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Cancer Palliative Medicine

Department In-charge

Dr. Biji M S

Assistant Professor
Phone - 0490 23 99 277
Email -

Cancer Palliative Medicine has been functioning in this Centre, since November 2002.The Centre is a recognized medical institution for possession and supply of Oral Morphine. The Palliative Care Services also provide counseling to patients and their family members.Cancer palliative medicine aims at improving the quality of life of cancer patients especially those for whom curative options have been exhausted. Cancer Palliative Medicine Division has an inpatient, outpatient and home care facility.

Homecare facility for the needy patients was started on June 20, 2009. Home care is done thrice in a weekcatering to the need of patients staying within 35 kms from MCC-PGIOSR.  There are so far  591 patients registered in homecare facility.  Patients are given medication free of cost. Procedures like ascitic tapping, wound dressing, catheterization, ryles tube introduction are done.  Apart from this psychological support to the patient and their families are also given.
    
E-palliative medicine:
The homecare service from MCC-PGIOSR is Nurse - lead and doctor assisted. In order to make the service more effective consultation of the patient is done through e-palliative medicine wherein the patient and relatives can see and consult the doctor directly making the homecare visit more satisfying to them.

Sl Faculty Name Designation
1 Dr. Biji M S Assistant Professor
2 Mrs. Sheeja Nellikka Staff Nurse

  • 9.4.22 - The Jan 2022 batch of IAPC Certificate Course in “Essentials in Palliative care” completed the final exam. This is the 14th batch at MCC-PGIOSR. Seven out of nine  candidates  took the online mode of examination.                         
  • 13.5.22 - Ms SheejaNellikka participated in the CNE and was the faculty for Stoma care.
  • 30.5.22 - PBDON(Post Basic Diploma in Onco-nursing) student Ms.Divya posted for 2 weeks.
  • 13.6.22 - 23.6.22:MsRaji Gopinathan posted for 10 days clinical posting as part of National Fellowship in Palliative Nursing.
  • 13.6.22 - PBDON(Post Basic Diploma in Onco-nursing) studentMs.Ajitha posted for 2 weeks. 
  • 9.7.22 - IAPC course in “Essentials of Palliative Medicine” started with 5 candidates. One doctor and 3 nurses from MCC-PGIOSR and one doctor from outside. This is the 15th batch from MCC-PGIOSR.
  • 11.07.22 - Dr.Shaheer Abdulla posted for 10 days clinical posting as part of National Fellowship in Palliative Medicine. He is also doing the Part-B if IAPC course.             
  • 25.07.22-Ms.Athira posted for 10 days clinical posting as part of National Fellowship in Palliative Nursing from 25.7.22 to 4.8.22.                                 
  • 1.9.2022- Dr.Aravind joined for the Part B IAPC course which consists of 10days of hands on training in palliative care.
  • 15.9.2022-Dr.Appumathi joined for the Part B IAPC course which consists of 10days of hands on training in palliative care from 15.9.22 to 26.9.22.
  • 29.09.22 –Dr.M.S.Biji took a class on “Overview of Palliative care” for BSc Nursing students ,Mallik Dinar Nursing College and MSc Nursing students of Pariyaram Nursing College and Cooperative Nursing college,Thalassery.
  • 1.10.2022-the final exam for July 2022 batch was held on 1.10.2022.Five out of six candidates attended the online exam conducted by IAPC.
  • 1.10.22-Dr.M.S.Biji took a class on “Overview of Palliative care” for BSc Nursing students of Malik dinar nursing college,Kasargod
  • 7.10.2022-Dr.M.S.Biji took a class on “Overview of Palliative care” for BSc Nursing students of Cooperative Nursing college,Thalassery.
  • 15.10.22-World Palliative and Hospice day (8.10.22) was observed on 15.10.22. A program “Know more about your stoma” was organized for “SPANDANAM” (stoma support group).About 50 members participated in the program. Program stared at 9 am with welcome speech by Dr.M.S.Biji.Classes were taken by Dr.Nizamudheen, Surgical Oncologist, Mrs.Reena ,Dietician ,MCC-PGIOSR and Mrs.SheejaNellikka, Stoma Nurse, MCC-PGIOSR . Colostomy bags were displayed by members from Coloplast and Convatec companies. Program ended at 1 pm.                            
  • 27.10.2022-Dr.M.S.Biji took a class on “Overview of Palliative care” for BSc Nursing students of Cooperative Nursing college, Thalassery.
  • 10.12.22-The results of IAPC Part A July 2022 was published. Mrs.Nimmy and In the nurses category,MrsSachithra of MCC-PGIOSR got the All India 1st and 2nd rank among 110 nurses who took the examination. MrsNimmy scored 86% and Mrs. Sachithra scored 79% respectively.
  • 12.12.2022:Dr.M.S.Biji took a class on “Overview  of Palliative care” for BSc Nursing students of Canosa Nursing college, Cherukunnu,Kannur.
  • 18.12.2022: Dr.M.S.Biji was invited as one of the examiners for the ‘BRUCE DAVIS GOLD MEDAL EXAM’ in Palliative care at the Institute of Palliative Medicine ,Kozhikode on 18.12.22. 5 candidates appeared for the exam after the online screening exam.The winner was selected through a theory exam,OSCE and viva-voce .
  • 7.1.23-IAPC course in”Essentials in Palliative care” Jan batch started with 5 doctors,3 in-house and 2 doctors from outside in zoom platform.Classes were on 7th,8th,21st,22nd,28th and 29th January, This is the 16th batch of MCC-PGIOSR.
  • 11.1.23-The conclusion of 3 year long “VASANTHA VARNAM”,mural painting camp for survivors and staff of MCC-PGIOSR was organized as an exhibition by the camp Director ,MrsSulochana at Lalithakala Academy Thalassery Arts Gallery from 11.1.23 to 17.1.23.
  • 13.1.23-In connection with Palliative care day ,Mrs.Sheeja ,Palliative Care Nurse took a session on ‘How to care for Palliative patients at Home” at a program organized by Muzhappilangad FHC.Around 60 people attended the interactive program.
  • 15.1.23-In connection with Palliative Care Day observed on Jan 15th every year ,the department of Cancer Palliative Medicine and Clinical Nursing Education Unit,MCC-PGIOSR organized a webinar . Dr.M.S.Biji took a session on “Barriers to adequate pain relief in Palliative care”.
  • 03.2.23- Dr.M.S.Biji took a class on “Overview  of Palliative care” for BSc Nursing students of MCC-PGIOSR.
  • 9th to 12thfeb 2023-Attended the  30th International Conference of IAPC  IAPCON 2023 held at NIMHANS Convention Centre, Bangalore from 9th -12th Feb 2023 and presented a poster on “A3 Methodology guided solution to address prolonged waiting time in Palliative care outpatient Department.” Also received the International award for Excellence in Palliative care 2021-22.                             
  • 22.02.23-Dr.Sajad Ahmad Buch posted for 10 days clinical posting as part of National Fellowship in Palliative Medicine from 22.02.23 to 04.03.23.              
  • 9.03.23- Dr.M.S.Biji took a class on “Overview  of Palliative care” for 3rd year BSc Nursing students of MCC-PGIOSR.                   
  • 10.03.23- Dr.M.S.Biji took a class on “Overview  of Palliative care” for 3rd year BSc Nursing students of AKG College of Nursing(1st batch)                          
  • 25.03.23- Dr.M.S.Biji took a class on “Overview  of Palliative care” for 3rd year BSc Nursing students of AKG College of Nursing.(2nd batch)
     

  • To start new courses
  • Certificate course in stoma care
  •  Fellowship course in Palliative Medicine 
  • Certificate course  in Domicilary Nursing Care 

  1. Part A IAPC course in “Essentials of Palliative care” for doctors and nurses -15th and 16th  batches completed in 2022-2023
  2. Part B IAPC course “Hands on training in Palliative care” – 3 doctors completed in 2022-2023
  3. NFPM(National fellowship Program in Palliative Medicine) hands on training- 2 doctors and 1 nurse completed in 2022-23
     

Dr.M.S.Biji received for the prestigious “International Award for Excellence in Palliative care 2021-22”instituted by Cancer Aid Society, an Associate of United nations Department of Global Communications, having special Consultative Status with United Nations Economic and Social Council and Participant World Health Organizations GCM/NCD at the 30th International Conference of IAPC  IAPCON 2023 held at NIMHANS Convention Centre, Bangalore from 9th -12th Feb 2023

9th to 12th Feb 2023 - Attended the 30th International Conference of IAPC  IAPCON 2023 held at NIMHANS Convention Centre, Bangalore from 9th -12th Feb 2023 and presented a poster on “A3 Methodology guided solution to address prolonged waiting time in Palliative care outpatient Department.” Also received the International award for Excellence in Palliative care 2021-22.

  • OP,IP and home care service(weekly)
  • Stoma clinic and lymphedema clinic.
  • Occupational therapy OP
  • Medical Social worker’s service.
  • Training activities in palliative care for doctors,nurses ,auxillary nurses and volunteers.
  • Regional centre for IAPC course in Palliative care.
  • Rehabilitation activities.

  1. Return to work after curative cancer therapy and the barriers associated with it.
  2. Assessment of spiritual wellbeing in advanced cancer patients receiving palliative care in a tertiary cancer center in Kerala-A mixed method study.                                           

  •  Inpatient service
  •  Outpatient service 
  •  Home care service
  •  Specialized nurse managed lymphedema clinic 
  •  Specialized nurse managed stoma clinic 

1.Palliative low dose fortnightly methotrexate in oral cancers: Experience at a rural cancer centre from India.
SantamChakraborty, M Geetha, K M Sujith, M S Biji, B Sateeshan
South Asian journal of cancer. 07/2014; 3(3):166-70.
2: Effectiveness of nurse-led and physician-assisted homecare provided from a rural cancer center in India evaluated using the palliative care outcome scale.
M S Biji, SantamChakraborty, N R Sindhu, ShibimolThomas,SubhradevSen, Milind Kumar, SatheesanBalasubramaniam
Journal of Clinical Oncology 01/2014; 32(15_suppl):e20544. • 18.04 Impact Factor
3.Pilot study of single-day distress screening with the NCCN distress thermometer to evaluate the feasibility of routine distress screening in tertiary cancer center in rural India.
Dessai SB, SantamChakraborty, Sajeev Kumar PB, SajithBabu,GeethaMuttath, Chandran Nair, ShivakumarThiagarajan, BijiSughosh, AtanuBhattacharjee, Patil VM
Psycho-Oncology 12/2014; • 4.04 Impact Factor

4.Burden and outcome of pressure ulcers in cancer patients receiving the Kerala model of home based palliative care in India:Results from a prospective observational study.
Biji M Sankaran,SantamChakraborty,Vijay M Patil,Sindhu N Raghavan,ShibimolThomas,SubradevSen
Indian Journal of Palliative care ,volume 21/Issue 2/May-August 2015 (pg 152-157)

5.Pairwise Comparison in Repeated Scores-Application in Palliative Cancer Patients
SubhradevSen, Biji M S, SantamChakraborty, Sindhu N R, SatheesanBalasubramanian
Journal of Data Science:Volume 13, Number 4, October 2015
6.Pattern of care in operable endometrial cancer treated at a rural-based tertiary care cancer center [pg. 416]
SB Dessai, D Adrash, M Geetha, S Arvind, J Bipin, S Nayanar, K Sachin, MS Biji, S Balasubramanian
Indian Journal of Cancer 2016 | July-September | Volume 53 | Issue 3
7.An audit of the results of a triplet metronomic chemotherapy regimen incorporating a tyrosine kinase inhibitor in recurrent/metastatic head and neck cancers patients,
Vijay M. Patil, SantamChakraborty, T. K. Jithin, T. P. SajithBabu, SatheeshBabu, Shiva Kumar, M. S. Biji,4Atanu Bhattacharjee, and SatheesanBalasubramanian , South Asian J Cancer. 2016 Apr-Jun; 5(2): 48–51
8.BelievingJeny about her pain.
M.S.Biji
Journal of Pain &Palliative care Pharmacotherapy.Volume 31,2017,Issue 1,pg 73-75.
9.Validation of malayalam version of national comprehensive cancer network distress thermometer and its feasibility in oncology patients.
MS Biji1, Sampada Dessai2, N Sindhu1, Sithara Aravind3, B Satheesan4

Indian Journal of Palliative care    
Year : 2018  |  Volume : 24  |  Issue : 1  |  Page : 67-71
10.The incidence and risk factors for development of lower limb lymphedema after treatment for gynaecological cancers.
Noori Khalid1,Adarsh Dharmarajan1,Satheeshan B1.,Biji M. S2., Abina S.S2,Remya Binesh1
International Journal of Reproduction,Contraception, Obstetrics and  Gynecology
Int J ReprodContraceptObstet Gynecol. 2018 Mar; 7(3):1168-1172
11.Pain Management in Children With Cancer Using World Health Organization Guidelines at a Tertiary Cancer Center in Rural India
M. S. Biji,V. Vinayagamoorthy,T. K. Jithin ,Vineetha Raghavan,KalaiselviSelvaraj,KarthickeyanDuraisamy,KalpitaShringarpure,S. S. Abhinaa,Vanitha Priya Deenathayalan,KedarMehta,Priya Rathi &Lulu Mathewshttps://doi.org/10.1080/15360288.2019.1651438
Journal of Pain & Palliative Care Pharmacotherapy 
12. Patient satisfaction in Home care services through e-Palliative Care - An experience of tertiary cancer centre from Kerala
Satheesan Balasubramanian1, M. S. Biji2 ,M. K. Ranjith3, S. S. Abhina2
DOI:10.25259/IJPC_36_2021
Indian Journal of Palliative Care,Year: 2022, Volume: 28, Issue: 3, July-September
Contributed in a Book ”ArbhudhavumSaandhwanaparicharanum” brought out by Basha Institute.

1.“Return to work after curative cancer therapy and the barriers associated with it”.
2.“Quality of Life  Outcome in Cancer Patients living with  intestinal stoma: A Prospective cross-sectional study”.
3. Assessment of spiritual wellbeing in advanced cancer patients receiving palliative care in a tertiary cancer center in Kerala-A mixed method study

•    Best Paper Award  at the 14th International Conference of Indian Association of Palliative Care held at Tata Memorial Hospital, Mumbai on 10th to 12th Feb 2007. 
•    Best poster awardin KASO MEET 2015 conference held at Malabar Cancer Centre-Post Graduate Institute of Oncology Sciences and Research on 18thOctober 2015.
•    Best poster award in“TECHNOSCAN 2017”conference held at MCC-PGIOSR.
•    Second prize in  Poster  presentation  in the Silver Jubilee International Conference  of  IAPC, held in 2018 at AIIMS, Delhi.
•    Third prize in poster presentation  in the 26th International conference of IAPC ,IAPCON Kochi 2019.
•    Kerala State e-Governance award 2016&17 under e-Citizen Service Delivery category for e-palliative care Initiative.
•    International award for Excellence in Palliative care(2021-2022)

  1. December 16th& 17th, 2009 -workshop on Cancer Palliative Medicine “ A Lasting Tender Touch” was organized for Nurses and Volunteers.
  2. January 29th&30th 2011-Toolkit training programme in Palliative care  for doctors and nurses.
  3. Octobet 21st 2011-A Workshop on ostomy care “ZUS”for nurses 
  4. October 11th 2014-“Workshop on Communication Skills”wasorganized for  all the staffs of MCC-PGIOSR.
  5. October 10th 2015-A workshop “Refresher course in Palliative care” was organized for all the students who had undergone BCCPAN (Basic Certificate Course in Palliative Auxillary Nursing) from MCC-PGIOSR.
  6. November 22nd 2015-A workshop on e-Palliative care for various palliative care units of Kannur District.
  7. January 16th 2016-workshop “Essentials in Stoma Care”for Staff Nurses.
  8. January 15th2017-A “workshop on lymphedema care –LENFODEM”  was organized for nurses of MCC-PGIOSR.
  9. January 14th 2018-CME on Peadiatric palliative care “TOSHI 2018”
  10. January 22nd 2020-workshop on :EffectiveCommunication”for nursing students.