ABSTRACT:Objective: The objective is to identify opportunities for improvements in care for cancer patients and their relatives. Method: 53 patients of breast cancer were included in the study. The type of breast cancer was recognized and treatment which is been carried out is studied along with its psychological impact. It was a retrospective observational study. A specially designed patient data collection form has been used which has been prepared with all the requisite features like patient name, demographic information, physical examination, complaints, previous history, diagnosis, investigations, medications and advice to the patients. Results: The patients' most frequently reported unmet needs were mainly related to the psychological dimensions. Patients are vulnerable to anxiety, distress and depression under treatment and in the post-treatment period. Distress, anxiety and depression were also factors which characterized patients with unmet supportive care needs. Thus Breast cancer is a psychological challenge. Conclusion: The results conclude that the most observed psychological factors in all parameters of study are depression, anxiety, stress and fear of reoccurrence. The treatment regimen can also include depression, anxiety and stress treatment with anti depression and anti anxiety drugs and also proper counseling.
Aim: The main aim of this study is to determine peripheral artery disease (PAD) using ankle-brachial index (ABI) who is having the risk factors for developing PAD and also determine additional risk factors which are responsible for vascular risk leading to PAD in future and to assess the patients who are at high risk for developing complications such as stroke and coronary artery disease (CAD). Materials and Methods: A total number of 500 patients who met the study criteria were included in the study. The required data were collected by measuring ankle, brachial pressures for the patients and some data related to the patients were collected through patient's case sheets and medical records. The collected data were analyzed statistically. Results and Discussion: It was observed that smoking is the major contributing risk factor for PAD. Diabetes is the second most contributing risk factor for PAD, followed by CAD, obesity, hypertension, dyslipidemia, and alcohol. The risk for PAD was observed to be more in males compared to females. PAD patients have remained asymptomatic even at severe risk. Moreover, the majority of the patients are at moderate risk for PAD. The patients with age group of 51-60 years were at a higher risk for PAD and testing the people with ABI of age above 50 years having PAD risk factors might be beneficial. Conclusion: Finally, the use of ABI as a screening test in all primary health-care settings could be useful to detect the risk for PAD at an early stage and can prevent further complications.
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