Sunitha Daniel
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View article: 78 Continuous subcutaneous infusion of sodium valproate for seizures at end of life: a retrospective case series
78 Continuous subcutaneous infusion of sodium valproate for seizures at end of life: a retrospective case series Open
Background Seizures are common at the end of life (EOL) and can be due to cerebral neoplasms as well as uncontrolled epilepsy. Uncontrolled seizures can be a distressing symptom for patients and caregivers and can also risk further brain d…
View article: Mental Health Simulation Training for Pharmacy workforce in Secondary Care
Mental Health Simulation Training for Pharmacy workforce in Secondary Care Open
Introduction Simulation involves life-like scenarios followed by reflection within a facilitated debrief and is widely used in healthcare education. The NHS Long Term plan1 and HEE2 reports highlight the need for the pharmacy workforce in …
View article: Views and experiences of opioid access amongst palliative care providers and public representatives in a low-resource setting: A qualitative interview study
Views and experiences of opioid access amongst palliative care providers and public representatives in a low-resource setting: A qualitative interview study Open
Opioids (e.g. morphine) are affordable, effective interventions for cancer-related pain. However, equity of access to this key medication remains a global challenge, particularly in low- and middle-income countries. We aimed to explore vie…
View article: Correction to: Palliative Care and End-of-Life Decisions in Interstitial Lung Disease
Correction to: Palliative Care and End-of-Life Decisions in Interstitial Lung Disease Open
View article: 143 Nurse led paracentesis for palliative care patients in the home setting in a low- and middle-income country: A case series
143 Nurse led paracentesis for palliative care patients in the home setting in a low- and middle-income country: A case series Open
Background Ascites in palliative care is associated with numerous distressing symptoms and can affect the quality of life of patients. Management of ascites-related symptoms is challenging especially in cancer patients due to the lack of e…
View article: 135 Identification of patients with advanced liver disease nearing the end of life within a secondary care hepatology specialist service
135 Identification of patients with advanced liver disease nearing the end of life within a secondary care hepatology specialist service Open
Introduction Non-malignant liver disease is the 3rd most common cause of death in working-age adults. Those affected spend significant durations in hospital in the last year of life, focusing on disease modification with little regard to s…
View article: Developing a Screening Tool for Serious Health-related Suffering for Low- and Middle-Income Countries – Phase-1: Domain Identification and Item Generation
Developing a Screening Tool for Serious Health-related Suffering for Low- and Middle-Income Countries – Phase-1: Domain Identification and Item Generation Open
Objectives: The Lancet Commission on Global Access to Palliative Care and Pain Relief reported significant levels of health-related suffering globally, with the highest incidence in the low- and middle-income countries. The report describe…
View article: 943 Beyond the Adenoma Carcinoma Sequence
943 Beyond the Adenoma Carcinoma Sequence Open
Introduction Looking beyond the adenoma carcinoma sequence researchers have discovered alternate morpho-genetic routes, and tumour biomarkers in colorectal cancer. This has caused a paradigm shift in the management, resulting in improved d…
View article: “So, when a woman becomes ill, the total structure of the family is affected, they can’t do anything…” Voices from the community on women with breast cancer in India: a qualitative focus group study
“So, when a woman becomes ill, the total structure of the family is affected, they can’t do anything…” Voices from the community on women with breast cancer in India: a qualitative focus group study Open
Background Psychological symptoms are common in women with breast cancer and profoundly affect their role in the family and wider community, varying across cultural backgrounds. Breast cancer is becoming the most common cancer among women …
View article: 31 Effectiveness of a palliative care resource toolkit for COVID 19 for low and middle income countries (LMICs) on health care workers knowledge and confidence levels
31 Effectiveness of a palliative care resource toolkit for COVID 19 for low and middle income countries (LMICs) on health care workers knowledge and confidence levels Open
Background Integrated palliative care (PC) has an important role in supporting those affected by the global COVID 19 pandemic. Communication and goals of care, symptom control and holistic support is needed particularly for patients and fa…
View article: 89 So when a woman becomes ill, the total structure of the family is affected, they can’t do anything, so the kids studies will be affected, husband’s work is affected – Voices from the community on women with breast cancer in LMIC; a qualitative focus group
89 So when a woman becomes ill, the total structure of the family is affected, they can’t do anything, so the kids studies will be affected, husband’s work is affected – Voices from the community on women with breast cancer in LMIC; a qualitative focus group Open
Background Psychological symptoms are common in women with breast cancer and profoundly affect their role in the family and wider community, varying across cultural backgrounds. Breast cancer is becoming the most common cancer among women …
View article: 118 Planning and implementation of a cancer control program with integration of primary health care and palliative care services in a low middle income country
118 Planning and implementation of a cancer control program with integration of primary health care and palliative care services in a low middle income country Open
Background Cancer, the second leading cause of death globally, accounted for an estimated 9.6 million deaths in 2018. More than 70% of all cancer deaths occur in low and middle income countries, where resources available for prevention, di…
View article: How physicians in South India recognize, assess, and manage people with chronic breathlessness syndrome: A thematic analysis
How physicians in South India recognize, assess, and manage people with chronic breathlessness syndrome: A thematic analysis Open
Chronic breathlessness syndrome is recognized in South India but, as in higher-income countries, risks being invisible due to the lack of awareness of therapeutic interventions. A named and defined syndrome was seen as a way to improve ide…
View article: Assessment of safety and effectiveness of oral morphine on patients attending pain and palliative care: a study on Indian population
Assessment of safety and effectiveness of oral morphine on patients attending pain and palliative care: a study on Indian population Open
Opioid analgesics remain the corner stone of effective management of moderate to severe pain. Morphine in its oral and parenteral form is one of the most affordable options left to treat severe cancer pain in most Palliative centres in Ind…
View article: ‘I don’t talk about my distress to others; I feel that I have to suffer my problems...’ Voices of Indian women with breast cancer: a qualitative interview study
‘I don’t talk about my distress to others; I feel that I have to suffer my problems...’ Voices of Indian women with breast cancer: a qualitative interview study Open
Background Breast cancer is the commonest form of cancer among women globally, including in India. The rising incidence in the developing world is thought to be due to increased life expectancy, urbanisation, and adoption of western lifest…
View article: Current pricing model for cancer drugs ‒ is it ‘Justum Pretium’ for the developing world? Taking management of chronic lymphocytic leukaemia in India into consideration
Current pricing model for cancer drugs ‒ is it ‘Justum Pretium’ for the developing world? Taking management of chronic lymphocytic leukaemia in India into consideration Open
Cancer treatment has changed significantly over the last decade due to the emergence of several innovative therapies, thanks to the overwhelming amount of impressive research and development (R&D) by academia and the pharmaceutical industr…
View article: 97 How do physicians in South India recognise, assess and manage chronic breathlessness and is chronic breathlessness considered a syndrome or diagnosis?
97 How do physicians in South India recognise, assess and manage chronic breathlessness and is chronic breathlessness considered a syndrome or diagnosis? Open
Background Chronic breathlessness syndrome has been recently defined to help clinicians actively seek and patients legitimately present with persistent breathlessness, and to drive service development and research. There are many evidence-…
View article: Responding to palliative care training needs in the coronavirus disease 2019 era: The context and process of developing and disseminating training resources and guidance for low- and middle-income countries from Kerala, South India
Responding to palliative care training needs in the coronavirus disease 2019 era: The context and process of developing and disseminating training resources and guidance for low- and middle-income countries from Kerala, South India Open
Integrated Palliative care should be an essential part of any response to a humanitarian crisis. The e resource tool kit can be adapted for use in other low- and middle-income countries.
View article: Psychosocial aspects of COVID-19 in the context of palliative care – A quick review
Psychosocial aspects of COVID-19 in the context of palliative care – A quick review Open
In a resource-poor country like India, where the health-care systems are difficult to access, overburdened, and unaffordable to many, the impact of the coronavirus disease 2019 (COVID-19) pandemic can be devastating. The increased burden o…
View article: 80 Systematic literature review on the psychological concerns of indian women undergoing breast cancer treatment
80 Systematic literature review on the psychological concerns of indian women undergoing breast cancer treatment Open
Background Psychological symptoms are common in women diagnosed with breast cancer. The cancer care experiences of women varies across diverse cultural backgrounds. Given that breast cancer is becoming the most common cancer among women in…
View article: 162 Role of specialist palliative care in care conferences in a tertiary referral hospital in india: a retrospective case note analysis
162 Role of specialist palliative care in care conferences in a tertiary referral hospital in india: a retrospective case note analysis Open
Background Care conferences are team meetings held for every patient receiving health care in hospital or other care facility. It involves the patient, carers and family and it facilitates sharing information and working together to meet t…
View article: 154 Hyponatremia in palliative care; is it always SIADH?
154 Hyponatremia in palliative care; is it always SIADH? Open
Background Hyponatremia, the most common electrolyte disturbance in clinical practice affecting up to 15%–28% of admitted patients, is defined as a serum sodium concentration ([Na+]) Methods A retrospective case note analysis was carried o…
View article: IAPCONKochi 2019 Abstracts: PLENARY AND PARALLEL SESSIONS
IAPCONKochi 2019 Abstracts: PLENARY AND PARALLEL SESSIONS Open
View article: IAPCONKochi 2019 Proceedings
IAPCONKochi 2019 Proceedings Open
View article: PALB2 reversion mutations in breast, prostate, and ovarian carcinomas
PALB2 reversion mutations in breast, prostate, and ovarian carcinomas Open
View article: What determines duration of palliative care before death for patients with advanced disease? A retrospective cohort study of community and hospital palliative care provision in a large UK city
What determines duration of palliative care before death for patients with advanced disease? A retrospective cohort study of community and hospital palliative care provision in a large UK city Open
Objective For patients with advanced cancer, several randomised controlled trials have shown that access to palliative care at least 6 months before death can improve symptoms, reduce unplanned hospital admissions, minimise aggressive canc…
View article: Definitive treatment of common bile duct stones with endoscopic sphincterotomy alone in patients 70 years and above: Is it justified?
Definitive treatment of common bile duct stones with endoscopic sphincterotomy alone in patients 70 years and above: Is it justified? Open