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Max Super Speciality Hospital, Saket
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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Cancer Pain

Home >> Our Specialities >> Pain Management >> Conditions Treatments >> Cancer Pain

Clinical Directorate

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at homecare@maxhealthcare.com

Overview

Pain in cancer patients may arise due to many reasons. It may be:

  • Related to cancer itself or its spread to other body parts. Pain is often the presenting complain leading to diagnosis of cancer
  • A later presentation due to side effect of treatments received such as chemotherapy, radiotherapy or surgery
  • A result of extra stress placed on other body parts such as shoulder pain due to using of a stick for walking
  • Totally unrelated coincidental problem such as arthritis

In cancer patient’s different types of pain may coexist. It is not just limited to pain arising from inflammation and tissue damage for example cancer of pancreas spreading to neighbouring organs and nerves leading to visceral and neuropathic pain respectively and a distant spread to bones producing bone pain. Different types of pain present differently for example

  • Neuropathic/ Nerve pain is generally described as burning, shooting, electric shock like or stabbing pain with associated tingling or numbness
  • Visceral Pain originates from viscera (organs in body cavity) and is generally described as deep aching, squeezing and cramping sensation.
  • Bone pain presents as an aching, throbbing sensation. Some cancers have a preference to spread to bones.

MANAGEMENT

Pain relief needs to be individually tailored depending on the cause, severity and duration of pain. In most cases a reasonable control can be achieved by using a combination of methods. Multimodal, Multi disciplinary approach provides the opportunity to maximise pain relief and provide support not only for the physical needs but also for the emotional, spiritual and social needs.

Some of the management options available via pain clinic are:

  • Medications management –this involves using different classes of medications to optimise the pain control. Using a combination of drugs helps to minimise side effects and maximise the benefits. Whilst considering the drug therapy many factors need to be considered like type of pain, cause and severity of pain, other medical problems and medications being used, medications tried previously, pre existing nausea/vomiting, constipation, ability to take and absorb medications, liver and kidney function etc.
  • Injections including
    • Nerve blocks– majority of nerves can be targeted safely e.g. Pudendal nerve for perineal or rectal pain, suprascapular nerve for shoulder pain ,pectoral nerves for chest wall pain
    • Neurolytic procedures e.g. Celiac plexus, Splanchnic nerves, Hypogastric plexus, Lumbar sympathetic, Ganglion Impar etc
    • Radiofrequency procedures e.g. Intercostal nerve block and radiofrequency for chest wall pain
    • Drug infusions
    • Spinal and Joint injections e.g. epidural
  • Physiotherapy
  • Psychology – cancer is often accompanied by anxiety, depression and fear of the worst. Psychologist can help analysing these thoughts rationally and developing a positive approach. They can help by teaching relaxation techniques, coping strategies and by reducing the effect of mood on pain.
  • Complementary and Alternative therapies including Acupuncture, TENS, meditation, Ayurveda and Wellness
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