Browsing by Author "Anushka Mishra"

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The adverse impact of chemo-radiotherapy on the quality of life of oral cancer patients: A review
(Elsevier Ltd, 2024) Rishima Bhutani; Ravindra Singh; Anushka Mishra; Priya Baluni
Oral cancer as well as other Head and Neck cancer (HNC) patients face adverse effects because of the range of treatment and the possibility of treatment-related toxicity. This includes complications like skin desquamation, depression, mucositis, nausea and vomiting. It negatively impacts the Quality of life (QoL) of HNC patients post-treatment. The goal of this study was to conduct a literature review on the occurrence of various difficulties, such as nutrition, functional status, psychological well-being and decreased QoL in post-chemoradiotherapy in head and neck cancer survivors, specifically oral cancer survivors. Databases like Google Search, Google Scholar, PubMed, Scopus, Web of Science and ScienceDirect were searched with keywords such as ‘Chemoradiotherapy’, ‘Chemotherapy’, ‘Radiotherapy’, ‘Oral cancer’ ‘Head and Neck Cancer’ and ‘QoL’ ‘Quality of life’. 30 research papers fulfilled the criteria of focusing on Oral cancer and HNC patients. The head and neck carcinomas are close to various bodily structures involved in vital physiological and social activities components. Thereupon the collateral damage commonly associated with disease treatment affects essential bodily functions and can have adverse consequences on the QoL of the patients. Patients receiving concurrent chemoradiotherapy experience such substantial side effects that it hampers their ability to finish their treatment cycle without pauses or dose modifications. Therefore, it is essential to monitor and prevent such effects from CRT. Psychological interventions, palliative care and other such efforts can help improve the QoL of Oral cancer patients. © 2024 The Authors
The impact of emotional distress on suicidal ideation in head and neck cancer patients: A review
(Elsevier Ltd, 2024) Priya Baluni; Ravindra Singh; Rishima Bhutani; Anushka Mishra
Suicide is a notable cause of mortality worldwide, with cancer patients having almost double the rate of suicide deaths compared to the general US population. Living with head and neck cancer is psychologically and emotionally distressing for the patient. Effects of treatment such as ingestion impairment, communication impediment, aesthetic compromise, and hindrance to breathing all contribute to their emotional distress. This review aims to investigate the impact of emotional distress and suicidal ideation in Head and Neck Cancer patients. Empirical studies as well as review papers were utilized to gather relevant information from databases such as Google Search, Google Scholar, PubMed, ScienceDirect. The following search terms were used; ‘Emotional Distress’, ‘Psychological Response’, ‘Emotional Response’, ‘Suicide’, ‘Suicide in Cancer’, and ‘Suicidal thoughts in Head and Neck Cancer'. 30 articles matching the theme of our review were considered for data synthesis. The findings of the previous studies reveal a strong positive correlation between emotional distress and suicidal ideation in Head and Neck cancer. In addition to the existing findings, emotional distress was also correlated with poor quality of life and physical symptoms. In conclusion, the treatment of cancer-associated distress is equally crucial as the treatment of the physical illness. Moreover, emotional support can significantly reduce the level of emotional distress and suicidal ideation and elevate the chances of speedy recovery in those patients. Future research must address the psychological demands of Head and Neck cancer patients and offer an effective therapeutic intervention. © 2024 The Authors