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Palliative Care at the Career Institute and Medical Science, Bhopal – easing the journey towards the end!

We all have unfulfilled wishes; the care givers team tries its bst to fulfil wishes within their capacity. Even if time is limited, that time can be spent with joy and happiness.                     

Many a times those who take care need to be taken care of too. eBereavement Support for families who have lost loved one is very important. It involves dealing with grief, fear and a feeling of guilt too. 

Finally, receiving assurance by a team of professional health care specialist that you will go through this with ease can add life to a patient who has lost h

We will all perish inevitably. Many pray for an instant death to avoid prolonged suffering. But not all will encounter death as they wish for. You simply cannot turn a blind eye to it.  Therefore, we need to care about quality of death too, with as much concern as we have for quality of life. 

Addressing the need of specialized health care for people who are battling incurable illnesses and continue to live with a serious conditions, Career Institute and Medical Science, Bhopal has widened its health care practice by offering palliative care. Critical care is an aspect that comes into play when the patient’s condition can be reversed but when that ceases to happen, the best option to resort to is palliative care. It is a field of medical science that goes beyond administrating medication. A commonly acceptable way of treatment for terminally ill patients in western countries, but over the past years it has gained wide spread recognition in India. Treatment under this care can begin anytime, immediately after diagnosis or even in the later stages. Both adults and children can benefit widely from such care.

The institute, also a member of Indian Association of Palliative Care, treats patients as both out-patients and in-patients. A team of well-trained doctors, nurses, nutritionists, physiotherapists, social workers and spiritual leaders of different faiths work in unison to ensure complete physical, mental and social wellbeing in an organized pattern to minimize suffering of those battling a life-threatening disease. The aim is to ensure that first and foremost the distress of ‘I am going to die’ is dealt with. Helping the patient come to terms with the diagnosis and explaining the best possible scope of treatment enables better acceptance of the medical condition. Doctors and nurses try to find best ways to help with specific and general discomforts and disabilities like pain management, limited movement of limbs, immobility, difficulty in breathing, vision problems and fatigue. 

An expert group report has highlighted that palliative care among Cancer patients in India has resulted in better quality of life and longer survival in comparison to those cancer patients who are not under palliative care.   For example, if a patient develops anaemia while being treated for breast Cancer, a blood transfusion will relieve fatigue and enable the patient to lead a better quality of life while receiving treatment for breast cancer. A misconception that palliative care is only for Cancer patients needs to be dismissed.  It is very useful for patients with heart failure, chronic obstructive pulmonary disease, cancer, dementia, Parkinson's disease, AIDS, diabetes, multiple sclerosis, kidney failure, chronic liver disease, rheumatoid arthritis, neurological disease, congenital anomalies and drug-resistant tuberculosis. etc

Changing times has also altered the structure of our families. The rise in number of nuclear families leaves many to battle illness alone. Doctors and nurses help in creating a support group by counselling relatives and friends in how to deal with a terminally ill person and mentally strengthen them. Spiritual healing is also an important aspect under this care, chanting and singing of spiritual songs, healing by gurus or priest are arranged for. The patient’s preference of spending their last days at home or hospital is also catered for. 

ope.   

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Best oncology hospital Career Institute of Medical Science with highly experienced doctors and dedicated staff for the best cancer treatment.

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Latest non-invasive CT scan test now available at CIMS, Bhopal

128 Slice CT scan machine can give you better images and cover larger parts in lesser time. It also enables 3D high-resolution imaging that gives a doctor an accurate picture of the affected area.

Accurate diagnosis is life-changing for respiratory, cardiac, and cancer patients. It is also used in the evaluation of blood flow, blood volume, and vascular permeability in the brain, liver, heart, and kidney.

Heart blockages can be detected easily with non-invasive methods. But even today angiography is widely performed to check heart blockage where a catheter is guided carefully into the affected area. 

Hospitals like CIMS (Career Institute of Medical Science) Bhopal, MP have installed the latest and high-end HRCT 128 Slice machine. 

It is a non-invasive test and can be carried out for outpatients. 

This 128 Slice Machine allows doctors to map coronary artery lesions as well as blockages which are nearly impossible to visualize. It allows coverage of the whole heart within one heartbeat.

This CT scan will end the need for any other diagnostic test and even shorten a patient's hospital stay. It is a one-test machine. Accurate treatment can be provided immediately. 

It also has an adjustable shield that blocks excess radiation during, before, and after the scan. Other than that, it gives minute details of tissues with clear images that enable a doctor to determine the extent of the disease, especially in Cancer patients. It also shows blood flow in a whole organ which is vital for cardiac diagnosis and stroke patients.

CT scans are difficult in pediatric patients. Because of its high scanning speed, it is very beneficial in pediatric diagnosis too. It can capture high-resolution scanning in motion. 

In pulmonary patients, there is no need to hold their breath while scanning. 

128 slice CT scan machine can be used for a wide range of diagnoses and proves to be a game changer in the field of diagnosis.

The need of the hour is more and more doctors should prescribe this test for better and more accurate diagnoses. 

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Medical Centre Near Me

When to get admitted in the hospital if you are Covid-positive?

The virus is deadly and is spreading too soon! With precautions being taken, there are still people who are falling sick. The Covid-19 Virus starts off mildly and within no time, amplifies!

Once tested positive, doctors suggest home-isolation. However, the question that prevails is when to get admitted in the hospital? The answer to this depends on the symptoms. To begin with, you must know what the early warning signs of this deadly virus are and how they must be dealt with. Staying at home is indeed imperative. Social distancing is unavoidable. Remember to cover your cough or sneeze with a tissue or carefully cough into your elbow. Also, sanitize and wash your hands regularly.

But, what is important is that how can you tell if that cough or sneeze is something to worry about?

The symptoms of coronavirus are many-a-time similar to that of a normal cold or a viral. However, you must be aware of the warning signs and when you must call your doctor.

The most common symptoms of Covid:

The most common symptoms include cold and cough and a shortness of breath. Some might face difficulty in breathing. In many people, the cold and cough begins dry and then evolves into a series of sneezes and coughs that hampers breathing. Some people might also face more symptoms which include:

∙        Fever

∙        Chills

∙        Repeated shaking with chills

∙        Muscle pain

∙        Headache

∙        Sore throat

∙        New loss of taste or smell

People facing any of these or a combination of these symptoms must seek medical assistance. The doctors are most likely to suggest a treatment at home.

Those with underlying health conditions such as heart disease, diabetes, immunosuppression, cancer, lung disease or kidney disease are more at risk for complications from the virus. Adults over the age of 60 are also at higher risk.

When to get admitted?

People with pre-Covid health issues are at a greater risk. Also, even when in isolation at home and under treatment, the symptoms might advance at getting admitted into the hospital is then a must.

Look out for the following to know when to get admitted into the hospital:

∙        Difficulty breathing

∙        A persistent pain or pressure in your chest

∙        Bluish lips or face

∙        High fever

∙        Unconsciousness

However, it is best advised to seek medical care even if you feel ill or unusual. The virus is affecting different people in a different way. If you have any health issues prior to being Corona-positive, it is best advised to be under constant medical supervision. People above the age of 45 must take extra precautions and must not think twice before getting admitted in the hospital. If symptoms worsen and the condition deteriorates before getting admitted into the hospital, it would be very challenging for medical experts to regain your good health.

Seek immediate medical assistance if you feel your condition is deteriorating. Our doctors at CIMS are fully equipped and trained to provide expert health care to Covid patients. We have in-house CT-Scan and Path Lab to ensure our patients get all facilities under one roof. CIMS is the best Covid-centre in Bhopal, providing expert health care 24/7.

2) blog

Nutrition guidelines for COVID patients

By biochemistry@careercollegeindia.com - April 19, 2021

Nutrition guidelines for COVID patients

 I. Take adequate protein:

a. Milk [Curd / Lassi etc.]         :         500 ml [in any form]

b. Pulses (Dals)                         :         2-3 Bowl

c. Nuts + Oil seeds                    :         30 g

[Badam, Groundnut, till etc.]

II. Ghee + Oil                                                : 6-8 teaspoons in cooking

III. All Fruits                                                 : 2-3 per day

IV. All Vegetables                                         : 3-4 helpings

[Salad / Soup / Cooked]

V. Cereals [Atta, Rice, Poha, Dalia]             : 6-7 helpings as required

VI. Water                                                       : 2-2½ litres

VII. Sugar                                                      : 2-3 teaspoons

Avoid if diabetic

Sample Menu

On Waking up

Tea + Biscuits

9.00 AM

Milk + Egg or Cheese

+

Dalia Or Paratha or Poha or Upma or Cheela

+

1 Fruit

11.00 AM

Nuts

Lunch

Full Meal

1. Roti + Rice + Dal + Vegetable + Curd

OR

2. Khichadi + Paneer Or Curd

OR

3. Vegetable Pulao + Raita + Cheela

OR

4. Idlis Or Dosa + Sambhar

OR

5. Paneer stuffed Roti + Vegetable

5.00 PM

Tea

+

Biscuits or Poha or Upma or Cheela or Popcorn or Makhana

Dinner 8.00 PM

As suggested for lunch

10.00 PM

1 Cup Milk with ½ teaspoons haldi

Water at least 2 litres unless doctor has advised reduced intake

GUIDELINES

1. Eat freshly cooked homemade food.

2. Change the consistency of the food to suit your palate, swallowing and chewing capacity.

• For example, instead of milk, have custard or kheer or milk with cornflakes, or curd and rice.

• Or instead of Dal, Roti + vegetable have Pulao with Curd. If you can chew have Paneer Paratha or Paneer Pulao or Idlis etc.

• If you don’t like the taste of vegetables, use them as chutneys without chilies or soup which is blenderized.

• Use 2-3 helping of fruit per day. Use seasonal fruits only.

• Increase or decrease spices as per your tolerance.

• The following things are considered helpful. Use them as recommended

i. Half teaspoons Dal Chini Powder per day

ii. Two cups of Green or Black Tea per day

iii. Half teaspoon Haldi Powder with pinch of black pepper powder

iv. Adequate Ginger and Garlic in your food.

Mrs. Amita Singh

Consultant Nutrition & Dietetics

Ph.- 98272-55476

Nutrition Society of India, Bhopal Chapter and Career College, Bhopal

3)blog

 COVISHIELD VS COVAXIN

The novel Coronavirus or Covid -19 has dwindled human health to the extent that people have run out of medicines to cure it and the determination to fight against the pandemic. Eventually, the health infrastructure has toppled down and seems like a heap of rubble when it comes to dealing with the virus. The vaccine though felt like a ray of hope, the situation is not under much control.

COVISHIELD

Oxford’s-AstraZeneca vaccine, also called Covishield in India, has been approved by the WHO. The vaccine is made from a weakened version of a common cold virus (also known as Adenovirus) from chimpanzees. SERUM INSTITUTE OF INDIA, the world’s largest manufacturer by volume joined hands with AstraZeneca to produce a vaccine.

WHAT IS COVISHIELD?

It is a vaccine developed to fight against coronavirus. It is injected into a patient and it makes antibodies that can attack the coronavirus infection. It can be safely stored between 2C to 8C. It is given in two doses between four and 12 weeks apart.

HOW EFFECTIVE HAS IT BEEN IN DEALING WITH COVID-19?

∙      When people were given half a dose and then a full dose it was 90 percent effective.

∙      The vaccine induces good immune responses with no unacceptable side effects.

∙      It is approved for emergency use.

COVAXIN

Covaxin is administered to prevent Coronavirus Disease caused by SARS-CoV-2. It is an inactivated vaccine which means that it is made up of killed coronaviruses, making it safe to be injected into the body.

WHAT IS COVAXIN?

The Bharat Biotech COVID-19 vaccine has approval for restricted use in an emergency. It is basically for people aged 18 years and above. It is given in the form of an injection. The vaccine is administered in 2 doses given 4 weeks apart.

HOW EFFECTIVE HAS IT BEEN, IN DEALING WITH COVID-19?

∙      When administered, immune cells can still recognize the dead virus, prompting the immune system to make antibodies against the pandemic virus.

∙      The vaccine has an efficacy rate of 81%

WHICH IS BETTER AND WHY?

∙      Covaxin is under controversial phase as its trials were still underway but were cleared for emergency use.

∙      Both have shown good responses in curing the covid virus.

∙      Both are safe for use and have not been showing serious side effects.

∙      Covishield has passed all three stages of trials while Covaxin is still under the third phase of trials.

Covid, a pandemic that has been a reason for dampened spirits of the public, obviously needs to be got rid of soon. But rushing for vaccines not tested properly can backfire. The lives of people cannot be put at stake at any cost.

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Palliative Care at the Career Institute and Medical Science, Bhopal — easing the journey towards the end!

By Patricia Dsouza

We all have unfulfilled wishes; the care givers team tries its bst to fulfil wishes within their capacity. Even if time is limited, that time can be spent with joy and happiness.

Many a times those who take care need to be taken care of too. eBereavement Support for families who have lost loved one is very important. It involves dealing with grief, fear and a feeling of guilt too.

Finally, receiving assurance by a team of professional health care specialist that you will go through this with ease can add life to a patient who has lost h

We will all perish inevitably. Many pray for an instant death to avoid prolonged suffering. But not all will encounter death as they wish for. You simply cannot turn a blind eye to it. Therefore, we need to care about quality of death too, with as much concern as we have for quality of life.

Addressing the need of specialized health care for people who are battling incurable illnesses and continue to live with a serious conditions, Career Institute and Medical Science, Bhopal has widened its health care practice by offering palliative care. Critical care is an aspect that comes into play when the patient’s condition can be reversed but when that ceases to happen, the best option to resort to is palliative care. It is a field of medical science that goes beyond administrating medication. A commonly acceptable way of treatment for terminally ill patients in western countries, but over the past years it has gained wide spread recognition in India. Treatment under this care can begin anytime, immediately after diagnosis or even in the later stages. Both adults and children can benefit widely from such care.

The institute, also a member of Indian Association of Palliative Care, treats patients as both out-patients and in-patients. A team of well-trained doctors, nurses, nutritionists, physiotherapists, social workers and spiritual leaders of different faiths work in unison to ensure complete physical, mental and social wellbeing in an organized pattern to minimize suffering of those battling a life-threatening disease. The aim is to ensure that first and foremost the distress of ‘I am going to die’ is dealt with. Helping the patient come to terms with the diagnosis and explaining the best possible scope of treatment enables better acceptance of the medical condition. Doctors and nurses try to find best ways to help with specific and general discomforts and disabilities like pain management, limited movement of limbs, immobility, difficulty in breathing, vision problems and fatigue.

An expert group report has highlighted that palliative care among Cancer patients in India has resulted in better quality of life and longer survival in comparison to those cancer patients who are not under palliative care. For example, if a patient develops anaemia while being treated for breast Cancer, a blood transfusion will relieve fatigue and enable the patient to lead a better quality of life while receiving treatment for breast cancer. A misconception that palliative care is only for Cancer patients needs to be dismissed. It is very useful for patients with heart failure, chronic obstructive pulmonary disease, cancer, dementia, Parkinson’s disease, AIDS, diabetes, multiple sclerosis, kidney failure, chronic liver disease, rheumatoid arthritis, neurological disease, congenital anomalies and drug-resistant tuberculosis. etc

Changing times has also altered the structure of our families. The rise in number of nuclear families leaves many to battle illness alone. Doctors and nurses help in creating a support group by counselling relatives and friends in how to deal with a terminally ill person and mentally strengthen them. Spiritual healing is also an important aspect under this care, chanting and singing of spiritual songs, healing by gurus or priest are arranged for. The patient’s preference of spending their last days at home or hospital is also catered for.

ope.

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