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. 2022 Mar 24;28(1):21–27. doi: 10.25259/IJPC_62_21

Table 2:

Summary of patient health issues and navigator actions to assist.

Problem type Specific problem Navigator actions to assist*
Physical
Pain (n=10) General pain (e.g. non site-specific pain that may cause aching, tingling, sensitivity or other discomfort) (n=6)

  • Instructed to take morphine dose correctly

  • Pain medicines like Ibuprofen, Tramadol, Drotin

  • Take medications timely as prescribed

  • Admitted to hospital
Back pain (n=6)

  • Physiotherapy

  • Pain management

  • Take medication timely as prescribed

  • Morphine dose increased

  • Apply analgesic gel
Pain in neck and throat (n=2)

  • Added medication

  • Pain management

  • Take medications timely as prescribed
Pain in hepatic region (n=1)
Pain in stomach (n=1)
Gastro-intestinal issues (n=5) General GI issues (n=1)

  • Take medications timely as prescribed

  • Laxative (Duphalac) initiated

  • Lighter diet/Dietary modifications

  • Advised to not eat oily food

  • Ondem
Constipation (n=5)
Flatulence (n=1)
Problems with oily food (n=1)
Vomiting (n=2)
Bleeding issues (n=6) General bleeding issues (n=3)

  • Admitted immediately to hospital

  • Referred to SGCCRI

  • Added medications

  • Antibiotic medication

  • Pause 500 initiated
Bleeding in rectum (n=1)
Blood in neck and throat (n=2)
Hemoptysis (n=1)
Respiratory issues (n=4) Cough (n=2)

  • Cough syrups (Amtriptyline and Collintu)

  • Corticosteroids (dexamethasone) advised

  • Nebulization done

  • Bronchodilators (Deriphyllin, theophylline)

  • Advised emergency hospitalization if needed

  • Recommended to open the window

  • Take medications timely as prescribed
Dyspnea (n=3)
Mouth and throat issues (n=1) Excess saliva production (n=1) •Use mouthwash
Urination problems (n=1) General issues (n=1) •Initiated Lasix
Swelling (n=2) Legs swelling (n=2)

  • Physiotherapy

  • Aldactone
Weakness (n=2) Weakness (n=1)

  • Physiotherapy

  • Continue medications as prescribed

  • Methylcobalmine injection
Fever (n=1) Fever (n=1)

  • Referred to hospital
Fungal Infection (n=1) Fungal infection (n=1)

  • Zocon 150
Psychosocial
Anxiety (n=2) Anxiety and worry (n=1)

  • Advised not to worry/think positive

  • Medication recommended
Anxiety and anger (n=1)
Other
Diet (n=4) Cannot take food (n=4)

  • Admitted to the hospital

  • Take liquid food

  • Switched medications

  • Eat soup and take Protinex
Medications taste bad (n=1)
Loss of appetite (n=1)
*

All medication adjustments listed were advised under the supervision of the oncologist, SGCCRI: Saroj Gupta Cancer Centre and Research Institute