PALLIATIVE CARE |
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Introduction: |
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The term “palliative care” implies a personalized form of
health care. It extends the healthcare professional’s mandate beyond the
biomedical model to the wider horizon necessary if one is to attend to
suffering as well as the biology of disease, caring as well as curing, as well
as quality of life. The patient and family or significant others are taken
together as the unit of care in assessment of needs related to illness. The aim
of palliative care is to support optimal quality of life and to foster healing-
that is, a shift in response towards an experience of integrity and wholeness
on the continuum of the quality of life.
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TRAINED VOLUNTEERS |
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| Name & Contact | ||||||||
| Smt. Eudora Warjri | 9436110924 | Smt. Bilsheba Nengnong | 8794162833 | |||||
| Smt. Valareen Mukhim | 9774745076 | Smt. Iohun Dhar | 8014410522 |
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| Smt. Judie M Ryntathiang | 9774664464 | Smt. Mayfreen Ryntathiang |
8575017983 |
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| Smt. Badriti Dkhar | 9863026572 | Smt. Balasara Lyngdoh | 9862230700 | |||||
| Shri Arborlang Thangkiew | 9774258084 | Shri Khlainbor Kharkangor | 9774025539 | |||||
| Shri Teipynskhem Lyngdoh | 9856028724 | Shri. R.K Purnachandra | 9436332343 | |||||
| Doctors: Name & Contact | ||||||||
| Prof. Dr. P.Bhattacharya | 9436335209 | Dr. Purnima Devi | 9436891578 | |||||
| Dr. Ritesh Kumar | 9769159717 | Dr. Sharon Lyngdoh | 9402102880 | |||||
| Dr. Wendy Sailo | 9436154838 | Dr. Priyanka | 8014151740 | |||||
| Dr. Sonai Kakoti | 9435342691 | |||||||
What is Cancer? |
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| Cancer is a
large group of diseases (over 200) characterized by uncontrolled growth and
spread of abnormal cells.
SIGNS
and SYMPTOMS
v
Change in bowel habits or bladder
functions
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Sores that do not heal
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Unusual bleeding or discharge
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Lumps or thickening of breast or
other parts of the body
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Indigestion or difficulty swallowing
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Recent change in wart or mole
v Persistent coughing or hoarseness. | ||||||||
What Cause Cancer?
| LIFESTYLE | ENVIRONMENT | FAMILY HISTORY |
| Smoking | Second hand smoke | Ovarian |
| Oral Tobacco | Air pollution | Breast Cancer |
| High Diet Food & low in vegetables and Fruits | Chemical Exposure | Cancer that may be by inherited gene mutation are: |
| Lack of Exercise | Industrial Pollution | Gene Mutation |
| Unprotected exposure to sunlight | Less than 15% cancer is inherited | |
| Obesity |
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Palliative Care is recognised by
individualized, holistic models of care, delivered carefully, sensitively,
ethically and therapeutically by using skilled communication with attention to
detail, meticulous assessment and advancing knowledge.
The term “palliative care”
implies a personalized form of health care. It extends the healthcare
professional’s mandate beyond the biomedical model to the wider horizon
necessary if one is to attend to suffering as well as the biology of disease,
caring as well as curing, as well as quality of life. The patient and family or
significant others are taken together as the unit of care in assessment of
needs related to illness. The aim of palliative care is to support optimal
quality of life and to foster healing- that is, a shift in response towards an
experience of integrity and wholeness on the continuum of the quality of
life.
Considerations in the provision
of palliative care include a seamless continuity of care appropriate to the
needs of the patient and the family, with the options that include home care;
chronic inpatient care; acute, specialized inpatient (tertiary) care;
consultation services available for those still receiving treatment to modify
the disease; day care with resources for multidisciplinary assessment;
bereavement support for those at risk of a complicated grief reaction.
“Palliative care is the
approach that improves the quality of life of patients and their families
facing the problems associated with life threatening illness, through the
prevention and relief of suffering by means of early identification and
impeccable assessment and treatment of pain and other problems, physical,
psychosocial, and spiritual ( World Health Organisation, 2005)”
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| A decubitus ulcer is an open wound on the skin or tissue death and it is the result of impairment of vascular and lymphatic system of the skin and tissues caused by compression, tension and shear | ||
Causes |
Home Remedies |
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Prevention |
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| Stage 1 | Stage 2 | Stage 3 | Stage 4 | Stage 5 |
Fungating Wound Management |
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| It is a Primary or secondary malignant growth in the skin which has ulcerated and difficult to heal. Fungating cancer wounds may also be called malignant wounds that taht is when cancer that is growing under the skin breaks through the skin to create a wound | ||||
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Criteria
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Empathetic and loving care
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Provide a thorough bath before
dressing
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Use normal saline for cleansing the
wound
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Use absorbable dressing to remove
exudates
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Attention to wound margin and
healthy tissue
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Management of Physical Problems- Discuss with Doctor and Nurses regarding the following |
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Deep pain -adjusting systemic
analgesics
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Superficial pain (burning, pricking
) -local application e.g.Lignocaine, Opioids like Morphine
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v Giving Morphine prior to dressing change can be helpful |
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Infection |
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v Daily Dressing with metrogyl |
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Prevention from house flies
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Bleeding |
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v Prevention(gently removing the dressing, use warmed N.S irrigation to moisten the dressing,use non-adherent dressings) |
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Apply local pressure for 10-15
minutes
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v Local ice packs |
v Sucralfate powder |
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Systemic Ethamsylate
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v Uncontrolled bleeding, using dark towels /blankets to mask the blood(decrease anxiety for the patient & family) |
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What is Morphines??? |
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Morphine is the only
one drug that are used to relieve pain. it does not work well in all pains.
Only about two-third of all pains can be adequately treated with morphine. It
is important that the type of pain is identified and the appropriate drugs are
used. Morphine is seldom used alone :- it is combined with other appropriate
painkillers depending on the type of pain. If morphine is used in pains that
are not morphine – responsive, it will only make the patient sedated and cause
side effects.
Compiled
By: Palliative Care Members
Compiled
From:
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