scholarly journals Technical Challenges to the Delivery of Quality Radiation Therapy During the COVID-19 Unlock Period: Medical Physics Perspective

2021 ◽  
Vol 6 (S1) ◽  
pp. 99-101
Author(s):  
Priyanka Agarwal ◽  
Jamema Swamidas ◽  
Sarwani Ghosh Laskar ◽  
Shrikant Kale ◽  
Ashutosh Mukherji ◽  
...  
Keyword(s):  
Health Care ◽  
Cancer Patients ◽  
Medical Physics ◽  
Hospital Staff ◽  
Patient Treatment ◽  
Chronic Medical Conditions ◽  
Lung Cancer Patients ◽  
The People ◽  
The World ◽  
State Of Affairs

The Covid-19 onset was very pandemic for all of society all over the world. To overcome this state of affairs, the country’s government had done the lockdown in their respective countries. The lockdown helped the people from spreading the Covid-19 virus among people, however, it affected another part of life such as people becoming unemployed. The health care sector was affected a lot by the lockdown as the patient faced lots of problems such as reaching the hospital, meeting the concerned staff, getting the treatment on time, etc. Covid-19 affected the cancer patients most, during the lockdown. After awareness of Covid-19, when the world has started towards the unlock down. With the little negligence of people, the world has started facing the peak of Covid-19. And, there was more crowd in the health care sectors, therefore the hospital staff got infected a lot, as the patient treatment cannot be carried out from home. Cancer patient treatment, which comes under radiotherapy, has already existed in chronic medical conditions, such as lung cancer patients, esophagus cancer patients, heart disease patients, etc, has a higher risk of Covid-19 infection. During treatment, when such a patient comes in contact with a radiation oncologist, medical physicist, and radiation technologist, then some of the staff get infected through patients. To prevent such spread, all the medical staff should strictly follow the rules made for staff. In this article, we are sharing the challenges for the medical physics team and some suggestions during patient care. 

scholarly journals Medical Physics Internship During Covid-19 Pandemic- What We Lost and Gained

2020 ◽  
Vol 5 (S1) ◽  
pp. 191-193
Author(s):  
Supratik Sen ◽  
Saranga Pani Hazarika ◽  
Mayuri Nath ◽  
Bimugdha Goswami
Keyword(s):  
Health Care ◽  
General Population ◽  
Cancer Patients ◽  
Health Care Providers ◽  
Radiation Oncology ◽  
Medical Physics ◽  
Care Providers ◽  
Affected Patient ◽  
Related Services ◽  
The World

The COVID-19 has swiftly overtaken medical infrastructures as noticed all over the world and this outbreak is expected to heighten. Cancer patients are immunocompromised and patients undergoing cancer treatment are at a higher risk of contracting the disease as compared to the general population. It is of paramount importance to adhere to the standard guidelines in order to prevent the transmission of the disease among the patients as well as health care providers. As internees of Medical physics in the department of Radiation Oncology, we faced many difficulties which hampered our internship program during this unexpected crisis. This article we want to share our experience during this pandemic and how it affected patient related services and our academics.

A self-determination theory perspective on customer participation in service development

2015 ◽  
Vol 29 (6/7) ◽  
pp. 511-521 ◽  
Author(s):  
Jon Engström ◽  
Mattias Elg
Keyword(s):  
Lung Cancer ◽  
Health Care ◽  
Cancer Patients ◽  
Well Being ◽  
Self Determination Theory ◽  
Self Determination ◽  
Customer Participation ◽  
Service Development ◽  
Content Type ◽  
Lung Cancer Patients

Purpose – The purpose of this paper is to explore what motivates patients to participate in service development and how participation may influence their well-being. Health-care providers are increasingly adopting practices of customer participation in such activities to improve their services. Design/methodology/approach – This paper builds on an analysis of data from a service development project in which lung cancer patients contributed by sharing their ideas and experiences through diaries. Out of the 86 lung cancer patients who were invited to participate, 20 agreed to participate and 14 fully completed the task. The study builds on participants’ contributions, in-depth interviews with six participants and the reasons patients gave for not participating. Findings – This paper identifies a number of motives: non-interest in participating, restitution after poor treatment, desire for contact with others, volunteerism, desire to make a contribution and the enjoyment of having a task to complete. A self-determination theory perspective was adopted to show how the need to satisfy basic human needs for autonomy, competence and relatedness determines if and how patients participate. Participation may have important benefits for patients, especially an improved sense of relatedness. Practical implications – Service providers must be prepared to meet different patient needs in service development, ranging from the need to express strong distress to expressing creativity. By understanding the dynamics of motivation and well-being, organizers may achieve better results in terms of improved services and in patient well-being. Originality/value – This study makes a significant contribution to the study of customer participation in service development, especially in relation to health care, by offering a self-determination-based typology for describing different styles of patient participation.

Te impact of 18F-FDG PET/CT in staging of non-small cell lung cancer patients: the key to improve patient treatment strategy

2016 ◽  
Vol 26 ◽  
Author(s):  
Gustavo Oliveira Bretas ◽  
Juliana Barroso Guedes ◽  
Fernanda Monteiro Castro Carvalho ◽  
Marcelo Viana ◽  
Nilson Amaral ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Cancer Patients ◽  
Small Cell ◽  
Patient Treatment ◽  
Small Cell Lung ◽  
Lung Cancer Patients ◽  
Pet Ct ◽  
18F Fdg ◽  
Fdg Pet Ct ◽  
Improve Patient

LuCaS (Lung Cancer Surveillance) study: Surveillance models for advanced lung cancer patients.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e20546-e20546
Author(s):  
Sarah Anne Fraser
Keyword(s):  
Quality Of Life ◽  
Lung Cancer ◽  
Health Care ◽  
Cancer Patients ◽  
Small Cell ◽  
Advanced Lung Cancer ◽  
Small Cell Lung ◽  
Lung Cancer Patients

e20546 I hope to present the trial protocol as a poster at ASCO with co design work commencing 2017. Background: Lung cancer is the leading cause of cancer death in NZ.1 85% of registrations annually are stage four at diagnosis, presenting a significant burden on resources. Despite novel therapies, survival is poor and quality of life is a key consideration in patient management .2,3 Currently the aim of surveillance is to detect for disease progression and follows a three monthly pattern. There is little literature around benefits of surveillance on survival, and quality of life in these patients. 4-6 Alternative approaches to surveillance should be evaluated to ensure safe, convenient, economical care. Lung cancer outcomes for Maori patients sit significantly lower than those for New Zealand Europeans. Maori patients are twice as likely to present with locally advanced disease and four times less likely to receive curative treatment (multivariate analysis). There are significant barriers for Maori patients to attending health care including time off work, health literacy, costs, child care, language barriers, and transport. 19 Ministry of Health data describes poor outcomes for Maori lung cancer patients with rate of death sitting at 3.4 times that of non-Maori. Co-Primary End Points To determine if there is a reduction in health services utilisation (ED visits, hospital visits, unplanned clinic visits, GP visits, and Nurse Specialist contact) with the end point identified at progression, lost to follow up, or death. To compare the impact of a novel virtual surveillance model (VSM) versus usual follow-up care on patient anxiety measured using the HADS-A tool. Methods: LuCaS is a Randomised Controlled trial in patients with advanced lung cancer randomised to virtual model or standard care. Results: recruitment begins this year. Conclusions: Hypothesis:A virtual follow up model for advanced stage non-small cell lung cancer patients, extensive stage small cell lung cancer patients, and mesothelioma patients will reduce health care utilisation and patient experienced anxiety defined by reduction in Hospital Anxiety and Depression Scale (HADS-A) score, while maintaining effectiveness detecting recurrence and survival.

Attitudes of lung cancer patients as predictors of patients delay time in Serbian public health care system.

2014 ◽  
Vol 32 (15_suppl) ◽  
pp. e12522-e12522
Author(s):  
Dragana Jovanovic ◽  
Milan Rancic ◽  
Branislav Perin ◽  
Davorin Radosavljevic ◽  
Marta Velinovic ◽  
...  
Keyword(s):  
Public Health ◽  
Lung Cancer ◽  
Health Care ◽  
Cancer Patients ◽  
Health Care System ◽  
Delay Time ◽  
Public Health Care ◽  
Public Health Care System ◽  
Lung Cancer Patients ◽  
Care System

Gaps in supportive and survivorship care for lung cancer patients.

2017 ◽  
Vol 35 (5_suppl) ◽  
pp. 32-32
Author(s):  
Tara Perloff ◽  
Jennifer C. King ◽  
Maureen Rigney
Keyword(s):  
Lung Cancer ◽  
Health Care ◽  
Palliative Care ◽  
Cancer Patients ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Care Team ◽  
Care Planning ◽  
Survivorship Care ◽  
Lung Cancer Patients

32 Background: Clinical guidelines increasingly recommend an expansion of multidisciplinary care for oncology patients to include supportive and survivorship care. Despite recommendations, lung cancer patients may not access these services due to implementation challenges among health care delivery systems. Our study goal was to assess treatment and care planning from the perspectives of lung cancer patients and caregivers. Methods: A Community Needs Assessment survey was electronically distributed to lung cancer patients and caregivers. 820 people responded, including 471 patients and 349 caregivers. The overall completion rate was 72.6%. The survey assessed the patient’s care team, values-based discussions in care planning, discussions regarding palliative care, and survivorship care planning. Demographic information was collected to determine if patterns of care correlated with geographical or socioeconomic factors. Results: Less than 50% of patients reported having a conversation about their values and care goals with their treatment team before determining their treatment plan. Less than 30% of patients reported a mental health professional, social worker, palliative care specialist, or nurse navigator as part of their care team. Although research shows a survival benefit to lung cancer patients receiving palliative care, only 26.9% of active patients had discussed palliative care and 20.13% reported receiving it. For caregiver reported data, the patients receiving care had more advanced cancer and had often not survived. Of those who had completed treatment and survived more than 5 years beyond diagnosis, only 22% of patients and 15% of caregivers reported having a survivorship care plan. Conclusions: The majority of lung cancer patients and caregivers reported having not received palliative care, survivorship care plans, psychosocial support, or values-based discussions with their oncologist. Respondents were technology enabled and generally health literate indicating that these problems could be more widespread in rural, lower socioeconomic areas where lung cancer is common. Addressing these problems in health care delivery could positively impact the survivorship of lung cancer patients and their families.

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