Care of people with

cancer at Community

The best creation of God is

Human being

Unknown

Human beings are

Cancer of earth

Those are not taking care of

self , others and earth.

You know about cancer

More than me
I am just here
To make sincere efforts
To aware and to use it

Treating the spoiled fruits

Is wasting of all resources,
When you need
Eradicate the infected root

 Hospital less cancer cases

maximum resources
Community mare cases / risk
factors less resources.

Very special significant personalities

Smt. Uma Joshi.Ex Principal, KLES,
INS, Belgaum.
Mr. Uvraj Singh Cricket player.
Hon. Shri. Sharad Pawar Great
politician

 Topics of presentation:

Cancer :
Marathi Karkrog. Hindi Definition :
A disease caused by an uncontrolled division
of abnormal cells in a part of the body.
(Compact Oxford English DictionaryCatherine)
Rapid and abnormal growth of cells .
(Medical dictionary . Dr. L.C.Gupta)

 Cancer may be regard as a group of diseases

characterized by
1. Abnormal growth of cells
2. Ability to invade adjacent tissues and even
disturb the organs.
3. The eventual death of affected patient if
tumor is progressed beyond that stage when
it can not be successfully removed.
( PSM- K.Park)

Epidemiological characteristics of Cancer

(Chronic non-communicable diseases)
a. Long term disease/ permanent
b. Leads one or more disabilities
c. Non-reversible pathological
alternations
d. Require special training for
rehabilitation

a. Fast growth of magnitude of

diseases
b. Very late detected or diagnosed.
c. Multi-factorial nature
d. Social stigma
e. Unhealthy life style

 Epidemiology of cancer

 Agent :
a. Physical : Energy- heat Tobacco &
Chuna , Ghutaka, radiation .
b. Mechanical : Chronic friction or
irritation- Dhoti cancer- wearing
tight cloths . G.I. cancers hot ,
spicy, toxic food.

c. Chemical : Dyes- aniline- bladder

cancer, pesticides
d. Nutritional : Severe malnutrition .
Smoked fish (stomach ca.), high
fibre (intestinal ca.), beef (bowel
ca.), high fat (breast ca.).
e. Biologic : infection( HBV, HIV,
CMV,HPapilomaV )
f. Drugs : Estrogen (breast ca.)

 Host
a. Age : At any age but more in after 50
years
b. Gender: Different cancers in males
and females
c. Marital status: Less breast cancer &
more genital
d. Race: Skin cancers are more in white
e. Heredity: Defective genes Mongolsleukemia

f. Occupation: Bladder cancer in rubber

industry, leukemia- radiation
exposed people
g. Economic status: Ca. skin, stomach
& cervix are more in high income
group.
h. Habits: Smoking, chewing tobacco
or ghutaka , (oral ca.) alcohol (liver
ca.), hot and spicy food ( stomach &
colon)and sedentary members.

Environment
a. Pollution : lung cancers
b. Pesticides : pollute soil, air, water
and toxic food.
c. High solar radiation : skin cancers
(Gobal warming)
d. Poor health services : unawareness
about carcinogens

 Distribution of cancer

 Time : Chronic disease . Take long

time occur.
Place : Different nation people have
different cancers as it mostly related
to habits and environment. India
Oral ca. , U.K. Lung & breast ca.
High in developed countries.
Person : Bad habits & life style

S /S of cancer :

Warning or dangers signs of cancer

Lump or hard area in breast
Change in wart or mole
Persistent cough or hoarseness

 Persistent change in digestive and

bowel habits
Loss of blood from natural orifice
Non-healing ulcer
Unexplained weight loss.

 Diagnosis
Clinical examination able to detect 75%
cases
Screening test
Pathology of affected tissue / fluid
Radiological tests. ( X ray, MRI)
Mammography
Endoscopy
Immunological studies
Thermography . (detect heat generated
around cancer cells by increased vascularity)

 Prevention of cancers:
1. Primordial prevention
2. Primary prevention
a. Health promotion
b. Specific protection

3. Secondary prevention
c. Early diagnosis and prompt treatment

4. Tertiary prevention
d. Disability limitation
e. Rehabilitation

1. Primordial prevention :
Prevention of emergence or
development of risk factors in
countries or population.
Inculcate healthy habits in
childhood , provide protection from
carcinogens to prevent cancers in
life.
The main action is individual or mass
health education.

2. Primary prevention:
a.Health promotion
Health education- healthy habits and
care of health It will reduce more half
of number of cancer cases . Awareness
about cancer (Warning signs) . Teach
SBE, STE.
Safe food.
NO COSMATICS
Early preparation and support to adjust
with developmental phases of life

 Conducive environment for personality

development
Agreeable and safe working environment
Marriage counseling and sex education
Periodical health check up f& specially
risk population
Take help of all agencies who helps for
health care.
(national and international health and
other agencies )

b. Specific protection
Immunization Prevent infective
diseases
Good personal hygiene and dress up
Environmental sanitation measures
to prevent pollution and promote
health of earth. Strictly observe
Environment Protection Laws.

 Use of protective devices Full dress,

sunscreens to avoid contact of
chemical/ allergens or radiations.
Special protection from carcinogens
and allergens.

3. Secondary prevention :
(Mostly cancer cases are detected in
late stage when cure is not possible.)
Early diagnosis and prompt
treatment:
Case finding measures individual
and mass screening surveys . Use
MIS for this. ( Know Ice burg
phenomenon of cancer. ) Do SBE,
STE & Pap smear

 Specific examination and

investigation for risk groups.
Early prompt treatment cancer
source (infection) / body part (Ca.
lesion) / risk behavior.

 Treatment : Chemotherapy, surgery,

radiation , combined and palliative
therapies . Use of alternative medical
measures.
Special attention to treatment common
cancer . E.g. Ca. breast, Ca. Cervix, Ca. oral
cavity and Ca. lung .
Make available all treatment modalities and
preparation and care during treatment and
follow up
Reference for getting financial , social,
emotional , spiritual support

4.Tertiary prevention :
a. Disability limitation
Make available Right , prompt and
complete the treatment,.
Take care to prevent side effects of
treatment or complications of
disease

 Regular follow up to know level of

disease or complications
Provide maximum facilities and
support to live normal life
If all fail
take measures for pain free life,
respected person, loving care and
delay or peaceful death.

b. Rehabilitation of person with cancer.

Provision of hospital and community
facilities and devices for improving
the capacities life activities
Special training, guidance and
counseling to adopt supporting
devices or accept the body changes.
Full rehabilitation is need for such
cases like medical, psychological,
social, occupational, financial,
educational and personal.

 Public acceptance, support and

respect make much difference in
quality life of cancer cases
Governmental special facilities /
supporting schemes (ban the
carcinogen products / activates) work
vital role in care of cancer cases.
Make special centers of health
services for such cases

National Cancer Control Program

Stated in 1975 by GOI.
Components : Control use of
carcinogens , early detection and
treatment, research , IEC and evaluation
of services
Directors are appointed at Centre and at
State for services to the cancer
Developed Regional Cancer Centers
.

 District Project Scheme (State Government

give special funds health education ,
diagnosis and treatment and pain relief
measures) to the Regional Cancer Centers
and other concern health units
Development of Oncology wings in Medical
Colleges / District Hospitals.
Scheme for financial assistance to
voluntary organizations who takes care of
cancer cases

 Government special schemes of facilities for

the persons with cancer.

Prime Ministers National Relief Fund.(PMNRF)

MH&FW- (Under Ratriya Arogya Nidhi- RAN)
C.M.Fund.
Dr. Ambedkar Medical Aid Scheme- SC & NT
Railway & Air concession:(Total to partial
free )
Income tax relief.
Special services at hospitals and health
centers

Most of all the community based

measures are simple
But
They need really great efforts.

 Care at home :
Periodical home visit for early
detection.
Care of minor illness
Provide references
Loving & respectful care
Careful and uncourageous talk
Provide aids for better life style

 Cancer person says,

Do not die for me
Let me live comfortably and die
peacefully **
Do not laugh on me and on my faults
Learn from me to be free from cancer **
I do not want many things
Just give me respect, loving care **
Be healthy , do for health of others
To save you and your mother nature **

THANK YOU VERY

MUCH