Vol. 4, Issue 11 (2018)
A retrospective study on the state of palliative care in the city of Amritsar
Author(s): Dr. Harkomal, Dr. Riya Kalra, Dr. Joginder Pal Attri, Dr. Veena Chatrath, Dr. Rajiv Devgan, Dr. Neeru Bala
Abstract: Introduction: Palliative care is an approach that improves the quality of life of patients through the prevention and relief of suffering by means of early identification and treatment of pain and other problems with narcotics like Morphine and other controlled substances for pain. Methods: In the present study, we have conducted a retrospective study on 1762 terminal stage cancer patients admitted in two hospitals at Amritsar and evaluated the pain management of the patients that reflects upon the palliative outcome of the patients. The primary aim of our study was to evaluate chronic pain management in stage III and IV cancer patients and the assessment of the adequacy of pain management using Pain management index. Raw data was collected in a Microsoft excel sheet and analyzed. Number of patients and percentages of cases were analyzed using Chi square tests and independent t -test. Results: In our study, the maximum number of patients had a pain management index score of -1 (897 patients out of 1762; 50.9%) showing inadequate pain management. This was followed by a pain management index score of zero that was recorded in 742 patients amounting to 42.11% of the total patients. Discussion: In our study, the retrospective analysis of terminal cancer patients was done and all the patients received radiotherapy as a treatment or palliative care. The pain management regime of the patient was noted and analyzed as the palliative outcome score. The most common type of cancer in females was Carcinoma breast which accounted for 42.06% of the total cases in female population in study followed by Carcinoma cervix that accounted to 18.84% of the total cases. However, in males the most common type of cancer was carcinoma lung that constituted of 11.25% of the total cases followed by Ca larynx (9.42%).
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