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Collusion: The Facade and its Implications on Total Pain Management in Palliative Care
Collusion is an unharmonious bond between the doctor and a patient or between patients and caregivers. This case report exemplifies one such experience and highlights the hurdles we face when dealing with collusion. A 31-year-old woman was diagnosed with rectal carcinoma during her pregnancy and und...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8121215/ https://www.ncbi.nlm.nih.gov/pubmed/34035636 http://dx.doi.org/10.4103/IJPC.IJPC_81_20 |
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author | Mathew, Bincy Mohanti, Bidhu Kalyan Tewari, Saipriya Kabra, Vedant Gulia, Pushpinder Bajpai, Peush Munshi, Anusheel |
author_facet | Mathew, Bincy Mohanti, Bidhu Kalyan Tewari, Saipriya Kabra, Vedant Gulia, Pushpinder Bajpai, Peush Munshi, Anusheel |
author_sort | Mathew, Bincy |
collection | PubMed |
description | Collusion is an unharmonious bond between the doctor and a patient or between patients and caregivers. This case report exemplifies one such experience and highlights the hurdles we face when dealing with collusion. A 31-year-old woman was diagnosed with rectal carcinoma during her pregnancy and underwent diversion colostomy (for intestinal obstruction) followed by neoadjuvant chemoradiation after delivery. Later, she was diagnosed with metastatic disease and was under palliative care. The family always had a negative association with cancer and chose to withhold information from the patient throughout the treatment trajectory. Collusion and lack of information can be a factor for persisting total pain. While caregivers desire to protect the patient from the distress of a life-limiting diagnosis, invariably it causes more anguish than comfort. Oncology professionals need to consider collusion as part of our sociocultural fabric and develop a strategy to negotiate and improve the care. |
format | Online Article Text |
id | pubmed-8121215 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-81212152021-05-24 Collusion: The Facade and its Implications on Total Pain Management in Palliative Care Mathew, Bincy Mohanti, Bidhu Kalyan Tewari, Saipriya Kabra, Vedant Gulia, Pushpinder Bajpai, Peush Munshi, Anusheel Indian J Palliat Care Case Report Collusion is an unharmonious bond between the doctor and a patient or between patients and caregivers. This case report exemplifies one such experience and highlights the hurdles we face when dealing with collusion. A 31-year-old woman was diagnosed with rectal carcinoma during her pregnancy and underwent diversion colostomy (for intestinal obstruction) followed by neoadjuvant chemoradiation after delivery. Later, she was diagnosed with metastatic disease and was under palliative care. The family always had a negative association with cancer and chose to withhold information from the patient throughout the treatment trajectory. Collusion and lack of information can be a factor for persisting total pain. While caregivers desire to protect the patient from the distress of a life-limiting diagnosis, invariably it causes more anguish than comfort. Oncology professionals need to consider collusion as part of our sociocultural fabric and develop a strategy to negotiate and improve the care. Wolters Kluwer - Medknow 2021 2021-02-17 /pmc/articles/PMC8121215/ /pubmed/34035636 http://dx.doi.org/10.4103/IJPC.IJPC_81_20 Text en Copyright: © 2021 Indian Journal of Palliative Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Mathew, Bincy Mohanti, Bidhu Kalyan Tewari, Saipriya Kabra, Vedant Gulia, Pushpinder Bajpai, Peush Munshi, Anusheel Collusion: The Facade and its Implications on Total Pain Management in Palliative Care |
title | Collusion: The Facade and its Implications on Total Pain Management in Palliative Care |
title_full | Collusion: The Facade and its Implications on Total Pain Management in Palliative Care |
title_fullStr | Collusion: The Facade and its Implications on Total Pain Management in Palliative Care |
title_full_unstemmed | Collusion: The Facade and its Implications on Total Pain Management in Palliative Care |
title_short | Collusion: The Facade and its Implications on Total Pain Management in Palliative Care |
title_sort | collusion: the facade and its implications on total pain management in palliative care |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8121215/ https://www.ncbi.nlm.nih.gov/pubmed/34035636 http://dx.doi.org/10.4103/IJPC.IJPC_81_20 |
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