relief. The aim of this article is to provide evidence-based review of commonly used CTs for symptom management in cancer care. Hypnosis has promising evidence to be used for managing symptoms such as pain, chemotherapy-induced nausea/vomiting...
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Aanchal Satija Sushma Bhatnagar Source Type: research

Translational research in oncology: Implications for palliative care
In conclusion, TR seems to be driven by a changed relationship between science and society. “Translation” has become important because society is thought to deserve a tangible return in terms of health and quality of life on its investment in basic biomedical science. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Arunangshu Ghoshal Source Type: research

Economics of palliative and end-of-life care in India: A concept paper
Arunangshu Ghoshal, Anuja Damani, Naveen Salins, Jayita Deodhar, MA MuckadenIndian Journal of Palliative Care 2017 23(4):456-461Only a few studies have assessed the economic outcomes of palliative care in India. The major areas of interest include hospice care, the process and structure of care, symptom management, and palliative chemotherapy compared to best supportive care. At present, there is no definite health-care system followed in India. Medical bankruptcy is common. In situations where patients bear most of the costs, medical decision-making might have significant implications on economics of health care. Game the...
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Arunangshu Ghoshal Anuja Damani Naveen Salins Jayita Deodhar MA Muckaden Source Type: research

Profile of patients opting for palliative care in India
Conclusions: The profile of patients registered at this center validates certain assumptions while debunking others. It is hoped that this profile gives some guidance to those desirous of setting up palliative care services. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Prince John Ravindra B Ghooi Source Type: research

Quality of life among cancer patients
Conclusion: Cancer patients experienced many symptoms that affected their QOL. There is a need to develop interventions for effective management of symptoms that will empower the patients to have a greater sense of control over their illness and treatment and to improve the QOL. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Malathi G Nayak Anice George MS Vidyasagar Stanley Mathew Sudhakar Nayak Baby S Nayak YN Shashidhara Asha Kamath Source Type: research

Spiritual needs and quality of life of patients with cancer
Conclusion: The results of the present study suggest that information about the relationship between spiritual needs and QoL in patients with cancer. It should be improve QoL to meet spiritual need of these patients. In addition, the continuous and in-service education of cancer patients and nurses who work with them can be helpful in this area. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Mansooreh Azizzadeh Forouzi Batool Tirgari Mohammad Hossein Safarizadeh Yunes Jahani Source Type: research

The effect of aromatherapy with the essential oil of orange on pain and vital signs of patients with fractured limbs admitted to the emergency ward: A randomized clinical trial
Conclusion: Aromatherapy with orange oil can relieve pain in patients with fractured limbs but has no effect on their vital signs. Therefore, aromatherapy with orange oil can be used as a complementary medicine in these patients. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Davood Hekmatpou Yasaman Pourandish Pouran Varvani Farahani Ramin Parvizrad Source Type: research

Evaluation of community-based palliative care services: Perspectives from various stakeholders
Conclusions: This review revealed the concerns of various stakeholders. There is a need for more interprofessional collaborations, where team members understand each other's roles for effective teamwork, as evident from the framework analysis. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Venugopal Vinayagamoorthy Elayaperumal Suguna Amol R Dongre Source Type: research

The psychometric properties and factor structure of persian version of edmonton symptom assessment scale in cancer patients
Conclusions: This study showed that Persian version of ESAS with same factor structure mentioned in the original version is an applicable tool for assessing objective and subjective symptoms in Iranian patients with cancer. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Younes Khalili-Parapary Mehdi Heidarzadeh Naser Mozaffari Parisa Naseri Source Type: research

Symptom prevalence in patients with advanced, incurable illness in Bangladesh
Conclusions: This study reveals the significant burden of symptoms, and the associated suffering for patients living with incurable illness, in a developing country. Very few patients received strong opioids, despite frequently having severe pain. Frequently, the treatments that patients received did not alleviate their symptoms. Palliative care is vital for the relief of suffering for patients with advanced and incurable diseases, especially in low- and middle-income countries where access to curative treatments may be limited and patients often present to medical personnel when their illness is in an advanced stage or in...
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Megan Doherty Farzana Khan Fazle Noor Biswas Marufa Khanom Rubayat Rahman Mohammad Munirul Islam Tanvir Farhana Akter Mridul Sarker Nezamuddin Ahmad Source Type: research

Referral patterns of gynecological cancer patients to a palliative medicine unit: A 2 years retrospective analysis
Conclusion: Considering the high symptom burden among advanced gynecological cancer patients it becomes imperative that patients receive adequate screening for symptoms and appropriate palliative care referral be offered to ensure overall well-being of the patients. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Shrikant Atreya Source Type: research

Estimation of need for palliative care among noncancer patients attending a tertiary care hospital
Conclusion: This study highlights the need for incorporation and initiation of palliative care services in other non-cancer specialties in tertiary care hospitals to ensure holistic management of such cases. Counseling service has also to be rendered as part of palliative care since a good share of the patients had psychological and emotional issues. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Parvathy Prasad Sonali Sarkar Biswajit Dubashi S Adinarayanan Source Type: research

Effect of supportive psychotherapy on mental health status and quality of life of female cancer patients receiving chemotherapy for recurrent disease
Conclusions: Supportive psychotherapy helps to reduce the level of anxiety, depression, and increase the QOL. Therefore, psychotherapeutic intervention should be encouraged along with chemotherapy to promote positive mental health and to obtain full benefit of their physical treatment. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 6, 2017 Category: Palliative Care Authors: Anindita Mukherjee Koustav Mazumder Vikrant Kaushal Sushmita Ghoshal Source Type: research