MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Indian Journal of Palliative Care' source. Thu, 09 Feb 2012 21:56:52 +0100 http://www.medworm.com/index.php?rid=5644387&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F260%2F92357 Andrea Tendas, Luca Cupelli, Laura Scaramucci, Massimiliano Palombi, Malgorzata Monika Trawinska, Marco Giovannini, Gregorio Antonio Brunetti, Claudio Cartoni, Francesco Bondanini, Paolo de Fabritiis, Pasquale NiscolaIndian Journal of Palliative Care 2011 17(3):260-260 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644387 Sat, 28 Jan 2012 05:00:00 +0100 5644387 http://www.medworm.com/index.php?rid=5644386&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F260%2F92355 Viroj WiwanitkitIndian Journal of Palliative Care 2011 17(3):260-260 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644386 Sat, 28 Jan 2012 05:00:00 +0100 5644386 http://www.medworm.com/index.php?rid=5644385&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F255%2F92354 Abhijit Dam, Nivedita Datta, Usha Rani Mohanty, Chandreyi BandhopadhyayIndian Journal of Palliative Care 2011 17(3):255-259Managing pressure ulcers remain a challenge and call for a multidisciplinary team approach to care. Even more daunting is the management of such patients in remote locations and in resource constrained situations. The management of pressure sores in a patient with progressive muscular atrophy has been discussed using resources that were locally available, accessible, and affordable. Community participation was encouraged. A holistic approach to care was adopted. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644385 Sat, 28 Jan 2012 05:00:00 +0100 5644385 http://www.medworm.com/index.php?rid=5644384&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F251%2F92353 Surjya Prasad Upadhyay, Piyush Narayan Mallick, Waleed Mohamed Elmatite, Manish Jagia, Salah TaqiIndian Journal of Palliative Care 2011 17(3):251-254Many patients are admitted to the intensive care unit (ICU) for acute intoxication, serious complication of overdose, or withdrawal symptoms of illicit drugs. An acute withdrawal of drugs with addiction potential is associated with a sympathetic overactivity leading to marked psychomimetic disturbances. Acute intoxication or withdrawal of such drugs is often associated with life-threatening complications which require ICU admission and necessitate prolonged sedative analgesic medications, weaning from which is often complicated by withdrawal and other psychomimetic symptoms. Dexmedetomidine, an alpha-2 (α2 ) agonist, has been used ... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644384 Sat, 28 Jan 2012 05:00:00 +0100 5644384 http://www.medworm.com/index.php?rid=5644383&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F248%2F92351 Malathi Nayak, Naveen SalinsIndian Journal of Palliative Care 2011 17(3):248-250Adolescents and young adults with cancer are a heterogeneous group. Management of this special group requires a broad-based interdisciplinary clinical team, which should include palliative care (PC), psychology, social work, oncology, and nursing representatives. The function of PC is to provide impeccable pain and other symptom control and to coordinate care as the disease progresses. The cure rate of cancer in adolescents is high but between 10% and 40% of them will develop incurable disease depending on tumor type and prognostic factors. PC in adolescents should also take care of the specific physical and psychosocial developmental changes in this age group. A 16-year old boy suffered with incu... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644383 Sat, 28 Jan 2012 05:00:00 +0100 5644383 http://www.medworm.com/index.php?rid=5644382&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F245%2F92349 We report a patient with desmoid fibromatosis of the chest wall causing brachial plexus infiltration. As the tumor was locally invasive and unresectable, he was treated with radiation therapy and oral tamoxifen. On follow-up, there was significant pain relief, sustained reduction in the tumor size, and reduced analgesic requirement. Antineoplastic treatments like local radiation therapy and targeted systemic therapy with hormones or other agents can be considered in the management of selected unresectable desmoid fibromatosis to improve symptom control and reduce polypharmacy. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644382 Sat, 28 Jan 2012 05:00:00 +0100 5644382 http://www.medworm.com/index.php?rid=5644381&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F241%2F92347 Narendra Kumar, Ritesh Kumar, Anjan Bera, Pankaj Kumar, Shabab L Angurana, Sushmita Ghosal, Radhika Srinivasan, Suresh Chander SharmaIndian Journal of Palliative Care 2011 17(3):241-244Acrometastasis to the hand is an unusual presentation which might mimic an infectious, inflammatory, or a metabolic pathology. We herein describe a case series of three patients of acrometastasis to the hand. We encountered three cases of acrometastasis to the hand attending the departmental clinics from 2007 to 2010. The median age at presentation was noted to be 55 years. All were males. The primaries included squamous cell carcinoma of the skin, larynx, and esophagus. In two patients, acrometastasis was detected at presentation and in one it was detected 2 years postcompletion of radical therapy. Two pati... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644381 Sat, 28 Jan 2012 05:00:00 +0100 5644381 http://www.medworm.com/index.php?rid=5644380&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F238%2F92344 Sunila John, Rashida M Hassuji, B RajashekharIndian Journal of Palliative Care 2011 17(3):238-240Buccal carcinoma is one of the most common malignant neoplasms among all oral cancers in India. Understanding the role of speech language pathologists (SLPs) in the domains of evaluation and management strategies of this condition is limited, especially in the Indian context. This is a case report of a young adult with recurrent squamous cell carcinoma of the buccal mucosa with no deleterious habits usually associated with buccal mucosa carcinoma. Following composite resection, pectoralis major myocutaneous flap reconstruction, he developed severe oral dysphagia and demonstrated unintelligible speech. This case report focuses on the issues of swallowing and speech deficits in buccal mucosa carc... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644380 Sat, 28 Jan 2012 05:00:00 +0100 5644380 http://www.medworm.com/index.php?rid=5644379&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F235%2F92342 Conclusions : These findings suggest that the PC needs of noncancer patients are largely unmet in our region. Further efforts are necessary to advance noncancer PC in Saudi Arabia. The PC needs of patients with SCD and PAD need to be addressed in future research. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644379 Sat, 28 Jan 2012 05:00:00 +0100 5644379 http://www.medworm.com/index.php?rid=5644378&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F227%2F92341 Conclusions: Nurses had a greater orientation toward the biomedical dimension of chronic pain than the behavioral dimension. This difference was more pronounced in female nurses and those nurses who reported "very good" general health had higher behavioral dimension scores than those who had "good" general health. The study findings have important curricular implications for nurses and practical implications in palliative care. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644378 Sat, 28 Jan 2012 05:00:00 +0100 5644378 http://www.medworm.com/index.php?rid=5644377&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F222%2F92340 Conclusion: This study shows that the under treatment of pain and under dosing of opioids coupled with improper side effect management are major issues. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644377 Sat, 28 Jan 2012 05:00:00 +0100 5644377 http://www.medworm.com/index.php?rid=5644376&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F219%2F92339 Conclusion : Of 25 patients, 22 (88%) responded, and there was complete cessation of bleeding. Both 15 Gray and 20 Gray dose schedule had equal efficacy. Treatment was well tolerated without any intermission. Radiotherapy is a safe and effective option in controlling tumor bleeding. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644376 Sat, 28 Jan 2012 05:00:00 +0100 5644376 http://www.medworm.com/index.php?rid=5644375&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F210%2F92338 Conclusion: The use of bisphosphonates for 6 months or more results in a statistical significant improvement in bone pain, more so with zoledronic acid. Hypercalcemia, an SRE, was significantly less in the zoledronic acid arm. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644375 Sat, 28 Jan 2012 05:00:00 +0100 5644375 http://www.medworm.com/index.php?rid=5644374&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F202%2F92337 Conclusions: The overall reporting rate for pediatric palliative care articles in palliative care journals was very low and there were no randomized clinical trials and systematic reviews found. The study findings indicate a lack of adequate evidence base for pediatric palliative care. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644374 Sat, 28 Jan 2012 05:00:00 +0100 5644374 http://www.medworm.com/index.php?rid=5644373&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F197%2F92336 Conclusions: A majority of the doctors in this study supported euthanasia for the relief of unbearable pain and suffering. Religion and speciality appear to be significant in determining attitudes toward euthanasia. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644373 Sat, 28 Jan 2012 05:00:00 +0100 5644373 http://www.medworm.com/index.php?rid=5644372&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F191%2F92335 Conclusions: informal caregivers provide most of the nursing and psychological support to the patient. However, palliative care services need to recognize that the caregiver too may need psychological and technical support. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644372 Sat, 28 Jan 2012 05:00:00 +0100 5644372 http://www.medworm.com/index.php?rid=5644371&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F184%2F92334 Conclusion: Living with a disfiguring body which is visibly different is not always easy. A sudden change either due to cancer or its treatment or due to side effects leads to significant social maladjustment, elevated anxiety, depression, and poor quality of life among the cancer survivors with body disfigurement which calls for multiprofessional involvement in addressing various psychosocial issues. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644371 Sat, 28 Jan 2012 05:00:00 +0100 5644371 http://www.medworm.com/index.php?rid=5644370&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F175%2F92333 Pasquale Niscola, Andrea Tendas, Laura Scaramucci, Marco Giovannini, Vitaliana De SanctisIndian Journal of Palliative Care 2011 17(3):175-183Patients with blood-related cancers (BRC) suffer from a substantial symptom burden, including several pain syndromes sustained by different causes and pathogenetic mechanisms. So, with regard to pain, a multifaceted clinical scenario may be observed in this setting. Indeed, pain may be correlated to disease itself, to disease-associated complications, to iatrogenic causes or may be due to unrelated clinical conditions. A close diagnostic procedure for the assessment of the underlying causes of the pain and of its pathogenetic mechanisms may direct the treatment approach which should be based on a multidisciplinary management and requires the integrati... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644370 Sat, 28 Jan 2012 05:00:00 +0100 5644370 http://www.medworm.com/index.php?rid=5644369&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F3%2F173%2F92332 Sushma Bhatnagar, Saurabh JoshiIndian Journal of Palliative Care 2011 17(3):173-174 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5644369 Sat, 28 Jan 2012 05:00:00 +0100 5644369 http://www.medworm.com/index.php?rid=5194845&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F169%2F84544 Shirley Telles, Acharya Balkrishna, Kanchan MaharanaIndian Journal of Palliative Care 2011 17(2):169-170 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194845 Sun, 04 Sep 2011 23:00:00 +0100 5194845 http://www.medworm.com/index.php?rid=5194844&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F168%2F84543 Dilip Gude, Sashidhar Chennamsetty, Ratan JhaIndian Journal of Palliative Care 2011 17(2):168-169 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194844 Sun, 04 Sep 2011 23:00:00 +0100 5194844 http://www.medworm.com/index.php?rid=5194843&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F166%2F84542 Gisella Vischini, Pasquale Niscola, Andrea Tendas, Luca Cupelli, Marco Giovannini, Michele Ferrannini, Gregorio Antonio Brunetti, Claudio Cartoni, Paolo de Fabritiis, Roberto PalumboIndian Journal of Palliative Care 2011 17(2):166-167The case of an 86-year-old man suffering from acute myeloid leukemia and end-stage renal disease, managed at home, with continuous peritoneal dialysis regimen, is described. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194843 Sun, 04 Sep 2011 23:00:00 +0100 5194843 http://www.medworm.com/index.php?rid=5194842&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F162%2F84541 Shiv PS Rana, Arif Ahmed, Vindo Kumar, Prakash K Chaudhary, Deepa Khurana, Seema MishraIndian Journal of Palliative Care 2011 17(2):162-165Morphine has been used for many years to relieve cancer pain. Oral morphine (in either immediate release or modified release form) remains the analgesic of choice for moderate or severe cancer pain. The dose of oral morphine is titrated up to achieve adequate relief from pain with minimal side effects. Antidepressant and anticonvulsant drugs, when used in addition to conventional analgesics, give excellent relief from cancer pain. Most cancer pain responds to pharmacological measures with oral morphine but some pain like neuropathic and bony pain, pain in children and elderly age group, and advanced malignancy pain are very difficult to treat. Here, we ... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194842 Sun, 04 Sep 2011 23:00:00 +0100 5194842 http://www.medworm.com/index.php?rid=5194841&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F159%2F84540 A Tendas, C Boschetto, L Baraldi, E Caiazza, L Cupelli, R Lentini, M Trawinska, M Palombi, M Ales, L Morino, M Giovannini, L Scaramucci, C Cartoni, T Dentamaro, W Arcese, P de Fabritiis, P Niscola, F MandelliIndian Journal of Palliative Care 2011 17(2):159-161Chronic graft versus host disease (cGVHD) is a frequent complication of allogeneic stem cell transplantation. Extensive musculoskeletal and skin involvement may induce severe functional impairment, disability and quality of life deterioration. Physical rehabilitation is recommended as ancillary therapy in these forms, but experiences are sparse. A 39-year-old man affected by musculoskeletal and skin chronic graft versus host disease (cGVHD) was treated with a homecare-based motor rehabilitation program during palliation for disease pr... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194841 Sun, 04 Sep 2011 23:00:00 +0100 5194841 http://www.medworm.com/index.php?rid=5194840&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F155%2F84539 Balaji P Duraisamy, Manjiri P Dighe, Maryann A MuckadenIndian Journal of Palliative Care 2011 17(2):155-158Neuropathic pain is a distressing symptom for the patient and a difficult symptom for the physician to treat. There is lack of evidence-based clinical guidelines for the management of malignant neuropathic pain. The case reflection is a personal account of what has been learnt from a critical incident in a particular patient in the management of neuropathic pain. Psychological issues are known to increase pain percetion and affect the quality of life. The case reflection explores problem areas, defines lacunae in knowledge, and demonstrates active learning of the management of neuropathic pain through reflective practice. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194840 Sun, 04 Sep 2011 23:00:00 +0100 5194840 http://www.medworm.com/index.php?rid=5194839&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F150%2F84538 Conclusions: Awareness regarding breast self examination among young generations is useful and it is the most important viable tool for early detection. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194839 Sun, 04 Sep 2011 23:00:00 +0100 5194839 http://www.medworm.com/index.php?rid=5194838&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F146%2F84537 Conclusions: Despite patients using complementary medicine services, often health professionals are unaware of the issues associated with these services. These myths may interfere in using hypnotherapy as therapeutic tool in palliative care. It is important for health professionals to have an appropriate and evidence-based understanding about the complementary therapies including hypnotherapy. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194838 Sun, 04 Sep 2011 23:00:00 +0100 5194838 http://www.medworm.com/index.php?rid=5194837&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F143%2F84536 Conclusions: LMV heparin is effective in palliative care setting and also has added advantage of subcutaneous route of administration. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194837 Sun, 04 Sep 2011 23:00:00 +0100 5194837 http://www.medworm.com/index.php?rid=5194836&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F137%2F84535 Conclusion: Community home-based caregivers are largely able to implement home-based care services but would need more support (training, financial, career structure, and health system) to improve on their services. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194836 Sun, 04 Sep 2011 23:00:00 +0100 5194836 http://www.medworm.com/index.php?rid=5194835&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F131%2F84534 Tonia C OnyekaIndian Journal of Palliative Care 2011 17(2):131-136Everyone, young and old, male and female, rich and poor, should have access to excellent care during the course of a serious illness and at the end of life. Therefore, a denial of such care becomes an infringement of the individual's human rights. Because of the efforts of pioneers in this field of Medicine in Africa and beyond, both living and immortalized, we can now say that palliative care in the African context is affordable and achievable. In this article, some of the challenges faced in setting up and running a new palliative care practice in an emerging and developing economy are examined. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194835 Sun, 04 Sep 2011 23:00:00 +0100 5194835 http://www.medworm.com/index.php?rid=5194834&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F127%2F84533 This article summarizes the need for early and effective pain management strategies, awareness regarding pain control, and barriers of cancer pain. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194834 Sun, 04 Sep 2011 23:00:00 +0100 5194834 http://www.medworm.com/index.php?rid=5194833&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F116%2F84532 The objective of this review is to provide a detailed review of mechanism-based classification and physical therapy management of patients with cancer pain. Cancer pain can be classified based upon pain symptoms, pain mechanisms and pain syndromes. Classification based upon mechanisms not only addresses the underlying pathophysiology but also provides us with an understanding behind patient's symptoms and treatment responses. Existing evidence suggests that the five mechanisms - central sensitization, peripheral sensitization, sympathetically maintained pain, nociceptive and cognitive-affective - operate in patients with cancer pain. Summary of studies showing evidence for physical therapy treatment methods for cancer pain follows with suggested therapeutic implications. Effective p... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194833 Sun, 04 Sep 2011 23:00:00 +0100 5194833 http://www.medworm.com/index.php?rid=5194832&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F108%2F84531 The objective of this review paper was to provide a detailed update of existing evidence on applicability of BPI in evaluation of patients with cancer pain. The BPI demonstrated good construct and concurrent validity. It was translated and validated into many languages - Brazilian, Chinese, Greek, Hindi, Italian, Japanese, Korean, Malay, Norwegian, Polish, Russian, Spanish, Taiwanese and Thai. The BPI was validated in patient populations such as bone metastases, breast cancer and postoperative cancer patients. The BPI can be used both as a quantitative or a qualitative measure for statistical analysis. The BPI was a powerful tool and, having demonstrated both reliability and validity across cultures and languages, was being adopted in many countries for clinical pain assessment, epidemiolo... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194832 Sun, 04 Sep 2011 23:00:00 +0100 5194832 http://www.medworm.com/index.php?rid=5194831&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F104%2F84530 Manjiri P Dighe, Maryann A Muckaden, Swati A Manerkar, Balaji P DuraisamyIndian Journal of Palliative Care 2011 17(2):104-107Recent advances in medical care have improved the survival of newborn babies born with various problems. Despite this death in the neonatal intensive care unit (NICU) is an inevitable reality. For babies who are not going to "get better," the health care team still has a duty to alleviate the physical suffering of the baby and to support the family. Palliative care is a multidisciplinary approach to relieve the physical, psycho social, and spiritual suffering of patients and their families. Palliative care provision in the Indian NICU settings is almost nonexistent at present. In this paper we attempt to "build a case" for palliative care in the I... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194831 Sun, 04 Sep 2011 23:00:00 +0100 5194831 http://www.medworm.com/index.php?rid=5194830&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F98%2F84529 DK Muduly, SVS Deo, TS Subi, AA Kallianpur, NK ShuklaIndian Journal of Palliative Care 2011 17(2):98-103Malignant pleural effusion (MPE) usually presents in the disseminated and advanced stage of malignancy. Dyspnea is the debilitating symptom which needs palliation in these patients. Various modalities are available in the management of MPE. Careful consideration of the patient's expected survival and quality of life is needed when deciding the optimum treatment modality in such patients. In this article, different modalities of the palliative management of MPE are discussed with an attempt to derive a treatment algorithm for the management of MPE. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194830 Sun, 04 Sep 2011 23:00:00 +0100 5194830 http://www.medworm.com/index.php?rid=5194829&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F92%2F84528 El Mehdi Tazi, Hassan ErrihaniIndian Journal of Palliative Care 2011 17(2):92-97Fatigue, one of the most common symptoms experienced by cancer patients, is multidimensional and is associated with significant impairment in functioning and overall quality of life. Although the precise pathophysiology of cancer-related fatigue (CRF) is not well understood, a number of metabolic, cytokine, neurophysiologic, and endocrine changes have been described in these patients. A better understanding of these abnormalities is likely to lead to novel therapeutic interventions. Clinically, all patients presenting with significant fatigue should be evaluated for treatable conditions that might contribute to this symptom. Exercise and treatment of anemia are the two most established interventions for CRF. Ps... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194829 Sun, 04 Sep 2011 23:00:00 +0100 5194829 http://www.medworm.com/index.php?rid=5194828&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F2%2F91%2F84527 Sushma BhatnagarIndian Journal of Palliative Care 2011 17(2):91-91 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=5194828 Sun, 04 Sep 2011 23:00:00 +0100 5194828 http://www.medworm.com/index.php?rid=4652434&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F80%2F78458 The objective of this clinical commentary is to update the physical therapists working in palliative care, on the mechanism-based classification of pain and its interpretation, with available therapeutic evidence for providing optimal patient care using physical therapy. The paper describes the evolution of mechanism-based classification of pain, the five mechanisms (central sensitization, peripheral neuropathic, nociceptive, sympathetically maintained pain and cognitive-affective) are explained with recent evidence for physical therapy treatments for each of the mechanisms. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652434 Mon, 28 Mar 2011 23:00:00 +0100 4652434 http://www.medworm.com/index.php?rid=4652433&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F78%2F78457 Dilip GudeIndian Journal of Palliative Care 2011 17(1):78-79 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652433 Mon, 28 Mar 2011 23:00:00 +0100 4652433 http://www.medworm.com/index.php?rid=4652432&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F78%2F78456 Stanley C MacadenIndian Journal of Palliative Care 2011 17(1):78-78 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652432 Mon, 28 Mar 2011 23:00:00 +0100 4652432 http://www.medworm.com/index.php?rid=4652431&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F77%2F78455 K Kiran, BK KamalaIndian Journal of Palliative Care 2011 17(1):77-78 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652431 Mon, 28 Mar 2011 23:00:00 +0100 4652431 http://www.medworm.com/index.php?rid=4652430&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F74%2F78454 Parveen Yadav, NML Manjunath, SVS Deo, NK Shukla, Prashant Durgapal, Dillip K MudulyIndian Journal of Palliative Care 2011 17(1):74-76Carcinoma of the cervix is the most common malignancy among women in India. Although metastatic disease is common, metastasis to breast is rare. A limited number of case reports are published in the world literature. Most of the previous reports of metastatic cervical carcinoma to breast are either autopsy series or widely disseminated disease where no treatment options were available. A rare case of cervical carcinoma presenting as metastasis in breast is reported here where palliative mastectomy improved the general condition of the patient. A female patient aged 58 years was diagnosed and treated for cervical carcinoma, FIGO stage 2B. Four months after th... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652430 Mon, 28 Mar 2011 23:00:00 +0100 4652430 http://www.medworm.com/index.php?rid=4652429&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F70%2F78453 This article describes step by step clinical and laboratory procedures involved in the rehabilitation of a hemimaxillectomy patient, using a definitive closed hollow bulb obturator, which improved his physical, emotional, functional, social and spiritual needs. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652429 Mon, 28 Mar 2011 23:00:00 +0100 4652429 http://www.medworm.com/index.php?rid=4652428&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F67%2F78452 We report the case of a 45-year-old woman who presented with exsanguinating hemorrhage from ATC and was treated by emergency total thyroidectomy. The patient is well three months postoperatively. Emergency total thyroidectomy is a viable option for palliation in ATC presenting with bleeding. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652428 Mon, 28 Mar 2011 23:00:00 +0100 4652428 http://www.medworm.com/index.php?rid=4652427&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F57%2F78451 Conclusion: While researchers in the field of palliative care have studied cancer pain, the total percentage for studies is still a low 5.86%. To move the field of palliative care forward so that appropriate guidelines for cancer pain management can be developed, it is critical that more research be reported upon which to base cancer pain therapy in an evidence-based palliative care model. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652427 Mon, 28 Mar 2011 23:00:00 +0100 4652427 http://www.medworm.com/index.php?rid=4652426&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F54%2F78450 Conclusions: Despite the frequent findings of hemostatic disorders in a population of frail patients managed in a home care setting, our experience demonstrated that the use of AC/AP drugs has been very rarely responsible for significant complications. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652426 Mon, 28 Mar 2011 23:00:00 +0100 4652426 http://www.medworm.com/index.php?rid=4652425&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F47%2F78449 Conclusions: The focus-group training program produced a significant positive change about palliative care in knowledge, attitudes, beliefs and experiences among student physiotherapists. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652425 Mon, 28 Mar 2011 23:00:00 +0100 4652425 http://www.medworm.com/index.php?rid=4652424&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F42%2F78448 Conclusion: Good discussion, unambiguous documentation and clinical supervision of NFR order ensure dignified and quality care to the dying. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652424 Mon, 28 Mar 2011 23:00:00 +0100 4652424 http://www.medworm.com/index.php?rid=4652423&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F33%2F78447 Conclusion: Due to fears and doubts regarding deep continuous palliative sedation, it may sometimes be too easily discarded as a treatment option for refractory symptoms. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652423 Mon, 28 Mar 2011 23:00:00 +0100 4652423 http://www.medworm.com/index.php?rid=4652422&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F24%2F78446 Conclusion: It is understood that the services of the doctors and nurses are to be improved further by making available their services to all the palliative care patients in a uniform manner. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652422 Mon, 28 Mar 2011 23:00:00 +0100 4652422 http://www.medworm.com/index.php?rid=4652421&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F20%2F78445 Conclusion: Palliative care aspects should be incorporated in the diploma nursing curriculum. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652421 Mon, 28 Mar 2011 23:00:00 +0100 4652421 http://www.medworm.com/index.php?rid=4652420&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F11%2F78444 Conclusion: The article recommends to the Government and the nongovernmental organizations to assist all care programs to institute and facilitate the formation of caregivers' support groups. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652420 Mon, 28 Mar 2011 23:00:00 +0100 4652420 http://www.medworm.com/index.php?rid=4652419&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F6%2F78443 Conclusion: In spite of the unique challenges presented by the varying course of illness in PLWHA and the variety of needs on the medical, psychosocial and family dimensions, a structured approach and an integrated course curriculum involving principles of both primary and palliative care principles will improve the efficiency of the undergraduate medical education program and enable delivery of effective palliative care interventions and improve quality of life in PLWHA. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652419 Mon, 28 Mar 2011 23:00:00 +0100 4652419 http://www.medworm.com/index.php?rid=4652418&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F1%2F1%2F78442 Jaspreet Kaur, Bidhu K MohantiIndian Journal of Palliative Care 2011 17(1):1-5 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4652418 Mon, 28 Mar 2011 23:00:00 +0100 4652418 http://www.medworm.com/index.php?rid=4411300&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F91%2F76250 Indian Journal of Palliative Care 2011 17(4):91-103 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411300 Fri, 28 Jan 2011 00:00:00 +0100 4411300 http://www.medworm.com/index.php?rid=4411299&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F77%2F76249 Indian Journal of Palliative Care 2011 17(4):77-90 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411299 Fri, 28 Jan 2011 00:00:00 +0100 4411299 http://www.medworm.com/index.php?rid=4411298&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F74%2F76248 Priya Darshini KulkarniIndian Journal of Palliative Care 2011 17(4):74-76The reason that probably prompted Dame Cicely Saunders to launch the palliative care movement was the need to move away from the impersonal, technocratic approach to death that had become the norm in hospitals after the Second World War. Palliative care focuses on relieving the suffering of patients and families. Not limited to just management of pain, it includes comprehensive management of any symptom, which affects the quality of life. Care is optimized through early initiation and comprehensive implementation throughout the disease trajectory. Effective palliative care at the outset can help accelerate a positive clinical outcome. At the end of life, it can enhance the opportunity for the patient and family to ach... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411298 Fri, 28 Jan 2011 00:00:00 +0100 4411298 http://www.medworm.com/index.php?rid=4411297&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F70%2F76247 Lulu MathewsIndian Journal of Palliative Care 2011 17(4):70-73Pain is one of the most misunderstood, under diagnosed, and under treated/untreated medical problems, particularly in children. One of the most challenging roles of medical providers serving children is to appropriately assess and treat their pain. New JCAHO regulations regard pain as "the fifth vital sign" and require caregivers to regularly assess and address pain. Pain being a personal experience, many different terms are used to describe different sensations. Assessment of pain in children is linked to their level of development. Children of the same age vary widely in their perception and tolerance of pain. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411297 Fri, 28 Jan 2011 00:00:00 +0100 4411297 http://www.medworm.com/index.php?rid=4411296&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F68%2F76246 The objective of this article is to implement a plan for improved high quality care, within a dynamic and complex health care system for palliative care. Twelve years of working experience with palliative care in CanSupport 'India' and 10 years of working palliative care aboard (USA). High level satisfaction of the patient of the patient and families due to the psycho, socio, spiritual model and help for income generation and vocational training. We suggest and encourage, to we this model for all palliative care centre and institutions (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411296 Fri, 28 Jan 2011 00:00:00 +0100 4411296 http://www.medworm.com/index.php?rid=4411295&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F61%2F76245 This article presents the initial development of a program for incorporating integrative care principles into an ongoing comprehensive cancer care program at a tertiary centre. The key purpose of the program being to develop, facilitate, and establish comprehensive and holistic processes including palliative care principles, that would positively enhance the quantity and quality of life of the person with disease, as well as create an environment that reflects and sustains this approach. The vision, objectives, goals, strategies, activities and results within the 7 months of implementation are documented. The new learnings gained during the process have also been noted in the hope that the model described may be used to conceptualize similar care giving facilities in other centres. (Source... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411295 Fri, 28 Jan 2011 00:00:00 +0100 4411295 http://www.medworm.com/index.php?rid=4411294&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F52%2F76244 Maryann Muckaden, Manjiri Dighe, PD Balaji, Sunil Dhiliwal, Prajakta Tilve, Sunita Jadhav, Savita GoswamiIndian Journal of Palliative Care 2011 17(4):52-60Paediatric palliative care is a holistic approach aimed at addressing the complex issues related to the care of children and families facing chronic life limiting illnesses. The needs of children are unique and often quite different from those of adults receiving palliative care. This review article outlines some of the salient features of paediatric palliative care which are relevant to all professionals caring for children with life limiting illnesses in their practice. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411294 Fri, 28 Jan 2011 00:00:00 +0100 4411294 http://www.medworm.com/index.php?rid=4411293&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F45%2F76243 Kamlesh MishraIndian Journal of Palliative Care 2011 17(4):45-51Of the approximately 80,000 new cases of all cancers detected every year in India, 10-15% are gynecological malignancies. As per population-based registries under the National Cancer Registry Program, the leading sites of cancer among women are the cervix uteri, breast, and oral cavity. About 50-60% of all cancers among women in India are mainly of the following four organs: cervix uteri, breast, corpus uteri, and ovaries. Over 70% of these women report for diagnostic and treatment services at an advanced stage of disease, resulting in poor survival and high mortality rates. Among all gynecological cancers, ovarian cancer is the deadliest one and, in 2/3 rd of the cases, is detected in an advanced stage. B... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411293 Fri, 28 Jan 2011 00:00:00 +0100 4411293 http://www.medworm.com/index.php?rid=4411292&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F42%2F76242 This article attempts to suggest some specific measures in establishing such a National Policy (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411292 Fri, 28 Jan 2011 00:00:00 +0100 4411292 http://www.medworm.com/index.php?rid=4411291&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F39%2F76241 Bert BroeckaertIndian Journal of Palliative Care 2011 17(4):39-41This paper shows how palliative care developed as a reaction to the compartimentalized technical approach of modern medicine. But what does it mean if we say palliative care wants to treat patients as whole persons? A few pitfalls need to avoided. All disciplines involved in palliative care should act within the limits of their own specific professional role. Physicians and nurses should certainly not force patients into spiritual or religious discussions or practices. They should understand that religion and spirituality also influence the ethical (and thus medical) choices people make, respect their own conscience and worldview too and cultivate conscious compassion. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411291 Fri, 28 Jan 2011 00:00:00 +0100 4411291 http://www.medworm.com/index.php?rid=4411290&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F36%2F76240 Agar MeeraIndian Journal of Palliative Care 2011 17(4):36-38Opioids are extremely effective in managing cancer pain, and now are utilized for longer periods of time in cancer patients as the treatment for malignancies has become more successful. [1] The goals in cancer pain treatment includes maintaining function in patients with cancer pain (especially in earlier stage disease), and palliation in advanced disease. [1] The perception of the lay public and inexperienced clinicians that addiction is inevitable, often leads to an inappropriate fear to utilize opioids to appropriately manage pain; resulting in persistent under-treatment of cancer pain internationally. [2],[3] There is much confusion about the phenomenon of physical dependence and how this can be differentiated from the maladap... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411290 Fri, 28 Jan 2011 00:00:00 +0100 4411290 http://www.medworm.com/index.php?rid=4411289&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F33%2F76239 Mhoira EF LengIndian Journal of Palliative Care 2011 17(4):33-35What make a good doctor is a question posed by the public and profession and is key when designing training programmes. The goal of training is to change practice not simply acquire knowledge yet too often curriculums and assessment focuses on knowledge and skills. Professional practice is underpinned by beliefs and values and therefore training may need to challenge deeply held values in order to result in a change in practice. Palliative care offers an opportunity to challenge values at a deeply personal level as it brings experiences of pain and suffering alongside clinical knowledge and skills. Palliative care is holistic and so real scenarios where physical, psychological, social and spiritual issues are evident can be pr... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411289 Fri, 28 Jan 2011 00:00:00 +0100 4411289 http://www.medworm.com/index.php?rid=4411288&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F29%2F76238 Katrina BreadenIndian Journal of Palliative Care 2011 17(4):29-32Breathlessness is a frightening symptom to both witness and experience. It is common in many conditions, especially in the palliative setting, profoundly affecting the quality of the person's life. The purpose of this article is to provide an overview of the recent advances in the management of breathlessness in the areas of, knowledge of disease trajectories, assessment, pharmacological and non-pharmacological interventions and the use of oxygen. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411288 Fri, 28 Jan 2011 00:00:00 +0100 4411288 http://www.medworm.com/index.php?rid=4411287&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F26%2F76237 Max WatsonIndian Journal of Palliative Care 2011 17(4):26-28The importance of effectively managing breakthrough pain for patients on long term background analgesia has recently lead to the development of a range of new products aimed at filling this need. This review article looks at the reasons behind these developments and their implications for clinical practice in resource limited situations. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411287 Fri, 28 Jan 2011 00:00:00 +0100 4411287 http://www.medworm.com/index.php?rid=4411286&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F23%2F76236 This article outlines a creative endeavour between Flinders University, Adelaide Australia, the Singapore National Cancer Centre and the Asia Pacific Hospice and Palliative Care Network to provide an educational opportunity for students from the region. The strengths of the programme include its strong theoretical and evidenced-based framework, its multidisciplinary inclusiveness and its innovative and interactive teaching style. The main teaching challenge for the teaching team is to deliver culturally appropriate curricula to students from diverse cultural and linguistic backgrounds. This postgraduate programme is an important initiative for the region and for the development of future leaders and pioneers in the discipline. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411286 Fri, 28 Jan 2011 00:00:00 +0100 4411286 http://www.medworm.com/index.php?rid=4411285&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F20%2F76235 This article is a story of networking of palliative care at the corporate level. This gives an insight that if you have will and dedication then you can imagine and make it true that networking can start even before the birth of an organization. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411285 Fri, 28 Jan 2011 00:00:00 +0100 4411285 http://www.medworm.com/index.php?rid=4411284&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F17%2F76234 Odette SpruytIndian Journal of Palliative Care 2011 17(4):17-19"If you want to travel quickly, go alone. But if you want to travel far, you must go together". African proverb. The delivery of palliative care is often complex and always involves a group of people, the team, gathered around the patient and those who are close to them. Effective communication and functional responsive systems of care are essential if palliative care is to be delivered in a timely and competent way. Creating and fostering an effective team is one of the greatest challenges for providers of palliative care. Teams are organic and can be life giving or life sapping for their members. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411284 Fri, 28 Jan 2011 00:00:00 +0100 4411284 http://www.medworm.com/index.php?rid=4411283&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F14%2F76233 This article discusses the various factors contributing to late referrals to palliative care team and also care giver's views pertaining to need for early referral. Timely referral to palliative care minimises the patient's and care giver's distress,ensures modest Quality of life and appropriate measures at the end of life care. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411283 Fri, 28 Jan 2011 00:00:00 +0100 4411283 http://www.medworm.com/index.php?rid=4411282&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F12%2F76232 KC RajashreeIndian Journal of Palliative Care 2011 17(4):12-13Communication skills are as important as vital needs. Health care professionals have to be aware of their own communication practices and need to undergo periodic appraisal of the same. Training programmes in communication skills are unfortunately not part of our academic curriculum. The article highlights the need and the overview of such training programmes. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411282 Fri, 28 Jan 2011 00:00:00 +0100 4411282 http://www.medworm.com/index.php?rid=4411281&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F8%2F76231 Bidhu K MohantiIndian Journal of Palliative Care 2011 17(4):8-11This brief article on pre-conference CME topic 'How to plan Research in Palliative Care' is aimed to provide an overview of the background, concept, domains, present research activities and the future prospect for research opportunities. Advances in Palliative Care are made with a focus to address the quality of medical practice and 'quality of death', in those patients who have advanced stage diseases where cure may or may not be possible. The issues which can improve the palliative care delivery and the areas where evidence of practice is still weak can be identified by forming network and collaborative groups for the application of study and research methods in India. (Source: Indian Journal of P... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411281 Fri, 28 Jan 2011 00:00:00 +0100 4411281 http://www.medworm.com/index.php?rid=4411280&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F4%2F76230 Santosh K ChaturvediIndian Journal of Palliative Care 2011 17(4):4-7Research in palliative care has its challenges. However, research in different aspects of palliative care is important. This paper gives simple methods of planning and conducting a research in the area of palliative care in India. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411280 Fri, 28 Jan 2011 00:00:00 +0100 4411280 http://www.medworm.com/index.php?rid=4411279&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F2%2F76229 SVS DeoIndian Journal of Palliative Care 2011 17(4):2-3In the era of evidence based medicine documentation of clinical data is extremely important. The field of Health informatics is a discipline at the intersection of information science, computer science and health science. Current health informatics field is mainly catering to the general needs of hospital setups. Development of disease / organ/ specialty based computerized clinical data base is still in its infancy and there is a need for clinicians to actively involve in this field to generate authentic and analyzable clinical data. In this article we present our experience of computerized oncology clinical data base development. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411279 Fri, 28 Jan 2011 00:00:00 +0100 4411279 http://www.medworm.com/index.php?rid=4411278&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2011%2F17%2F4%2F1%2F76228 Sushma BhatnagarIndian Journal of Palliative Care 2011 17(4):1-1 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4411278 Fri, 28 Jan 2011 00:00:00 +0100 4411278 http://www.medworm.com/index.php?rid=4280919&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F180%2F73669 We describe two such cases where severe pain was adequately relieved in the acute phase. Continuous femoral nerve block was used as an efficient, cheap and safe method of pain relief for two of our patients with pathological fracture femur. This method was proved to be quite efficient in decreasing the fracture-related pain and improving the level of well being. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4280919 Thu, 09 Dec 2010 00:00:00 +0100 4280919 http://www.medworm.com/index.php?rid=4280918&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F174%2F73648 Simon KangetheIndian Journal of Palliative Care 2010 16(3):174-179The aim and objective of this scientific research article is to explore the literature with intent to raise attention to the perfidiousness of the experiences of men as palliative caregivers of people living with HIV/AIDS and other terminal illnesses. The article has utilized eclectic data sources in Botswana and elsewhere. The findings indicate that care giving position of men has been found beset by: retrogressive gender unfriendly cultures; patriarchy; weaker gender empowerment campaigns; and inadequate male involvement in care. The article recommends: (1) a paradigm shift of structural gender dynamics; (2) making AIDS care programmes both gender sensitive and gender neutral; (3) Strengthening gender mainstreaming; (4) di... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4280918 Thu, 09 Dec 2010 00:00:00 +0100 4280918 http://www.medworm.com/index.php?rid=4280917&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F168%2F73668 Conclusion: Artificial hydration during the last 48 h of life did not have any significant impact on symptoms related to hydration status, medication use or on survival in terminally ill cancer patients under palliative care. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4280917 Thu, 09 Dec 2010 00:00:00 +0100 4280917 http://www.medworm.com/index.php?rid=4280916&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F164%2F73647 Conclusions: The information booklet was effective in enriching the knowledge of nurses on palliative care. Enhancing the nurse's knowledge about palliative care will promote their understanding of the needs of the advanced stage patients and will enable them to provide quality care. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4280916 Thu, 09 Dec 2010 00:00:00 +0100 4280916 http://www.medworm.com/index.php?rid=4280915&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F160%2F73646 Conclusion: This study demonstrates the usefulness of conventional instrumentation as palliative surgical approach to stabilize and rehabilitate patients from deprived sector of rural India. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4280915 Thu, 09 Dec 2010 00:00:00 +0100 4280915 http://www.medworm.com/index.php?rid=4280914&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F154%2F73645 Conclusion: The outcomes of the study showed that the basic knowledge of palliative care among students was inadequate, and students are unprepared and uncertain in their approach of delivering end-of-life care. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4280914 Thu, 09 Dec 2010 00:00:00 +0100 4280914 http://www.medworm.com/index.php?rid=4280913&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F147%2F73643 Conclusion: It is suggested that theoretical education should be individualized and culturally sensitive in order to positively influence the students' attitudes, and promote professional development. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4280913 Thu, 09 Dec 2010 00:00:00 +0100 4280913 http://www.medworm.com/index.php?rid=4280912&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F138%2F73670 Senthil P Kumar, Anand JimIndian Journal of Palliative Care 2010 16(3):138-146Physiotherapy is concerned with identifying and maximizing movement potential, within the spheres of promotion, prevention, treatment and rehabilitation. Physical therapists practice in a broad range of inpatient, outpatient, and community-based settings such as hospice and palliative care centers where as part of a multidisciplinary team of care, they address the physical and functional dimensions of the patients' suffering. Physiotherapy treatment methods like therapeutic exercise, electrical modalities, thermal modalities, actinotherapy, mechanical modalities, manual physical therapy and assistive devices are useful for a range of life-threatening and life-limiting conditions like cancer and cancer-asso... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4280912 Thu, 09 Dec 2010 00:00:00 +0100 4280912 http://www.medworm.com/index.php?rid=4280911&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F129%2F73644 Conclusions : To date, despite several years of coordinated efforts in basic and clinical research, practice guidelines for the prevention and treatment of cancer-related muscle wasting are lacking, mainly because of the multifactorial pathogenesis of the syndrome. From all the data presented, one can speculate that one single therapy may not be completely successful in the treatment of cachexia. From this point of view, treatments involving different combinations are more likely to be successful. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4280911 Thu, 09 Dec 2010 00:00:00 +0100 4280911 http://www.medworm.com/index.php?rid=4244979&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F184%2F73672 Viroj WiwanitkitIndian Journal of Palliative Care 2010 16(3):184-184 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4244979 Thu, 09 Dec 2010 00:00:00 +0100 4244979 http://www.medworm.com/index.php?rid=4244978&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F183%2F73671 Sukhminder Jit Singh Bajwa, Sukhwinder Kaur Bajwa, Jasbir KaurIndian Journal of Palliative Care 2010 16(3):183-183 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4244978 Thu, 09 Dec 2010 00:00:00 +0100 4244978 http://www.medworm.com/index.php?rid=4244977&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F174%2F73670 Senthil P Kumar, Anand JimIndian Journal of Palliative Care 2010 16(3):174-182Physiotherapy is concerned with identifying and maximizing movement potential, within the spheres of promotion, prevention, treatment and rehabilitation. Physical therapists practice in a broad range of inpatient, outpatient, and community-based settings such as hospice and palliative care centers where as part of a multidisciplinary team of care, they address the physical and functional dimensions of the patients' suffering. Physiotherapy treatment methods like therapeutic exercise, electrical modalities, thermal modalities, actinotherapy, mechanical modalities, manual physical therapy and assistive devices are useful for a range of life-threatening and life-limiting conditions like cancer and cancer-asso... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4244977 Thu, 09 Dec 2010 00:00:00 +0100 4244977 http://www.medworm.com/index.php?rid=4244976&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F171%2F73669 We describe two such cases where severe pain was adequately relieved in the acute phase. Continuous femoral nerve block was used as an efficient, cheap and safe method of pain relief for two of our patients with pathological fracture femur. This method was proved to be quite efficient in decreasing the fracture-related pain and improving the level of well being. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4244976 Thu, 09 Dec 2010 00:00:00 +0100 4244976 http://www.medworm.com/index.php?rid=4244975&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F165%2F73668 Conclusion: Artificial hydration during the last 48 h of life did not have any significant impact on symptoms related to hydration status, medication use or on survival in terminally ill cancer patients under palliative care. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4244975 Thu, 09 Dec 2010 00:00:00 +0100 4244975 http://www.medworm.com/index.php?rid=4244974&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F159%2F73648 Simon KangetheIndian Journal of Palliative Care 2010 16(3):159-164The aim and objective of this scientific research article is to explore the literature with intent to raise attention to the perfidiousness of the experiences of men as palliative caregivers of people living with HIV/AIDS and other terminal illnesses. The article has utilized eclectic data sources in Botswana and elsewhere. The findings indicate that care giving position of men has been found beset by: retrogressive gender unfriendly cultures; patriarchy; weaker gender empowerment campaigns; and inadequate male involvement in care. The article recommends: (1) a paradigm shift of structural gender dynamics; (2) making AIDS care programmes both gender sensitive and gender neutral; (3) Strengthening gender mainstreaming; (4) di... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4244974 Thu, 09 Dec 2010 00:00:00 +0100 4244974 http://www.medworm.com/index.php?rid=4244973&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F155%2F73647 Conclusions: The information booklet was effective in enriching the knowledge of nurses on palliative care. Enhancing the nurse's knowledge about palliative care will promote their understanding of the needs of the advanced stage patients and will enable them to provide quality care. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4244973 Thu, 09 Dec 2010 00:00:00 +0100 4244973 http://www.medworm.com/index.php?rid=4244972&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F151%2F73646 Conclusion: This study demonstrates the usefulness of conventional instrumentation as palliative surgical approach to stabilize and rehabilitate patients from deprived sector of rural India. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4244972 Thu, 09 Dec 2010 00:00:00 +0100 4244972 http://www.medworm.com/index.php?rid=4244971&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F145%2F73645 Conclusion: The outcomes of the study showed that the basic knowledge of palliative care among students was inadequate, and students are unprepared and uncertain in their approach of delivering end-of-life care. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4244971 Thu, 09 Dec 2010 00:00:00 +0100 4244971 http://www.medworm.com/index.php?rid=4244970&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F136%2F73644 Conclusions : To date, despite several years of coordinated efforts in basic and clinical research, practice guidelines for the prevention and treatment of cancer-related muscle wasting are lacking, mainly because of the multifactorial pathogenesis of the syndrome. From all the data presented, one can speculate that one single therapy may not be completely successful in the treatment of cachexia. From this point of view, treatments involving different combinations are more likely to be successful. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4244970 Thu, 09 Dec 2010 00:00:00 +0100 4244970 http://www.medworm.com/index.php?rid=4244969&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F129%2F73643 Conclusion: It is suggested that theoretical education should be individualized and culturally sensitive in order to positively influence the students' attitudes, and promote professional development. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4244969 Thu, 09 Dec 2010 00:00:00 +0100 4244969 http://www.medworm.com/index.php?rid=4244968&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F123%2F73642 This article aims to review some psychosocial issues and measures that can be taken to address them. It highlights the various roles and the importance of the clinician, nurse, social worker, and other members of the multidisciplinary team in tackling these issues and will help healthcare professionals in this field achieve better practice in the future. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4244968 Thu, 09 Dec 2010 00:00:00 +0100 4244968 http://www.medworm.com/index.php?rid=4244967&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F117%2F73641 SM Kang'etheIndian Journal of Palliative Care 2010 16(3):117-122The aim of this research paper is to explore the dangers of involving children as family caregivers of palliative care and home-based-care to advanced HIV/AIDS patients, while its objective is to discuss the dangers or perfidiousness that minors especially the girl children face as they handle care giving of advanced HIV/AIDS patients. The article has relied on eclectic data sources. The research has foundminors disadvantaged by the following: being engulfed by fear and denied rights through care giving; being emotionally and physiologically overwhelmed; being oppressed and suppressed by caring duties; being at risk of contracting HIV/AIDS; and having their education compromised by care giving. The paper recommends: (1)... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4244967 Thu, 09 Dec 2010 00:00:00 +0100 4244967 http://www.medworm.com/index.php?rid=4244966&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F111%2F73640 Senthilkumar Jeyaraman, Ganesan Kathiresan, Kavitha GopalsamyIndian Journal of Palliative Care 2010 16(3):111-116Hospice care is about quality of life at a time when a person has an illness for which curative measures are no longer possible, and for which a physician has determined the patient has a life expectancy of about six months or less, a hospice program can support the process of death and dying in a compassionate way. A growing trend is to utilize physical therapy more frequently in hospice. Physical therapy has several vital roles in hospice care as follows: maximizing functional ability and comfort to enhance quality of life; assuring patient and care giver safety; helping people redesign their lives and life goals; providing support around physical, emotional and spiritual issu... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4244966 Thu, 09 Dec 2010 00:00:00 +0100 4244966 http://www.medworm.com/index.php?rid=4244965&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F3%2F107%2F73639 Tejaswi Mudigonda, Parvathi MudigondaIndian Journal of Palliative Care 2010 16(3):107-110Palliative cancer treatment is a system of care that seeks to relieve suffering in patients with progressive cancer. Given the intractable symptoms with which certain malignancies manifest, palliative care offers a practical approach towards improving the patient's quality of life. However, there are an array of ethical issues associated with this treatment strategy such as particular methods of pain relief, a reliable assessment of suffering, autonomy, and multi-specialist care. While these principles are important to increase and improve the network of palliative care, the resource-poor Indian environments present numerous barriers for these principles to be practically applied. As the infrast... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4244965 Thu, 09 Dec 2010 00:00:00 +0100 4244965 http://www.medworm.com/index.php?rid=4073445&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D2%3Bspage%3D66%3Bepage%3D69%3Baulast%3DSalins This article outlines concepts around ethics and medico legal aspects of not for resuscitation, especially in Indian setting. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4073445 Sat, 16 Oct 2010 16:31:24 +0100 4073445 http://www.medworm.com/index.php?rid=3861652&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D2%3Bspage%3D101%3Bepage%3D104%3Baulast%3DKapali We present a case of metastatic phyllodes tumor managed with aggressive margin negative resection of primary tumor leading to palliation of almost all the symptoms, which eventually led to improved quality of life and probably to improved survival. The improved quality of life was objectively assessed with Hamilton depression rating scale. Surgery may be the only mode of palliation in selected patients that provides a better quality of life and directly or indirectly may lead to improved survival. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3861652 Fri, 13 Aug 2010 09:11:05 +0100 3861652 http://www.medworm.com/index.php?rid=3861651&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D2%3Bspage%3D97%3Bepage%3D100%3Baulast%3DThaker Darshit A Thaker, Bruce C Stafford, Luke S GaffneyIndian Journal of Palliative Care 2010 16(2):97-100Mr. P was a 57-year-old man who presented with symptoms of bowel obstruction in the setting of a known metastatic pancreatic cancer. Diagnosis of malignant bowel obstruction was made clinically and radiologically and he was treated conservatively (non-operatively)with octreotide, metoclopromide and dexamethasone, which provided good control over symptoms and allowed him to have quality time with family until he died few weeks later with liver failure. Bowel obstruction in patients with abdominal malignancy requires careful assessment. The patient and family should always be involved in decision making. The ultimate goals of palliative care (symptom management, quality of life and dignity of... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3861651 Fri, 13 Aug 2010 09:11:05 +0100 3861651 http://www.medworm.com/index.php?rid=3861650&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D2%3Bspage%3D90%3Bepage%3D96%3Baulast%3DIranmanesh Conclusions: The results showed that being with dying people raise an ethical demand that calls for personal and professional response, regardless of sex, culture or context. The physical and organizational context must be supportive and enable nurses to stand up to the demands of close relationships. Specific units and teamwork across various personnel seem to be a solution that is missing in Iran. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3861650 Fri, 13 Aug 2010 09:11:05 +0100 3861650 http://www.medworm.com/index.php?rid=3861649&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D2%3Bspage%3D83%3Bepage%3D89%3Baulast%3DBajwa Conclusions: ICU care is the best form of treatment for terminally ill but resources should be used optimally so that a young deserving patient should not be sacrificed for the scarcity of resources. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3861649 Fri, 13 Aug 2010 09:11:05 +0100 3861649 http://www.medworm.com/index.php?rid=3861648&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D2%3Bspage%3D79%3Bepage%3D82%3Baulast%3DKangethe Simon KangetheIndian Journal of Palliative Care 2010 16(2):79-82The article aims to explore and discuss the occupational care giving conditions pitting them against human rights. The article's objective is to initiate discussions and generate literature pertaining to occupational care giving load and assessing the human rights challenge it poses. The article uses analysis of the literature review from an array of eclectic data sources. The following factors were found besetting the caregivers' human rights: (1) Aging; (2) Cultural and community attitudes towards care giving; (3) Risk of contagion; (4) Health hazards and lack of compensation. Recommendations: (1) Adoption of grandparents/grandchildren care symbiosis system; (2) Government remuneration policy for caregivers; (3... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3861648 Fri, 13 Aug 2010 09:11:05 +0100 3861648 http://www.medworm.com/index.php?rid=3861647&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D2%3Bspage%3D74%3Bepage%3D78%3Baulast%3DMol Rani P MolIndian Journal of Palliative Care 2010 16(2):74-78The palliative doctor gives the 'touch of God' as he/she takes care of the terminally ill patient. The oncologist encounters great difficulties in managing oral cavity problems of these patients. A trained dental doctor can help other doctors in dealing with these situations. But the general dental surgeon does not have enough idea about his part in these treatments. The community is also unaware of the role that a nearby dentist can play. Adequate training programs have to be conducted and awareness has to be created. A trained dentist will be a good team mate for the oncologist or radiotherapist or other doctors of the palliative care team. In this paper, a brief attempt is made to list a few areas in which a palli... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3861647 Fri, 13 Aug 2010 09:11:05 +0100 3861647 http://www.medworm.com/index.php?rid=3861646&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D2%3Bspage%3D70%3Bepage%3D73%3Baulast%3DDam Abhijit Dam, Nivedita Datta, Usha Rani Mohanty, RK Karn, Dara Singh, Sanjay KumarIndian Journal of Palliative Care 2010 16(2):70-73Most of the needs of elders for support and assistance in the later stages of life are fulfilled by informal helpers. The position of a large number of older persons has become vulnerable due to which it cannot be taken for granted that their children will be able to look after them when they need care in old age, specially in view of the longer life span implying an extended period of dependency and higher costs to meet health and other needs. The condition of the rural elderly is even more pitiable, contrary to our beliefs, as availability, affordability and accessibility to medicare facilities are poor. We undertook the task of organizing a health camp in a ... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3861646 Fri, 13 Aug 2010 09:11:05 +0100 3861646 http://www.medworm.com/index.php?rid=3861645&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D2%3Bspage%3D66%3Bepage%3D69%3Baulast%3DSalins This article outlines concepts around ethics and medico legal aspects of not for resuscitation, especially in Indian setting. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3861645 Fri, 13 Aug 2010 09:11:05 +0100 3861645 http://www.medworm.com/index.php?rid=3861644&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D2%3Bspage%3D61%3Bepage%3D65%3Baulast%3DNarayanan Vijayakumar Narayanan, Bibek Bista, Cheriyan KoshyIndian Journal of Palliative Care 2010 16(2):61-65Information that drastically alters the life world of the patient is termed as bad news. Conveying bad news is a skilled communication, and not at all easy. The amount of truth to be disclosed is subjective. A properly structured and well-orchestrated communication has a positive therapeutic effect. This is a process of negotiation between patient and physician, but physicians often find it difficult due to many reasons. They feel incompetent and are afraid of unleashing a negative reaction from the patient or their relatives. The physician is reminded of his or her own vulnerability to terminal illness, and find themselves powerless over emotional distress. Lack of sufficient training in br... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3861644 Fri, 13 Aug 2010 09:11:05 +0100 3861644 http://www.medworm.com/index.php?rid=3861643&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D2%3Bspage%3D59%3Bepage%3D60%3Baulast%3DRajagopal MR RajagopalIndian Journal of Palliative Care 2010 16(2):59-60 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3861643 Fri, 13 Aug 2010 09:11:05 +0100 3861643 http://www.medworm.com/index.php?rid=4096663&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F2%2F101%2F68402 We present a case of metastatic phyllodes tumor managed with aggressive margin negative resection of primary tumor leading to palliation of almost all the symptoms, which eventually led to improved quality of life and probably to improved survival. The improved quality of life was objectively assessed with Hamilton depression rating scale. Surgery may be the only mode of palliation in selected patients that provides a better quality of life and directly or indirectly may lead to improved survival. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4096663 Wed, 11 Aug 2010 23:00:00 +0100 4096663 http://www.medworm.com/index.php?rid=4096662&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F2%2F97%2F68403 Darshit A Thaker, Bruce C Stafford, Luke S GaffneyIndian Journal of Palliative Care 2010 16(2):97-100Mr. P was a 57-year-old man who presented with symptoms of bowel obstruction in the setting of a known metastatic pancreatic cancer. Diagnosis of malignant bowel obstruction was made clinically and radiologically and he was treated conservatively (non-operatively)with octreotide, metoclopromide and dexamethasone, which provided good control over symptoms and allowed him to have quality time with family until he died few weeks later with liver failure. Bowel obstruction in patients with abdominal malignancy requires careful assessment. The patient and family should always be involved in decision making. The ultimate goals of palliative care (symptom management, quality of life and dignity of... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4096662 Wed, 11 Aug 2010 23:00:00 +0100 4096662 http://www.medworm.com/index.php?rid=4096661&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F2%2F90%2F68405 Conclusions: The results showed that being with dying people raise an ethical demand that calls for personal and professional response, regardless of sex, culture or context. The physical and organizational context must be supportive and enable nurses to stand up to the demands of close relationships. Specific units and teamwork across various personnel seem to be a solution that is missing in Iran. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4096661 Wed, 11 Aug 2010 23:00:00 +0100 4096661 http://www.medworm.com/index.php?rid=4096660&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F2%2F83%2F68406 Conclusions: ICU care is the best form of treatment for terminally ill but resources should be used optimally so that a young deserving patient should not be sacrificed for the scarcity of resources. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4096660 Wed, 11 Aug 2010 23:00:00 +0100 4096660 http://www.medworm.com/index.php?rid=4096659&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F2%2F79%2F68409 Simon KangetheIndian Journal of Palliative Care 2010 16(2):79-82The article aims to explore and discuss the occupational care giving conditions pitting them against human rights. The article's objective is to initiate discussions and generate literature pertaining to occupational care giving load and assessing the human rights challenge it poses. The article uses analysis of the literature review from an array of eclectic data sources. The following factors were found besetting the caregivers' human rights: (1) Aging; (2) Cultural and community attitudes towards care giving; (3) Risk of contagion; (4) Health hazards and lack of compensation. Recommendations: (1) Adoption of grandparents/grandchildren care symbiosis system; (2) Government remuneration policy for caregivers; (3... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4096659 Wed, 11 Aug 2010 23:00:00 +0100 4096659 http://www.medworm.com/index.php?rid=4096658&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F2%2F74%2F68408 Rani P MolIndian Journal of Palliative Care 2010 16(2):74-78The palliative doctor gives the 'touch of God' as he/she takes care of the terminally ill patient. The oncologist encounters great difficulties in managing oral cavity problems of these patients. A trained dental doctor can help other doctors in dealing with these situations. But the general dental surgeon does not have enough idea about his part in these treatments. The community is also unaware of the role that a nearby dentist can play. Adequate training programs have to be conducted and awareness has to be created. A trained dentist will be a good team mate for the oncologist or radiotherapist or other doctors of the palliative care team. In this paper, a brief attempt is made to list a few areas in which a palli... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4096658 Wed, 11 Aug 2010 23:00:00 +0100 4096658 http://www.medworm.com/index.php?rid=4096657&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F2%2F70%2F68407 Abhijit Dam, Nivedita Datta, Usha Rani Mohanty, RK Karn, Dara Singh, Sanjay KumarIndian Journal of Palliative Care 2010 16(2):70-73Most of the needs of elders for support and assistance in the later stages of life are fulfilled by informal helpers. The position of a large number of older persons has become vulnerable due to which it cannot be taken for granted that their children will be able to look after them when they need care in old age, specially in view of the longer life span implying an extended period of dependency and higher costs to meet health and other needs. The condition of the rural elderly is even more pitiable, contrary to our beliefs, as availability, affordability and accessibility to medicare facilities are poor. We undertook the task of organizing a health camp in a ... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4096657 Wed, 11 Aug 2010 23:00:00 +0100 4096657 http://www.medworm.com/index.php?rid=4096656&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F2%2F66%2F68404 This article outlines concepts around ethics and medico legal aspects of not for resuscitation, especially in Indian setting. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4096656 Wed, 11 Aug 2010 23:00:00 +0100 4096656 http://www.medworm.com/index.php?rid=4096655&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F2%2F61%2F68401 Vijayakumar Narayanan, Bibek Bista, Cheriyan KoshyIndian Journal of Palliative Care 2010 16(2):61-65Information that drastically alters the life world of the patient is termed as bad news. Conveying bad news is a skilled communication, and not at all easy. The amount of truth to be disclosed is subjective. A properly structured and well-orchestrated communication has a positive therapeutic effect. This is a process of negotiation between patient and physician, but physicians often find it difficult due to many reasons. They feel incompetent and are afraid of unleashing a negative reaction from the patient or their relatives. The physician is reminded of his or her own vulnerability to terminal illness, and find themselves powerless over emotional distress. Lack of sufficient training in br... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4096655 Wed, 11 Aug 2010 23:00:00 +0100 4096655 http://www.medworm.com/index.php?rid=4096654&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Ftext.asp%3F2010%2F16%2F2%2F59%2F68400 MR RajagopalIndian Journal of Palliative Care 2010 16(2):59-60 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=4096654 Wed, 11 Aug 2010 23:00:00 +0100 4096654 http://www.medworm.com/index.php?rid=3678446&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D1%3Bspage%3D23%3Bepage%3D25%3Baulast%3DDam AK Dam, Nivedita Datta, Usha Rani MohantyIndian Journal of Palliative Care 2010 16(1):23-25Background: Inavailability of morphine continues to plague most parts of India. Good palliative care must, however, focus on resources that are locally available, culturally acceptable, financially affordable, and easily applicable. These factors were all integral to the development of the "Kosish cocktail" for use in severe pain. This cocktail is a mixture of ketamine, midazolam, pentazocine lactate, and other adjuvants for use in the domiciliary set-up as intermittent subcutaneous injections in a morphine-naοve community. Our aims and objectives were: (1) To assess the efficacy of the "Kosish cocktail" in treating severe pain in terminally... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3678446 Sun, 20 Jun 2010 07:26:34 +0100 3678446 http://www.medworm.com/index.php?rid=3632126&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D1%3Bspage%3D23%3Bepage%3D25%3Baulast%3DDam Dam A K, Datta Nivedita, Mohanty Usha RaniIndian Journal of Palliative Care 2010 16(1):23-25Background: Inavailability of morphine continues to plague most parts of India. Good palliative care must, however, focus on resources that are locally available, culturally acceptable, financially affordable, and easily applicable. These factors were all integral to the development of the "Kosish cocktail" for use in severe pain. This cocktail is a mixture of ketamine, midazolam, pentazocine lactate, and other adjuvants for use in the domiciliary set-up as intermittent subcutaneous injections in a morphine-naοve community. Our aims and objectives were: (1) To assess the efficacy of the "Kosish cocktail" in treating severe pain in t... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3632126 Sat, 05 Jun 2010 15:06:49 +0100 3632126 http://www.medworm.com/index.php?rid=3632125&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D1%3Bspage%3D1%3Bepage%3D7%3Baulast%3DVallath Vallath NandiniIndian Journal of Palliative Care 2010 16(1):1-7Chronic pain is multi-dimensional. At the physical level itself, beyond the nociceptive pathway, there is hyper arousal state of the components of the nervous system, which negatively influences tension component of the muscles, patterns of breathing, energy levels and mindset, all of which exacerbate the distress and affect the quality of life of the individual and family. Beginning with the physical body, Yoga eventually influences all aspects of the person: vital, mental, emotional, intellectual and spiritual. It offers various levels and approaches to relax, energize, remodel and strengthen body and psyche. The asanas and pranayama harmonize the physiological system and initiate a "relaxation response&#x0026... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3632125 Sat, 05 Jun 2010 15:06:49 +0100 3632125 http://www.medworm.com/index.php?rid=3551948&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D1%3Bspage%3D54%3Bepage%3D55%3Baulast%3DSaroja Saroja G, Devi P Saraswathi, Namrata RIndian Journal of Palliative Care 2010 16(1):54-55 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3551948 Tue, 11 May 2010 15:38:13 +0100 3551948 http://www.medworm.com/index.php?rid=3551947&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D1%3Bspage%3D54%3Bepage%3D54%3Baulast%3DWiwanitkit Wiwanitkit VirojIndian Journal of Palliative Care 2010 16(1):54-54 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3551947 Tue, 11 May 2010 15:38:13 +0100 3551947 http://www.medworm.com/index.php?rid=3551946&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D1%3Bspage%3D52%3Bepage%3D53%3Baulast%3DJanaki Janaki M G, Mukesh S, Arul Ponni T R, Nirmala SIndian Journal of Palliative Care 2010 16(1):52-53Carcinoma of cervix is the most common cancer in developing countries. Majority of them present in locally advanced stages. A 36-year-old lady presented with bleeding and white discharge per vagina since four months, vomiting and reduced urine output since two weeks. Patient had an exophytic cervical growth. Investigation revealed elevated serum creatinine. Patient received single fraction radiation and underwent percutaneous nephrostomy. At one month follow-up, serum creatinine returned to almost normal level. Patient underwent bilateral ante grade stenting and completed concurrent chemoradiotherapy. In selected subsets of patients, aggressive management offered longer palliation and good qual... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3551946 Tue, 11 May 2010 15:38:13 +0100 3551946 http://www.medworm.com/index.php?rid=3551945&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D1%3Bspage%3D48%3Bepage%3D51%3Baulast%3DYadav Yadav Naveen, Philip Frenny Ann, Gogia Vikas, Choudhary Prakash, Rana Shiv Pratap Singh, Mishra Seema, Bhatnagar SushmaIndian Journal of Palliative Care 2010 16(1):48-51Chemotherapy-induced peripheral neuropathy (CIPN) is a frequently encountered complication. It can result from a host of agents. Various modalities of treatment have been advocated, of which a novel method is radio frequency ablation. A 63-year-old male, a case of carcinoma prostrate with bone metastases, presented with tingling and numbness in right upper limb. He was given morphine, gabapentin and later switched to pregabalin, but medications provided only minor relief. Initially he was given stellate ganglion block, then radiofrequency ablation of dorsal root ganglion was done, but it failed to provide complete relief. P... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3551945 Tue, 11 May 2010 15:38:13 +0100 3551945 http://www.medworm.com/index.php?rid=3551944&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D1%3Bspage%3D44%3Bepage%3D47%3Baulast%3DSalins Salins Naveen S, Crawford Gregory BIndian Journal of Palliative Care 2010 16(1):44-47Intrathecal analgesia is an interventional form of pain relief with definite advantages and multiple complications. Administration of intrathecal analgesia needs a good resource setting and expertise. Early complications of intrathecal analgesia can be very distressing and managing these complications will need a high degree of knowledge, technical expertise and level of experience. Pain control alone cannot be the marker of quality in palliative care. A holistic approach may need to be employed that is more person and family oriented. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3551944 Tue, 11 May 2010 15:38:13 +0100 3551944 http://www.medworm.com/index.php?rid=3551943&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D1%3Bspage%3D36%3Bepage%3D43%3Baulast%3DSingh Conclusions: Increasing QOL and KPS showed a positive correlation whereas increasing pain and better QOL show negative correlation, as do better performance status and increasing pain score. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3551943 Tue, 11 May 2010 15:38:13 +0100 3551943 http://www.medworm.com/index.php?rid=3551942&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D1%3Bspage%3D30%3Bepage%3D35%3Baulast%3DKangethe Kangethe SimonIndian Journal of Palliative Care 2010 16(1):30-35Background/Aim: To explore and assess the magnitude of stigma and its impact to palliative care giving. Objective: To involve the palliative caregivers in exploring the impact of stigma in their care giving. Materials and Methods: The study was exploratory in nature and used attracted qualitative design and interviewed 82 palliative caregivers in 10 focus groups using an interview guide as a data collection instrument, and five CHBC nurses on one-to-one in-depth interviews, still guided by an interview guide that differed only slightly with the one for the caregivers. Results: The study findings revealed that stigma and discrimination was immensely perfidious due to: (1) Discrimination against caregivers by the service... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3551942 Tue, 11 May 2010 15:38:13 +0100 3551942 http://www.medworm.com/index.php?rid=3551941&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D1%3Bspage%3D26%3Bepage%3D29%3Baulast%3DSeth Conclusion: Training programs in communication skills should teach doctors how to elicit patients' preferences for information. Systematic training programs with feedback can decrease physicians stress and burnout. More research for understanding a culturally appropriate communication framework is needed. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3551941 Tue, 11 May 2010 15:38:13 +0100 3551941 http://www.medworm.com/index.php?rid=3551940&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D1%3Bspage%3D23%3Bepage%3D25%3Baulast%3DDam Dam A K, Datta Nivedita, Mohanty Usha RaniIndian Journal of Palliative Care 2010 16(1):23-25Background: Inavailability of morphine continues to plague most parts of India. Good palliative care must, however, focus on resources that are locally available, culturally acceptable, financially affordable, and easily applicable. These factors were all integral to the development of the "Kosish cocktail" for use in severe pain. This cocktail is a mixture of ketamine, midazolam, pentazocine lactate, and other adjuvants for use in the domiciliary set-up as intermittent subcutaneous injections in a morphine-naοve community. Our aims and objectives were: (1) To assess the efficacy of the "Kosish cocktail" in treating seve... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3551940 Tue, 11 May 2010 15:38:13 +0100 3551940 http://www.medworm.com/index.php?rid=3551939&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D1%3Bspage%3D16%3Bepage%3D22%3Baulast%3DKangethe Kangethe SimonIndian Journal of Palliative Care 2010 16(1):16-22Aim: The study aims to explore the attitudes and perceptions of family and community palliative care givers pertaining to volunteerism. Objective: The main objective is to involve palliative caregivers and their supervisors in assessing their contribution to care and evaluate their state of volunteerism. Materials and Methods: The study attracted qualitative design and involved 82 palliative caregivers in 10 focus group discussions; one-to-one interviews with the nurses supervising them. Two slightly different interview guides were used as research instruments. Results: Findings indicate that palliative care giving volunteerism is motivated and sustained by: (1) Principles of love emanating from blood and kinship relatio... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3551939 Tue, 11 May 2010 15:38:13 +0100 3551939 http://www.medworm.com/index.php?rid=3551938&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D1%3Bspage%3D8%3Bepage%3D15%3Baulast%3DSelman Selman Lucy, Harding RichardIndian Journal of Palliative Care 2010 16(1):8-15Palliative care in India has made enormous advances in providing better care for patients and families living with progressive disease, and many clinical services are well placed to begin quality improvement initiatives, including clinical audit. Clinical audit is recognized globally to be essential in all healthcare, as a way of monitoring and improving quality of care. However, it is not common in developing country settings, including India. Clinical audit is a cyclical activity involving: identification of areas of care in need of improvement, through data collection and analysis utilizing an appropriate questionnaire; setting measurable quality of care targets in specific areas; designing and implementing ser... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3551938 Tue, 11 May 2010 15:38:13 +0100 3551938 http://www.medworm.com/index.php?rid=3551937&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2010%3Bvolume%3D16%3Bissue%3D1%3Bspage%3D1%3Bepage%3D7%3Baulast%3DVallath Vallath NandiniIndian Journal of Palliative Care 2010 16(1):1-7Chronic pain is multi-dimensional. At the physical level itself, beyond the nociceptive pathway, there is hyper arousal state of the components of the nervous system, which negatively influences tension component of the muscles, patterns of breathing, energy levels and mindset, all of which exacerbate the distress and affect the quality of life of the individual and family. Beginning with the physical body, Yoga eventually influences all aspects of the person: vital, mental, emotional, intellectual and spiritual. It offers various levels and approaches to relax, energize, remodel and strengthen body and psyche. The asanas and pranayama harmonize the physiological system and initiate a "relaxation response&#x0026... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3551937 Tue, 11 May 2010 15:38:13 +0100 3551937 http://www.medworm.com/index.php?rid=3346222&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2009%3Bvolume%3D15%3Bissue%3D2%3Bspage%3D132%3Bepage%3D136%3Baulast%3DTramboo Conclusion: These results indicate the effectiveness of a2d modulators for management of neuropathic pain secondary to compression radiculopathy. The results also suggest a possible therapeutic superiority of LYRICA over locally available generic brands of pregabalin and gabapentin. These findings need to be further examined in randomized, controlled trials. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3346222 Tue, 09 Mar 2010 17:16:35 +0100 3346222 http://www.medworm.com/index.php?rid=3108223&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2009%3Bvolume%3D15%3Bissue%3D2%3Bspage%3D162%3Bepage%3D163%3Baulast%3DPandve Pandve Harshal T, Fernandez Kevin, Chawla Parvinder Singh, Singru Samir AIndian Journal of Palliative Care 2009 15(2):162-163 (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3108223 Mon, 21 Dec 2009 16:07:55 +0100 3108223 http://www.medworm.com/index.php?rid=3108222&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2009%3Bvolume%3D15%3Bissue%3D2%3Bspage%3D159%3Bepage%3D161%3Baulast%3DArulponni Arulponni T R, Janaki M G, Nirmala SIndian Journal of Palliative Care 2009 15(2):159-161Two young male patients treated seven and four years back, for malignant glioma, returned with recurrence at the same site, with a World Health Organization (WHO) Performance Score of four and two. Both underwent resurgery and received postoperative reirradiation of 5040 cGy in 28 fractions and concurrent Temozolomide 75 mg/m<sup> 2</sup> body surface area (BSA) daily, and one patient received additional adjuvant Temozolomide 250 mg (150 mg/m<sup> 2</sup> BSA). Both patients tolerated the treatment well with 16 and 14 months follow-up from the time of recurrence. They were symptom-free, with normal physical function and good... Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3108222 Mon, 21 Dec 2009 16:07:55 +0100 3108222 http://www.medworm.com/index.php?rid=3108221&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2009%3Bvolume%3D15%3Bissue%3D2%3Bspage%3D155%3Bepage%3D158%3Baulast%3DBanerjee Conclusion:</b> The eagerness of patients wanting the teams to reach their residence may be judged by the given figures. The total number of patients visited by the homecare teams of Cansupport in the year 2008-2009 was 1025. Out of them, there were about 104 patients who were discharged. The term discharge means that the patients were not interested in our visit or were not available in our subsequent visit. It has to be mentioned here that the service is a definite demand by society provided that the cost may be catered too. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3108221 Mon, 21 Dec 2009 16:07:55 +0100 3108221 http://www.medworm.com/index.php?rid=3108220&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2009%3Bvolume%3D15%3Bissue%3D2%3Bspage%3D148%3Bepage%3D154%3Baulast%3DSharma Conclusion:</b> In this selective sample, the standard of analgesic treatment was found to be satisfactory. However, there is a lot of scope for improvement regarding referral to pain clinic and later to the hospice. Patients' follow-up needs to be improved along with future studies evaluating those patients who were considered for further RT till radical dose. Programs to change the patients' attitude towards palliative care, physicians' (residents') training to improve communication skills, and institutional policies may be promising strategies. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3108220 Mon, 21 Dec 2009 16:07:55 +0100 3108220 http://www.medworm.com/index.php?rid=3108219&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2009%3Bvolume%3D15%3Bissue%3D2%3Bspage%3D141%3Bepage%3D147%3Baulast%3DIranmanesh Conclusion:</b> The study suggests that the nurses' success in caring for people at the end of life is reliant on their interpersonal caring relationship. Facilitating such relationship requires the establishment of palliative care unit, incorporation of palliative care into undergraduate nursing studies, and cultural preparation through public education. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3108219 Mon, 21 Dec 2009 16:07:55 +0100 3108219 http://www.medworm.com/index.php?rid=3108218&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2009%3Bvolume%3D15%3Bissue%3D2%3Bspage%3D137%3Bepage%3D140%3Baulast%3DGhoshal Conclusions:</b> Out of these 15 patients, majority (13) were males and the mean age of the patients was 62 years. After the first course, all patients had good symptom relief, improvement in the QOL, and 13 out of 15 had more than 50% objective response. The short duration of the treatment was favored by the outstation patients and their attendants. It may be concluded that this short course of radiation is an effective tool for palliative radiation and merits a larger randomized trial. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3108218 Mon, 21 Dec 2009 16:07:55 +0100 3108218 http://www.medworm.com/index.php?rid=3108217&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2009%3Bvolume%3D15%3Bissue%3D2%3Bspage%3D132%3Bepage%3D136%3Baulast%3DTramboo Conclusion: </b> These results indicate the effectiveness of a<sub>2</sub>d modulators for management of neuropathic pain secondary to compression radiculopathy. The results also suggest a possible therapeutic superiority of LYRICA over locally available generic brands of pregabalin and gabapentin. These findings need to be further examined in randomized, controlled trials. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3108217 Mon, 21 Dec 2009 16:07:55 +0100 3108217 http://www.medworm.com/index.php?rid=3108216&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2009%3Bvolume%3D15%3Bissue%3D2%3Bspage%3D127%3Bepage%3D131%3Baulast%3DBarathi Conclusion:</b> Educational sessions have significant impact on improving oral morphine prescribing practice among doctors and nurses. It was found failing to administer regular as well as rescue doses resulted in inadequate pain relief in patients receiving oral morphine. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3108216 Mon, 21 Dec 2009 16:07:55 +0100 3108216 http://www.medworm.com/index.php?rid=3108215&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2009%3Bvolume%3D15%3Bissue%3D2%3Bspage%3D122%3Bepage%3D126%3Baulast%3DJoseph Conclusion:</b> Overall awareness of palliative care was poor. This calls for large-scale awareness campaigns. As home-based palliative care was preferred by many, home visits by care providers and training of family members of patient's needing palliative care needs to be practiced widely. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3108215 Mon, 21 Dec 2009 16:07:55 +0100 3108215 http://www.medworm.com/index.php?rid=3108214&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2009%3Bvolume%3D15%3Bissue%3D2%3Bspage%3D115%3Bepage%3D121%3Baulast%3DKangethe Conclusion:</b> This article recommends counseling and debriefings; formation of caregivers support groups; motivation strategies to be put in place; and provisions of adequate care package and food basket. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3108214 Mon, 21 Dec 2009 16:07:55 +0100 3108214 http://www.medworm.com/index.php?rid=3108213&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2009%3Bvolume%3D15%3Bissue%3D2%3Bspage%3D111%3Bepage%3D114%3Baulast%3DSinha Conclusion:</b> This study conclude that nurses have a great role to play in the physical, psychological, economical, social, familial, and sexual aspects in the care of ostomates and to offer psychological support and empathy, to reinforce coping skills to promote an optimal QoL.also she has a great role to influence and educate all the aspects of care to the patients and their relatives. Their is a need to develop staff development program for nursing personnel in the clinical area in healthcare system. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3108213 Mon, 21 Dec 2009 16:07:55 +0100 3108213 http://www.medworm.com/index.php?rid=3108212&cid=s_33835_78_f&fid=33835&url=http%3A%2F%2Fwww.jpalliativecare.com%2Farticle.asp%3Fissn%3D0973-1075%3Byear%3D2009%3Bvolume%3D15%3Bissue%3D2%3Bspage%3D108%3Bepage%3D110%3Baulast%3DMacleod Conclusion:</b> Organicity and not psychogenicity is, therefore, the likely etiology of failure of full eyelid closure at death. (Source: Indian Journal of Palliative Care) Indian Journal of Palliative Care journals http://www.medworm.com/rss/comments.php?id=3108212 Mon, 21 Dec 2009 16:07:55 +0100 3108212