Feasibility of chronotherapy for preventing delirium in patients with cancer: An idea for future clinical trials
Leila RadrazmIndian Journal of Palliative Care 2018 24(4):547-548 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Leila Radrazm Source Type: research

Lofexidine for treating opioid withdrawal syndrome in palliative care patients
Abhijit S NairIndian Journal of Palliative Care 2018 24(4):546-547 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Abhijit S Nair Source Type: research

Magic word & #8220;palliative: & #8221; an end to cure but no end to care
Mranalini VermaIndian Journal of Palliative Care 2018 24(4):545-546 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Mranalini Verma Source Type: research

Does palliative sedation produce an ethical resolution to avoid the demand for euthanasia in a Muslim Country ?
Ercan AvciIndian Journal of Palliative Care 2018 24(4):537-544One of the major purposes of palliative sedation is to reduce demand for euthanasia. The present paper analyzes a grievous case which demonstrates the killing of a 23-year-old son by his father due to the son's unbearable pain resulting from metastatic colorectal cancer. The article aimed to elaborate the case to figure out whether palliative sedation can be an alternative to euthanasia in a Muslim country. Nevertheless, the analysis of these two end-of-life issues revealed that the limitation of palliative sedation to an expected lifespan of less than 2 wee...
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Ercan Avci Source Type: research

Purple urine bag syndrome: A scary but easily manageable condition in a patient with prolonged indwelling urinary catheter
Dinesh Kumar, Namrata Donga, Rekha MacwanIndian Journal of Palliative Care 2018 24(4):534-536“Purple urine bag syndrome” (PUBS) is a rare but distressing presentation of urinary tract infection (UTI) among moribund patients on indwelling urinary catheter. A 56-year-old woman with carcinoma of the left breast and metastasis in vertebrae and liver was bed ridden. She was on Foley's catheter for 9 months, with the last catheter changed 3 weeks back. A 75-year-old woman presented with non-Hodgkin's lymphoma for 2 years and moderately differentiated squamous cell carcinoma of the right parotid region (8 mont...
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Dinesh Kumar Namrata Donga Rekha Macwan Source Type: research

Telerehabilitation for chronic obstructive pulmonary disease patients: An underrecognized management in tertiary care
Kalyana Chakravarthy Bairapareddy, Baskaran Chandrasekaran, Umang AgarwalIndian Journal of Palliative Care 2018 24(4):529-533Pulmonary rehabilitation (PR) is proved to be best supportive management in chronic obstructive pulmonary disease (COPD) individuals. The literature claims the reduction of dyspnea, fatigue, exacerbations, and improved functional capacity and quality of life. Home-based PR is being prescribed widely than hospital-based rehab due to be less cost and ease of caregiver burden, but efficacy is usually questioned. The poor efficacy may be probably due to recurrent exacerbation and poor quality of life eve...
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Kalyana Chakravarthy Bairapareddy Baskaran Chandrasekaran Umang Agarwal Source Type: research

Effectiveness of the MELD/Na score and the Child & #8211;Pugh score for the identification of palliative care needs in patients with cirrhosis of the liver
Conclusions: The Child–Pugh score and the MELD/Na score represent a viable and easy-to-use tool to identify patients in need of palliative care, among those with liver cirrhosis. Early identification, timely evaluation, and effective treatment of physical, spiritual, family, and social problems improve the quality of life of people with incurable diseases and their families. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Juan Carlos Perdomo Puentes Hirondina Rocha Sara Nicolau Gon & #231;alo Ferr & #227;o Source Type: research

Who can provide spiritual counseling ? A qualitative study from Iran
Conclusions: The present study has answered to the most basic questions in SC scope. Since spiritual services are rooted in our culture and religion, native guidelines should be created for them as soon as possible through conducting similar qualitative researches. Furthermore, it is worth considering teaching and training case in this scope to make spiritual service providers concern about solutions to promote these services. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Elahe Farshadnia Nadereh Memaryan Ali Asghar Asgharnejad Farid Jafar Bolhari Source Type: research

Initial perceptions about palliative care in patients with advanced cancer: A prospective cross-sectional audit
Conclusions: The main problem identified in the audit was the inadequate information, lack of PC setups, and late referral of the patients to PC. Hence, we should make a model where PC services are integrated with the curative services and offered throughout the illness after cancer diagnosis. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Nishkarsh Gupta Vinod Kumar Rakesh Garg Sachidanand Jee Bharati Seema Mishra Sushma Bhatnagar Source Type: research

Decubitus ulcer development: An investigation on its effect and evidence in home care patients
Conclusion: It is obvious that decreased inability of independent mobility in DLA increase the risk for malnutrition and consequently two assessments show a negative impact on psychology of the patient. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Sevgi Seyhan Source Type: research

A comparative study of transdermal buprenorphine and oral morphine in the treatment of chronic pain of malignant origin
Conclusions: TD Buprenorphine had similar efficacy with oral morphine, with better toxicity profile and better compliance. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Kakali Choudhury Partha Dasgupta Nishana Paul Krishnangshu Bhajna Choudhury Bodhisatta Roy Shampa Maity Source Type: research

An observational study to assess the socioeconomic status and demographic profile of advanced cancer patients receiving palliative care in a tertiary-level cancer hospital of Eastern India
Conclusion: It was observed that majority of patients and their family were constrained with regards to financial resources and large percentage of patients had social insecurity with respect to future of family members. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Gaurav Kumar Nibedita Panda Rakesh Roy Gautam Bhattacharjee Source Type: research

Coping styles and life satisfaction in palliative care
Conclusion: Problem-focused coping (religious coping and acceptance) was found to be more effective than other methods. Patients in palliative care could be instructed for the use of problem-focused coping. Such training might enhance their life satisfaction, helping them experience greater control over the course of illness. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Rajat Garg Vinay Chauhan B Sabreen Source Type: research

Dedication in caring of hemodialysis patients: Perspectives and experiences of Iranian family caregivers
Conclusion: Caretaking of the hemodialysis patients is constantly accompanied with challenges and concerns regarding the effective care for patients. Health-care providers need to address these concerns based on both patient- and caregiver-focused approaches, rather than only patient focused, to the design and planning for helping the patients and their caregivers. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Ahmad Ali Eslami Leili Rabiei Majid Shirani Reza Masoudi Source Type: research

Comparative impact of nonpharmacological interventions on pain of knee osteoarthritis patients reporting at a tertiary care institution: A randomized controlled trial
Conclusion: Both packages of NPIs were effective in providing relief in symptoms. No specific benefit of KBA or meditation was seen except for 50FWT. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Meenakshi Sharma Amarjeet Singh Mandeep Singh Dhillon Sukhpal Kaur Source Type: research

The prevalence of chronic pain among adults in India
Conclusion: This Indian adults' population survey about CP found a higher prevalence of CP as compared to other Asian pain prevalence studies; however, the impact of pain was just as significant. In a rapidly aging population, CP is emerging as a significant healthcare problem which may likely to exert an increasing toll on the existing social infrastructure within the next two decades. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Ashok Kumar Saxena Parmanand N Jain Sushma Bhatnagar Source Type: research

How & #8220;elderly staying alone & #8221; cope up with their age and deteriorating health: A qualitative exploration from rural Wardha, Central India
Conclusion: There is no social structure that can take care of this vulnerable group of elderlies in rural India. It is high time for the government to step in to bring some societal and familial reforms that will safeguard the elderly staying alone from the ongoing familial, social, and financial hardship. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Sourav Goswami Pradeep R Deshmukh Source Type: research

Management of malignant wound myiasis with ivermectin, albendazole, and clindamycin (triple therapy) in advanced head-and-neck cancer patients: A prospective observational study
Conclusion: Systemic treatment with Ivermectin, Albendazole and Clindamycin (Triple Therapy) enhances the removal of maggots, early recovery and relief from distress and associated symptoms. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Bhavna C Patel Shrenik Ostwal Priti R Sanghavi Geeta Joshi Richa Singh Source Type: research

A comparison of symptom management for children with cancer in Iran and in the selected countries: A comparative study
Conclusion: Children with cancer experience irritating symptoms during their lives and while they are hospitalized. Regarding the fact that symptom management in developed countries is carried out based on specific and documented guidelines, using the experiences of these successful countries and applying them as an operational model can be useful for developing countries such as Iran. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Maryam Pakseresht Shahram Baraz Maryam Rassouli Nahid Rejeh Shahnaz Rostami Leila Khanali Mojen Source Type: research

Early competing deaths in locally advanced head-and-neck cancer
Conclusion: Competing deaths is one of the multifaceted problems in locally advanced head-and-neck cancer patients. Sepsis being single most cause of early competing deaths in Stage IVA/IVB pharyngeal and laryngeal cancer. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Sandeep Muzumder S Nirmala HU Avinash Prashanth Bhat Kainthaje MG John Sebastian John Michael Raj Source Type: research

The development of the community-based palliative care model in a district health system, Phitsanulok Province, Thailand
Conclusions: A community-based PC model should be monitored by district health managment. The methods of this study are expected to be useful advice on how to solve similar problems in the other regions of similar context. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Nithra Kitreerawutiwong Sunsanee Mekrungrengwong Orawan Keeratisiroj Source Type: research

End-of-life care: Beliefs, attitudes, and experiences of Iranian physicians
Conclusion: Physicians of our study were interested to participating in continuing education programs focused on EOL patients. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Hossein Jabbari Reza Piri Fariba Bakhshian Babak Mohit Mohammad Naghavi-Behzad Sahar Mohammadi Nasim Mahmoudzadeh Source Type: research

Impact of different sociodemographic factors on mental health status of female cancer patients receiving chemotherapy for recurrent disease
Conclusions: Early detection of psychosocial variables is essential for better screening of the cancer patients undergoing chemotherapy, and therefore, further psychological intervention can be planned accordingly. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Anindita Mukherjee Koustav Mazumder Sushmita Ghoshal Source Type: research

Impact of educational training in improving skills, practice, attitude, and knowledge of healthcare workers in pediatric palliative care: Children & #39;s palliative care project in the Indian state of Maharashtra
Conclusion: The study gives a rough idea of the prevailing practice of pediatric palliative care among the health-care workers (who participated in the survey) and suggests practical ways to improve it. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Arunangshu Ghoshal Pradnya Talawadekar Anil Palleri Joan Marston MaryAnn Muckaden Source Type: research

Validation of the caregiving knowledge questionnaire-my: Measuring knowledge regarding positioning and feeding among Malaysian informal caregivers of stroke patients
Conclusions: CKQ-My has good internal consistency and construct validity for the subscales measuring stroke caregivers' knowledge about positioning and feeding of stroke patients. It has potential as an assessment of effectiveness of caregiver training and for future studies on long-term stroke outcomes in Malaysia. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Chai-Eng Tan Aznida F Abdul Aziz May-Yin Hi Nur Sarah A Azmi Nur Khairina Ishak Fathin Alyaa Mohamad Farid Mohammad Nazri Zulkafli Source Type: research

End-of-life care and social security issues among geriatric people attending a tertiary care hospital of Eastern India
Conclusion: Home-based care of the elderly is needed so that they can live their last days of life peacefully. Awareness about health and life insurance should be increased by urgent intervention. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Subraham Pany Lipilekha Patnaik E Venkata Rao Sumitra Pattanaik Trilochan Sahu Source Type: research

Cluster analysis of symptoms of Bangladeshi women with breast cancer
Conclusion: Knowledge obtained from this study could be beneficial for better understanding, assessment, and management of symptom clusters in women with BC. It may also help patients to plan ahead for them to seek management of concurrent symptoms to improve their quality of life. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Farzana Khan Nezamuddin Ahmad Fazle Noor Biswas Source Type: research

Identifying people in need of palliative care services in rural Tamil Nadu: A survey
Conclusion: The need for palliative care services among elderly people was found to be high. This data can be used for planning and implementing community-based palliative care services for the people in our field practice areas. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Suguna Elayaperumal Vinayagamoorthy Venugopal Amol R Dongre Source Type: research

Clear, simple, precise, meaningful: A quick guide to writing for publication
Catherine WalsheIndian Journal of Palliative Care 2018 24(4):391-392 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - October 15, 2018 Category: Palliative Care Authors: Catherine Walshe Source Type: research

An internal medicine residents & #39; perspective on end-of-life discussions
Pradhum Ram, Benjamin Horn, Arthur SiegelIndian Journal of Palliative Care 2018 24(3):388-389 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Pradhum Ram Benjamin Horn Arthur Siegel Source Type: research

Could art therapy reduce the death anxiety of patients with advanced cancer ? An interesting question that deserves to be investigated
Hamed MortazaviIndian Journal of Palliative Care 2018 24(3):387-388 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Hamed Mortazavi Source Type: research

Palliative dermatology
NA Bishurul Hafi, NA UvaisIndian Journal of Palliative Care 2018 24(3):385-386 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: NA Bishurul Hafi NA Uvais Source Type: research

Tanezumab: Finally a monoclonal antibody for pain relief
Abhijit S NairIndian Journal of Palliative Care 2018 24(3):384-385 (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Abhijit S Nair Source Type: research

Are we missing out on something ?
Astha Koolwal Kapoor, Sushma BhatnagarIndian Journal of Palliative Care 2018 24(3):381-383Suicide 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 agita...
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Astha Koolwal Kapoor Sushma Bhatnagar Source Type: research

Massive lymphedema necessitating disarticulation of shoulder joint following treatment for carcinoma breast
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 l...
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: B Manju Cherian Koshy Sibi M Ismail O Rajasree Rachel C Koshy Source Type: research

Bradycardia with syncope in carotid sinus syndrome: A rare case report in palliative care
Arunangshu Ghoshal, Shamali Poojary, Anuja Damani, Naveen S Salins, Jayita K Deodhar, Maryann MuckadenIndian Journal of Palliative Care 2018 24(3):375-377Emergencies 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 resu...
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Arunangshu Ghoshal Shamali Poojary Anuja Damani Naveen S Salins Jayita K Deodhar Maryann Muckaden Source Type: research

Olanzapine in the treatment of refractory nausea and vomiting in palliative care settings
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. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Nishkarsh Gupta Sidharth Puri Vinod Kumar Rakesh Garg Sachidanand Jee Bharati Seema Mishra Sushma Bhatnagar Source Type: research

Radiation-Induced neuropsychiatric manifestations in a patient with brain metastasis: A diagnostic and therapeutic challenges for consultation-liaison psychiatrist
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. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Kumari Padma Sagar Nanaware Nikhil Pande Ramdas Ransing Krishnaji Kulkarni Source Type: research

Asymptomatic cardiac metastasis in a diagnosed case of squamous cell carcinoma of the middle third of esophagus
HS Sachin, Preethi Shetty, CS Pramesh, Sarbani Ghosh LaskarIndian Journal of Palliative Care 2018 24(3):365-368A 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-...
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: HS Sachin Preethi Shetty CS Pramesh Sarbani Ghosh Laskar Source Type: research

Organ donation in pediatric patients with severe anoxic brain injury
Ratna Basak, Shirley Louis, Nan Shin, Michael Sherman, Ilana Harwayne-GidanskyIndian Journal of Palliative Care 2018 24(3):362-364Anoxic 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 arriv...
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Ratna Basak Shirley Louis Nan Shin Michael Sherman Ilana Harwayne-Gidansky Source Type: research

Palliative mastectomy revisited
Digpal V Dharkar, Sonia MosesIndian Journal of Palliative Care 2018 24(3):359-361Couple 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.e. the tumor base. Surgeo...
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Digpal V Dharkar Sonia Moses Source Type: research

Utilizing Yoga in oncologic patients treated with radiotherapy: Review
Conclusions: This systematic review of randomized controlled trials showed that yoga has strong beneficial effects on oncologic patients' quality of life. Results of the current review must be interpreted with caution due to the relative small sample sizes of most of the included studies, while a prospective randomized study stands in need for the confirmation of our results. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: 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 Source Type: research

The PEP project - Synergistic community based action in prevention, early detection and palliative care, to impact the cancer burden in India
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. It suggests aligning and enhancing the workforce already active within the community for PC, for screening, and if feasible, for early detection of common cancers. The article describes possibilities of initiating PEP activities and offers a set of screening questionnaire that may be used when engaged with family/ community setting. The aim is to integr...
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Roopa Hariprasad Gayatri Palat Ravi Mehrotra Nandini Vallath Source Type: research

Unmet needs for palliation in fibrotic interstitial lung disease
Sumeet Vimal Kishore Singhania, Shriram Sudhakar ShenoyIndian Journal of Palliative Care 2018 24(3):345-348Chronic 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...
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Sumeet Vimal Kishore Singhania Shriram Sudhakar Shenoy Source Type: research

End-of-life decision-making for people in a minimally conscious state: A review of the application of the mental capacity act 2005
This article provides an overview of key MCA sections applied in such end-of-life MCS cases and reviews seminal cases elucidating how the Act has been applied. It further describes the evolution of how courts have interpreted the doctrine of best interests when considering withholding or withdrawing CANH and other life-sustaining treatments. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Martin Curtice Jessica Two Jonathan Packer Source Type: research

Quality of life and neuropathic pain in hospitalized cancer patients: A comparative analysis of patients in palliative care wards versus those in general wards
Conclusions: Since there was a homogeneous distribution among the groups in terms of both cancer treatment and pain management, we directly related the deterioration of the patients' quality of life to NP. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Sungur Ulas Sibel Eyigor Ismail Caramat Source Type: research

Perspectives of glioblastoma patients on death and dying: A qualitative study
Conclusion: Psychosocial interventions on early death preparation programs are recommended for GBM patients in the in-patient care. Yet, it should be handled carefully and sensitively, otherwise, it creates more psychological and emotional harm than the illness per se. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Birudu Raju N Krishna Reddy Source Type: research

Stress, coping, and lived experiences among caregivers of cancer patients on palliative care: A mixed method research
Conclusion: Palliative caregiving is stressfull, challenging and can impact the caregiver's physical, emotional, psychological, and social well-being. Understanding lived experiences of caregivers of cancer patients on palliative care is important for the health professionals to improve the support, guidance, and education given to the caregivers of cancer patients on palliative care. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Lovely Antony Linu Sara George Tessy Treesa Jose Source Type: research

Palliation of brain metastases: Analysis of prognostic factors affecting overall survival
Conclusions: WBRT remains the cornerstone of the management of brain metastases. The present study concludes that the survival of patients with brain metastases is significantly improved with female gender, good PS, primary breast cancer, time lag of>6 months between diagnosis of the primary tumor and development of brain metastases, solitary lesion, and controlled primary tumor. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Kartick Rastogi Sandeep Bhaskar Shivani Gupta Sandeep Jain Daleep Singh Pawan Kumar Source Type: research

Caregivers & #39; difficulty rating scale: Development and initial validation of a tool to identify the unmet needs of Indian caregivers
Conclusion: CDRS had fifty items under four dimensions – physical, emotional, social, and financial. The scale requires further work on convergent and divergent validity and sensitivity to change which are underway. The study has implications for respite care. Community engagements and caregivers' support group may work as sources of emotional and social support. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - July 16, 2018 Category: Palliative Care Authors: Tushti Bhardwaj Source Type: research