Approaches and best practices for managing cancer pain within the constraints of the COVID-19 pandemic in India

Anuja Damani, Arunangshu Ghoshal, Naveen Salins, Sushma Bhatnagar, Priti Sanghavi, Vidya Viswanath, Shrenik Ostwal, Gauraiya Chinchalkar, Nandini Vallath

Research output: Contribution to journalReview article

Abstract

Novel corona virus disease 2019 (COVID-19) is an ongoing pandemic that has impacted the entire world. The Indian government has responded strongly and very stringently to the crisis, through a nationwide lockdown. The health-care (HC) systems in the country are striving hard to maintain equitable care across illness spectra, while responding the emergencies imposed by the COVID-19 crisis. Under these circumstances, guidelines for managing several diseases including that for cancer care have been modified. As modified guidelines for cancer care have their focus on disease management, cancer pain management and maintaining continuity of care for patients with advanced progressive disease have taken a backseat in the available cancer care guidelines. This article describes the challenges, approaches to solutions with evidence-based practices that can be utilized to ensure competent management of cancer pain during the COVID-19 pandemic in India. It provides an overview of adapting to telehealth consultations for identification, evaluation and management of cancer pain, safe and rational use of analgesics and adjuvant drugs, recognizing and responding to holistic care needs and addressing the total pain, ensuring continuity of pain management, and strategies when complying with narcotic drug regulations, while ensuring safety of patients and HC providers.

Original languageEnglish
Pages (from-to)S106-S115
JournalIndian Journal of Palliative Care
Volume26
Issue number5
DOIs
Publication statusPublished - 06-2020

All Science Journal Classification (ASJC) codes

  • Health Policy
  • Public Health, Environmental and Occupational Health

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    Damani, A., Ghoshal, A., Salins, N., Bhatnagar, S., Sanghavi, P., Viswanath, V., Ostwal, S., Chinchalkar, G., & Vallath, N. (2020). Approaches and best practices for managing cancer pain within the constraints of the COVID-19 pandemic in India. Indian Journal of Palliative Care, 26(5), S106-S115. https://doi.org/10.4103/IJPC.IJPC_216_20