Palliative Care Practices Among Physicians Providing Palliative Care to Terminally Ill Cancer Patients – A Cross Sectional Study in A Tertiary Care Hospital of Eastern India

Authors

  • Subraham Pany Department of Community Medicine, Blue Wheel Hospital, Bhubaneswar
  • Lipilekha Patnaik Department of Community Medicine, IMS & SUM Hospital, Bhubaneswar
  • Trilochan Sahu Department of Community Medicine, IMS & SUM Hospital, Bhubaneswar

DOI:

https://doi.org/10.5455/njcm.20211007035327

Keywords:

Doctors, Health Care providers, Hospital palliative care, End of life care

Abstract

Introduction: To find out palliative care practices among physicians providing care to terminally ill cancer patients.

Methods: The study was cross-sectional in nature, conducted in a tertiary care hospital from July 2015 to September 2017 using a predesigned and pretested questionnaire among physicians providing care to terminally ill cancer patients. A universal sample of 42 doctors involved in providing health services to terminally ill cancer patients were included in. The analysis was done using SPSS v. 20.0.

Results: Most of the physicians involved in care giving to the terminally ill were specialist care providers (67%) and only 1/5th of the physicians had received training on palliative care. Physicians who had either had training or had a personal loss of near and dear one through the state of terminal illness showed much compassionate care giving attitude. 83% physicians had a positive care giving attitude towards their patients.

Conclusion: Family and physician interactions need to be improved so as to facilitate better care for the terminally ill patients. There should be regular trainings organised for physicians and other health care providers dealing with terminal illness so they can provide best palliative care to their patients.

References

World Health Organization. Global atlas of palliative care at the end of life, WHO; 2014. p111.

Witkamp FE, van Zuylen L, Borsboom G, van der Rijt CC, van der Heide A. Dying in the hospital: what happens and what matters, according to bereaved relatives. J Pain Symptom Manage. 2015 Feb; 49(2):203-13.

WHO Expert Committee on Cancer Pain Relief and Active Supportive Care. Cancer pain relief and palliative care [Internet]. Geneva: World Health Oragnization. 1996. p. 63.

Mohanti BK. Research focus in palliative care. Indian J Palliat Care. 2011;17, Suppl S1:8-11.

Franks PJ, Salisbury C, Bosanquet N, Wilkinson EK, Kite S, Naysmith A, et al. The level of need for palliative care: a systematic review of the literature. Palliative Medicine. 2000;14(2):93–104.

World Health Organization. Palliative Care, WHO; 2016. Available from: http://www.who.int/mediacentre/factsheets/ fs402/en/

Dr Mathews Lulu, editor. Certificate Course In Essentials Of Palliative Care Handbook, Course material finalised at the National Workshop held during the. 4th ed. 2011.

Suhag V, Bs S, Singh A, Dashottar S, Semwal M, Singh S, et al. The Oncology Scenario in India : Lots of Gaps. Global Journal of Medical Research. 2015;15(2):10-6.

Seamark David. Poor palliative care in India. The Lancet Oncology [Internet]. 2008;9(6):515.

Khosla D, Patel FD, Sharma SC. Palliative care in India: current progress and future needs. Indian J Palliat Care. 2012;18(3):149–54.

Kassa H, Murugan R, Zewdu F, Hailu M, Woldeyohannes D. Assessment of knowledge, attitude and practice and associated factors towards palliative care among nurses working in selected hospitals, Addis Ababa, Ethiopia. BMC PalliatCare. 2014;13(1):6.

Gopal KS, Archana PS. Awareness , Knowledge and Attitude about Palliative Care, in General, Population and Health Care Professionals in Tertiary Care Hospital. Int J Sci Stud 2016;3(10):31-35.

Alvaro AW. Critical care nurses’ attitudes towards the care of the dying: an educational intervention. A thesis presented to the faculty of the Graduate School of Western Carolina University. March 2009. Available from: http://libres.uncg.edu › wcu › alvaro2009.

Eagar K, Senior K, Fildes D, Quinsey K, Owen A, Yeatman H, et al. The Palliative Care Evaluation Tool Kit : A compendium of tools to aid in the evaluation of palliative care projects. September 2004. University of Wollongong. Available from: http://ro.uow.edu.au› cgi›

Patel A, Deo S, Bhatnagar S. A survey of medical professionals in an apex tertiary care hospital to assess awareness, interest, practices, and knowledge in palliative care: A descriptive cross-sectional study, Indian J Palliat Care. 2019;25:172-80.

Papadimos TJ, Maldonado Y, Tripathi RS, Kothari DS, Rosenberg AL. An overview of end-of-life issues in the intensive care unit. Int JCritIllnInjSci. 2011;1:138–46.

Gupta M, Sahi MS, Bhargava AK, Talwar V. The Prevalence and Characteristics of Pain in Critically Ill Cancer Patients: A Prospective Nonrandomized Observational Study. Indian J Palliat Care. 2015;21(3):262–7.

Institute of Medicine (US) Committee on Care at the End of Life. Approaching Death: Improving Care at the End of Life. Field MJ, Cassel CK, editors. Washington (DC): National Academies Press (US); 1997. PMID: 25121204.

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Published

2021-11-30

How to Cite

1.
Pany S, Patnaik L, Sahu T. Palliative Care Practices Among Physicians Providing Palliative Care to Terminally Ill Cancer Patients – A Cross Sectional Study in A Tertiary Care Hospital of Eastern India. Natl J Community Med [Internet]. 2021 Nov. 30 [cited 2024 Mar. 29];12(11):369-73. Available from: https://www.njcmindia.com/index.php/file/article/view/243

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Original Research Articles