Transforming India S Approach To Cancer Care

In India, a country with a vast population and a diverse socio-economic fabric, healthcare remains fraught with challenges including disparities in access. These socio-economic disparities are deep, and they influence health outcomes. It is imperative to bridge these gaps amid the ongoing epidemiological, nutritional and demographic transitions that are bringing about massive challenges in healthcare. Cancer, for example, has emerged as a significant cause of mortality across the country. The impact of cancer in India transcends health and affects the economic and social spheres of people’s lives. A key aspect of this challenge is the financial burden borne by families dealing with the illness: According to the latest available data from 2018, out-of-pocket (OOP) expenditure accounts for over 50 percent of total health spending.[1] This financial burden is exacerbated by inequities in access to and the affordability of cancer treatment.

The material presented in this book is at the cutting-edge of global oncology and provides highly illuminating examples, addresses frequently asked questions, and provides information and a reference for future work in global oncology care, research, education, and outreach.

Dinesh C. Sharma is a New Delhi-based award-winning journalist and author with over thirty-five years’ of professional experience. He has written extensively on science and technology, climate change, health, environment and innovation for national and international media, including The Lancet and Wired. He has been Science Editor at Mail Today, and Managing Editor at India Science Wire and is currently the Jawaharlal Nehru Fellow (2020-2021). His book The Outsourcer: The Story of India’s IT Revolution was awarded the Computer History Museum Book Prize in 2016. He has also been a visiting faculty at the Jawaharlal Nehru University, New Delhi and Ateneo de Manila University, Manila. Dinesh Sharma tweets at @dineshcsharma

Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.

In this book, clinicians and basic scientists from USA, India, and other countries discuss the rationales and clinical experiences with targeted approaches to treat, prevent, or manage cancer. Cancer is a hyperproliferative disorder that is regulated by multiple genes and multiple cell signaling pathways. Genomics, proteomics, and metabolomics have revealed that dysregulation of dozens of genes and their products occur in any given cell type that ultimately leads to cancer. These discoveries are providing unprecedented opportunities to tackle cancer by multi-faceted approaches that target these underpinnings. This book emphasizes a multi-targeted approach to treating cancer, the focus of the 5th International Conference on Translational Cancer Research that was held in Vigyan Bhawan, Delhi (India) from Feb 6-9, 2014.

Facing cancer calls for skilled, equitable, and compassionate support. Yoga therapists are part of an evidenced-informed health care team uniquely qualified to support whole-person community care throughout the continuum of the cancer experience, professionally and with tender-hearted humanity. Yoga Therapy Across the Cancer Care Continuum: - Describes the unique emotional, mental, physical, and spiritual experiences of people at each stage of the cancer care continuum (including diagnosis, acute treatment, no evidence of disease or living with chronic disease, cancer recurrence, and end of life) and the responsive support offered by the breadth of individualized yoga therapy care. - Explains the biology of cancer and the challenges associated with type and stage of malignancy, as well as adverse side effects of conventional treatment (surgery, radiation, immunotherapy, hormone therapy, targeted therapy, and hematopoietic stem cell transplant), comorbid health conditions, and their impact on the whole person: mind, body, and soul. - Shares the unique perspective of 40 oncology yoga therapists with exceptional expertise working with diverse cancer populations in academic medical centers, hospitals, clinics, studios, in-home, and via-telehealth; includes clinical experience and scientific research that highlights relative contraindications and clinical "pearls". - Explores a unique model of yoga therapy that is informed by ancient yoga philosophy and modern biomedical research, reinforced by skillful and compassionate therapeutic relationship, intelligent yoga practice, and the tender-hearted humanity of co-regulation and resourcing for both patient/client and therapist. - Highlights practical and professional considerations for yoga therapists and yoga teachers working in cancer, including scope of practice, informed consent, safety considerations and contraindications, liability insurance, waivers, clinical notes, co-assessments, and essential referrals to allied health care professionals; integrating yoga therapy into healthcare. - Acknowledges disparity and inequity in cancer care worldwide and advocates for inclusive, safe, and accessible yoga for all people impacted by cancer. - Calls for the integration of yoga therapy into standard oncology care; discusses barriers, obstacles, and suggestions for the way forward. - Recognizes Yoga as a time-honored mind-body science originating in ancient India. Yogic teachings presented in this book are shared with gratitude and utmost respect. Yoga Therapy Across the Cancer Care Continuum is essential reading for all oncology professionals interested in yoga as an evidence-informed therapeutic intervention to improve the lives of people with cancer and for self-care, including physicians, nurse practitioners, nurses, physical therapists, psychologists, social workers, acupuncturists, yoga therapists and yoga teachers, and all allied health professionals - as well as people with cancer and survivors, their families, and caregivers. List of Contributors: Karen Apostolina, Marsha D. Banks-Harold, Cheryl Fenner Brown, Marianne Woods Cirone, Amelia Coffaro, Nischala Joy Devi, Christa Eppinghaus, Teri Gandy-Richardson, Chandrika Gibson, Sandra Susheela Gilbert, Sadie Grossman, Suveena Guglani, Kate Holcombe, Sharon Holly, Kelsey Kraemer, Tonia Kulp, Johanne Lauktien, Jennie Lee, Annette Loudon, Lee Majewski, Smitha Mallaiah, Sanmay Mukhopadhyay, Bhavani Munamarty, Lórien Neargarder, Charlotte Nuessle, Maryam Ovissi, Miriam Patterson, Tina Paul, Tari Prinster, Lois Ramondetta, Kiran Shenoy, Stella Snyder, Doreen Stein-Seroussi, Michelle Stortz, Jennifer Collins Taylor, Robyn Tiger, Satyam Tripathi, Tina Walter

Lewis's Medical-Surgical Nursing, Fourth South Asia Edition, is adapted from the 11th edition of Lewis's Medical-Surgical Nursing and provides an authoritative, comprehensive approach to medical-surgical nursing/adult health nursing in a concise and readable format. Content written and reviewed by leading experts in the field ensures that information is comprehensive, current, and clinically accurate. Key Features Over 800 full-color illustrations (diagrams and photographs) clearly demonstrate disease processes and related anatomy and physiology. Case studies followed by questions to help you put your learning to practical use. Contains exam-oriented questions selected from previous years' exam papers, along with NCLEX questions, to help students prepare for exams. Content mapped and aligned to the revised BSc Nursing syllabus Nearly 60 nursing care plans incorporated within the textbook, focusing on nursing assessment, diagnoses, intervention, and outcome, applying them to nursing practice Several new pathophysiology maps added to the chapters National programs added National Blindness Control Program National Deafness Control Program Indian Transplantation programs Other topics incorporated in the text Eye banking Post heart transplant follow-up management with checklist Nursing management of patients in emergency and disaster situations Highlights of newly introduced courses, e.g. Nurse Practitioner Midwifery Hospice care in India National Pressure Ulcer Advisory Panel (NPUAP) guidelines for assessment of pressure ulcers Screening for breast cancer and cervical cancer Content on occupational and industrial disorders added Ancillary Content on MedEnact Website Educator Resources TEACH for Nurses lesson plans PowerPoint presentations Image Collection Nursing Care Plans Student Resources Key Points Review Questions Case Studies Answer Keys for Case Studies and Rationales for Bridge to NCLEX Examination questions Nursing Care Plans

This open access edited volume focuses on the scope and benefits of strengthening local industrial-health linkages. The Covid-19 pandemic collapsed international supply chains for health. That experience brought home to African policy makers the critical nature of local manufacturing capabilities for sustaining and strengthening health care, and highlighted the pandemic benefits of India’s much stronger industrial base. At that time, a network of researchers in East Africa, India and the UK were investigating how to address the crisis of cancer care in low-resource health systems. Their project, uniquely, focused on the scope and benefits of strengthening local industrial-health linkages. The project researchers were also drawn into the pressing demands of Covid19 response. The result is this very timely book. The authors link their research on cancer to pandemic experience, and they draw sharp lessons for how countries can enhance their populations’ health security. The authors argue that improving cancer care is crucial for human wellbeing and more inclusive health care. They challenge policy makers to bring together health needs, health innovations and improved industrial capabilities to embed better cancer care and broader health system improvement in local industrial innovation and development.