Rendezvous of cancer patients with logistic and socioeconomic challenges during COVID-19 pandemic: A case series
Raghav Gupta, Riniki Sarma, Seema Mishra, Sushma BhatnagarIndian Journal of Palliative Care 2020 26(5):156-159 The coronavirus disease 2019 pandemic has shaken the health-care infrastructure worldwide and has led to enormous challenges for cancer patients. They are suffering on various fronts during this pandemic, especially the often overlooked ones such as logistic and socioeconomic. Through the case series, we have highlighted the various components of these challenges the cancer patients are facing and tried to emphasize that the health-care setups and government along with nongovernmental organizations have to come o...
Source: Indian Journal of Palliative Care - June 29, 2020 Category: Palliative Care Authors: Raghav Gupta Riniki Sarma Seema Mishra Sushma Bhatnagar Source Type: research

Unraveling the role of palliative surgery in the era of COVID-19 pandemic
Raghav Gupta, AR Karthik, Kanika Rustagi, Nishkarsh Gupta, Sandeep Bhoriwal, Vinod Kumar, Rakesh Garg, Seema MishraIndian Journal of Palliative Care 2020 26(5):153-155 Palliative surgery forms an important pillar of palliative treatment to provide holistic care to cancer patients in the form of providing relief from pain, local control of disease, hemorrhage, and for the purpose of rehabilitation. During the COVID-19 pandemic, we report the successful management of two cases of colorectal cancer which came under the category of high priority and underwent palliative surgery to provide relief from pain. (Source: Indian Jou...
Source: Indian Journal of Palliative Care - June 29, 2020 Category: Palliative Care Authors: Raghav Gupta AR Karthik Kanika Rustagi Nishkarsh Gupta Sandeep Bhoriwal Vinod Kumar Rakesh Garg Seema Mishra Source Type: research

Why i can & #39;t breastfeed my new-born baby ? Psychosocial dilemma of a COVID-positive post-LSCS mother
Sanjeev Kumar, Puneet Rathore, Shweta, V Krishnapriya, Nengneivah Haokip, Alice Thankachan, Sushma Bhatnagar, Balbir KumarIndian Journal of Palliative Care 2020 26(5):150-152 A 26-year-old postpartum COVID-positive mother admitted in COVID isolation facility at a tertiary care center in India. Her primary physical concern was suture site pain and concerns related to expressed breast milk discarding. Her psychological concerns include distrust on COVID report, belief of unjust isolation, lack of family support, loneliness, feeling of not breast feeding her baby, fear, anxiety, anger, stress, and depression. She was concern...
Source: Indian Journal of Palliative Care - June 29, 2020 Category: Palliative Care Authors: Sanjeev Kumar Puneet Rathore Shweta V Krishnapriya Nengneivah Haokip Alice Thankachan Sushma Bhatnagar Balbir Kumar Source Type: research

Concerns of a post-chemotherapy/radiotherapy patient of nasopharyngeal carcinoma presenting with sustained COVID-19 infection
Shweta, Saurabh Vig, Puneet Rathore, Sanjeev Kumar, Sushma BhatnagarIndian Journal of Palliative Care 2020 26(5):148-149 A 47-year-old patient was referred from otorhinolaryngologist with a chief complaint of hearing loss to the medical oncology department where he was diagnosed to have nasopharyngeal carcinoma (NPC). The patient was given six cycles of chemotherapy and 35# of radiotherapy. After a week of therapies, he developed a low-grade fever. He was suspected of COVID-19, but the reverse transcription polymerase chain reaction test came out to be negative. He developed urinary retention, and he was planned for supra...
Source: Indian Journal of Palliative Care - June 29, 2020 Category: Palliative Care Authors: Shweta Saurabh Vig Puneet Rathore Sanjeev Kumar Sushma Bhatnagar Source Type: research

Aplastic anemia: Non-COVID casualties in the COVID-19 era
Nita Radhakrishnan, Ravi Shankar, Savitri SinghIndian Journal of Palliative Care 2020 26(5):145-147 With the emergence of COVID-19 pandemic, health care for many non-COVID illnesses has inadvertently slid back. For most patients with life-threatening illnesses, the directive from the Ministry of Health and Family Welfare to continue the treatment for essential health services has come as a relief. However, for certain life-threatening illnesses such as aplastic anemia, the situation has been grim. We discuss the poor outcome of 2 children followed up at our center for aplastic anemia and analyze the reasons for the same. ...
Source: Indian Journal of Palliative Care - June 29, 2020 Category: Palliative Care Authors: Nita Radhakrishnan Ravi Shankar Savitri Singh Source Type: research

Child in institutional quarantine & #8211; A unique challenge
Neha Singh, Nengneivah Haokip, Puneet Rathore, Saurabh Vig, Sushma BhatnagarIndian Journal of Palliative Care 2020 26(5):142-144 COVID-19 pandemic has seen thousands of people all over the world placed under mass quarantine. Although quarantine is a successful public health measure, it has been described as an unpleasant experience. This case report presents the process of institutional quarantine of a 5-year-old boy along with his mother and explores the impact of it on their mental health. It provides an insight about the importance of increasing communication, doing collaborative exercises in addressing the concerns of...
Source: Indian Journal of Palliative Care - June 29, 2020 Category: Palliative Care Authors: Neha Singh Nengneivah Haokip Puneet Rathore Saurabh Vig Sushma Bhatnagar Source Type: research

Palliative care delivery in cancer patients in the era of Covid-19 outbreak: Unique needs, barriers, and tools for solutions
Seema Mishra, Swagata Biswas, Sushma BhatnagarIndian Journal of Palliative Care 2020 26(5):130-141 World is facing a pandemic recently due to the outbreak of COVID-19 infection. Cancer has been identified as one of the major comorbidities which cause more severe disease due to COVID-19 infection. Moreover, there are several resource limitations and restrictions to avail the standard oncological health facilities due to robust measures taken for infection control. In this situation, palliative care in cancer patients deserves special attention. Their symptom management, psychological, social, cultural needs tremendously in...
Source: Indian Journal of Palliative Care - June 29, 2020 Category: Palliative Care Authors: Seema Mishra Swagata Biswas Sushma Bhatnagar Source Type: research

The psychosocial implications on cancer patients: The hidden collateral of the war on coronavirus disease 2019
Devesh Sanjeev Ballal, Seema Gulia, Ashish GuliaIndian Journal of Palliative Care 2020 26(5):126-129 The coronavirus disease 2019 pandemic has evolved into a pandemic of unheard proportions. Given the havoc wreaked by this pathogen worldwide, many countries have adopted an extreme, legally enforced method of social distancing, in the form of a lockdown. Unless appropriate preventive steps are taken, the cost of the pandemic and ensuing lockdown may prove to be irreparable. The evident implications of this lockdown, such as the escalating levels of unemployment, impending economic collapse, and severe food shortage faced b...
Source: Indian Journal of Palliative Care - June 29, 2020 Category: Palliative Care Authors: Devesh Sanjeev Ballal Seema Gulia Ashish Gulia Source Type: research

Palliative care challenges and strategies for the management amid COVID-19 pandemic in India: Perspectives of palliative care nurses, cancer patients, and caregivers
This article is written by interviewing the staff nurses working in the wards/outpatient departments of a reputed palliative care center in Karnataka State, reviewing the recent nurses' blogs, editorial commentaries, WHO guidelines, CDC guidelines, and recent short communications on COVID-19 pandemic. The authors in this article attempted to address the palliative care challenges and strategies for the management during the COVID-19 pandemic in India. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - June 29, 2020 Category: Palliative Care Authors: Radhika R Pai Malathi G Nayak N Sangeetha Source Type: research

Psychosocial aspects of COVID-19 in the context of palliative care & #8211; A quick review
Seema Rajesh Rao, Odette Spruijt, Poornima Sunder, Sunitha Daniel, Rajashree K Chittazhathu, Shoba Nair, Mhoira Leng, Sunil Kumar M M, Biju Raghavan, Athul Joseph Manuel, Vineetha Rijju, Geetha Vijay, Anupama V Prabhu, Uma Parameswaran, Chitra VenkateswaranIndian Journal of Palliative Care 2020 26(5):116-120 In a resource-poor country like India, where the health-care systems are difficult to access, overburdened, and unaffordable to many, the impact of the coronavirus disease 2019 (COVID-19) pandemic can be devastating. The increased burden of serious health-related suffering can impact the well-being of health-care work...
Source: Indian Journal of Palliative Care - June 29, 2020 Category: Palliative Care Authors: Seema Rajesh Rao Odette Spruijt Poornima Sunder Sunitha Daniel Rajashree K Chittazhathu Shoba Nair Mhoira Leng Sunil Kumar M M Biju Raghavan Athul Joseph Manuel Vineetha Rijju Geetha Vijay Anupama V Prabhu Uma Parameswaran Chitra Venkateswaran Source Type: research

Approaches and best practices for managing cancer pain within the constraints of the COVID-19 pandemic in India
This article describes the challenges, approaches to solutions with evidence-based practices that can be utilized to ensure competent management of cancer pain during the COVID-19 pandemic in India. It provides an overview of adapting to telehealth consultations for identification, evaluation and management of cancer pain, safe and rational use of analgesics and adjuvant drugs, recognizing and responding to holistic care needs and addressing the total pain, ensuring continuity of pain management, and strategies when complying with narcotic drug regulations, while ensuring safety of patients and HC providers. (Source: India...
Source: Indian Journal of Palliative Care - June 29, 2020 Category: Palliative Care Authors: Anuja Damani Arunangshu Ghoshal Naveen Salins Sushma Bhatnagar Priti R Sanghavi Vidya Viswanath Shrenik Ostwal Gauraiya Chinchalkar Nandini Vallath Source Type: research

Concerns and coping strategies of persons under institutional quarantine during SARS-CoV-2 pandemic
Conclusion: It highlights that the psychological impact of illness on affected individuals should not be overlooked as it may have the potential to cause major psychiatric morbidity. It also provides a crucial assessment of their coping mechanisms. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - June 29, 2020 Category: Palliative Care Authors: Neha Singh Sanjeev Kumar Puneet Rathore Saurabh Vig Nandini Vallath Anant Mohan Sushma Bhatnagar Source Type: research

CARE: A holistic approach toward patients during pandemic: Through the eyes of a palliative physician
Puneet Rathore, Sanjeev Kumar, Nengneivah Haokip, Brajesh Kumar Ratre, Sushma BhatnagarIndian Journal of Palliative Care 2020 26(5):95-98 Words pandemic and panic, if cannot be used synonymously, can definitely be exchanged metaphorically. Pandemics are outcome of an unanticipated crisis, therefore it is always associated with panic and hence it requires a comprehensive approach to get resolved. On the contrary, during the event of an overwhelming pandemic, due to lack of protocols, the entire health-care system faces crisis and it becomes a tedious task to reallocate and reschedule the resource and knowledge for the unin...
Source: Indian Journal of Palliative Care - June 29, 2020 Category: Palliative Care Authors: Puneet Rathore Sanjeev Kumar Nengneivah Haokip Brajesh Kumar Ratre Sushma Bhatnagar Source Type: research

Concerns of health-care professionals managing COVID patients under institutional isolation during COVID-19 Pandemic in India: A descriptive cross-sectional study
Conclusion: There is a need to identify and address the concerns and challenges faced by HCPs and to develop a comprehensive strategy and guideline to provide a holistic care and to ensure their security in the workplace. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - June 29, 2020 Category: Palliative Care Authors: Puneet Rathore Sanjeev Kumar Nandan Choudhary Riniki Sarma Neha Singh Nengneivah Haokip Shweta Bhopale Anuja Pandit Brajesh Kumar Ratre Sushma Bhatnagar Source Type: research

Assessment of the prevalence of symptoms in patients under institutional isolation in COVID-19 pandemic in India
Conclusion: Male patients are more as far as COVID incidence is concerned, while female patients show high prevalence of symptoms as compared to male patients. Patients presenting with COVID-positive report suffer a significant burden of symptoms, and timely recognition of symptoms and their management can significantly reduce morbidity and mortality due to COVID-19. (Source: Indian Journal of Palliative Care)
Source: Indian Journal of Palliative Care - June 29, 2020 Category: Palliative Care Authors: Sanjeev Kumar Puneet Rathore Nandan Choudhary Neha Singh Alice Thankachan Balbir Kumar Shweta Bhopale Anant Mohan Sushma Bhatnagar Source Type: research