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18. COVID-19, Suffering and Palliative Care: A Review

Author

Beng, Tan Seng, primary, Kim, Carol Lai Cheng, additional, Shee, Chai Chee, additional, Ching, Diana Ng Leh, additional, Liang, Tan Jiunn, additional, Kumar, Mehul Kumar Narendra, additional, Guan, Ng Chong, additional, Khuen, Lim Poh, additional, Loong, Lam Chee, additional, Chin, Loh Ee, additional, Zainuddin, Sheriza Izwa, additional, Capelle, David Paul, additional, Munn, Ang Chui, additional, Yen, Lim Kah, additional, and Isahak, Nik Nathasha Hani Nik, additional

Published
2021
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21. COVID-19, Suffering and Palliative Care: A Review.

Author

Beng, Tan Seng, Kim, Carol Lai Cheng, Shee, Chai Chee, Ching, Diana Ng Leh, Liang, Tan Jiunn, Kumar, Mehul Kumar Narendra, Guan, Ng Chong, Khuen, Lim Poh, Loong, Lam Chee, Chin, Loh Ee, Zainuddin, Sheriza Izwa, Capelle, David Paul, Munn, Ang Chui, Yen, Lim Kah, and Isahak, Nik Nathasha Hani Nik

Abstract

According to the WHO guideline, palliative care is an integral component of COVID-19 management. The relief of physical symptoms and the provision of psychosocial support should be practiced by all healthcare workers caring for COVID-19 patients. In this review, we aim to provide a simple outline on COVID-19, suffering in COVID-19, and the role of palliative care in COVID-19. We also introduce 3 principles of palliative care that can serve as a guide for all healthcare workers caring for COVID-19 patients, which are (1) good symptom control, (2) open and sensitive communication, and (3) caring for the whole team. The pandemic has brought immense suffering, fear and death to people everywhere. The knowledge, skills and experiences from palliative care could be used to relieve the suffering of COVID-19 patients. [ABSTRACT FROM AUTHOR]

Published
2022
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28. Resilience in adolescent refugees living in Malaysia: The association with religiosity and religious coping.

Author

Chow, Mervyn Ian Sim Peng, Hashim, Aili Hanim, and Guan, Ng Chong

Subjects
BIRTHPLACES, PSYCHOLOGY of refugees, CROSS-sectional method, COMMUNITY colleges, DESCRIPTIVE statistics, PSYCHOLOGICAL adaptation, PSYCHOLOGICAL resilience, RELIGION, ADOLESCENCE
Abstract

Background: Until now, there is scarcity of information regarding resilience, religiosity and religious coping among adolescent refugees. Currently, most researches emphasize on the physical, psychological and social distresses experienced by refugees while overlooking these crucial aspects, that is, resilience and coping. Aim: The study aimed to examine resilience and its association with religiosity and religious coping among adolescent refugees living in Malaysia. Methods: This is a cross-sectional study conducted in five community-based learning centres in Malaysia from July 2019 till December 2019. A total of 152 refugees, aged 13 to 19-years-old, were recruited. The study gauged resilience using the 14-Item Resilience Scale (RS-14), the Duke University Religion Index (DUREL) for religiosity and the Brief Religious Coping Scale (Brief RCOPE) for religious coping. Results: The majority of adolescent refugees portrayed moderate levels of resilience (43.5%). The study highlighted the interconnectedness between resilience and intrinsic religiosity (IR) (p <.001), as well as, positive (p <.001) and negative (p =.010) religious coping. Additionally, the results demonstrated that certain sociodemographic factors could potentially confound resilience, namely, countries of origin (p <.001), religion (p <.001), education centre (p <.001) and refugee status (p =.018). Conclusion: With knowledge from this study, mental health professionals can initiate or improve liaison with religious-based services in working together to provide resources for adolescent refugees. Incorporating information regarding mental health with religious teachings may help increase resilience in young refugees and, in turn, alleviate their psychological distress. [ABSTRACT FROM AUTHOR]

Published
2021
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29. Postpartum depression in Malaysian women: the association with the timing of pregnancy and sense of personal control during childbirth

Author

Rasnah Abdul Rahman, Guan Ng Chong, Aini Ahmad, Siti Roshaidai Mohd Arifin, and Seng Loh Huai

Subjects
Postpartum depression, Pregnancy, medicine.medical_specialty, business.industry, Obstetrics, Lower score, Sense of control, Demographic data, medicine.disease, Unplanned pregnancy, Personal control, Childbirth, Medicine, business, reproductive and urinary physiology
Abstract

Objective: To determine the prevalence of postpartum depression (PPD) in Malaysian women and its association with unplanned pregnancy and experience of control during childbirth. Methods: A cross-sectional study involving women 24-48 hours after delivery. PPD was measured with the Edinburg Postpartum Depression Scale and the timing of pregnancy was assessed with a four question scale. Sense of personal control during childbirth was measured with the Labour Agentry Scale. Other relevant clinical and demographic data were collected. Results: Of the 347 women included, the prevalence of PPD was 31.7%. There were higher risks in women with unplanned pregnancies [45% vs. 26.3%; χ 2 = 11.477, df = 1 p < 0.01]. Lower score of childbirth control was associated with PPD [CI 7.23-13.96, p < 0.01]. Conclusion: Screening for women with unplanned pregnancies and education for those with low sense of control during childbirth help to reduce the risk of PPD.

Published
2014
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31. The Effect of 20-Minute Mindful Breathing on the Perception of Suffering and Changes in Bispectral Index Score in Palliative Care Patients: A Randomized Controlled Study

Author

Beng, Tan Seng, primary, Jie, How Wen, additional, Yan, Loo Hui, additional, Ni, Cheah Xin, additional, Capelle, David Paul, additional, Yee, Anne, additional, Guan, Ng Chong, additional, Hasan, Mohd Shahnaz bin, additional, Seang, Lim Kheng, additional, Chin, Loh Ee, additional, and Loong, Lam Chee, additional

Published
2018
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35. The use of methylphenidate for physical and psychological symptoms in cancer patients: a review

Author

Andrew, Beatrice Ng, Guan, Ng Chong, Nik Jaafar, Nik Ruzyanei, Andrew, Beatrice Ng, Guan, Ng Chong, and Nik Jaafar, Nik Ruzyanei

Abstract

Background: One of the goals of cancer treatment is symptoms management especially at the end stage. The common symptoms in cancer include pain, fatigue, depression and cognitive dysfunction. The available treatment options for symptom management are limited. Methylphenidate, a psychostimulant, may be of benefit for these patients. In this report, we review the use of methylphenidate for symptoms control in cancer patients. Method: Electronic literature search on PubMed was conducted using the following keywords: methylphenidate, cancer, carcinoma, oncology, oncological and tumour. We identified forty two relevant studies and publications on the use of methylphenidate in cancer patients to be included in this review. Results: Methylphenidate was found to have some evidence in reducing opioid-induced sedation, improving cognitive symptoms and reduction of fatigue in cancer patients. Nevertheless, the results were inconsistent due to variations in the study populations, study design and outcome measures, among others. There was minimal evidence on its use in treating depression. Otherwise, methylphenidate was generally well-tolerated by patients. Conclusion: This review potentially supports the use of methylphenidate for opioid-induced sedation, cognitive decline and fatigue in cancer patients. Further placebo-controlled trials would help in strengthening the evidence for this treatment.

Published
2018

37. The Effect of 20-Minute Mindful Breathing on the Perception of Suffering and Changes in Bispectral Index Score in Palliative Care Patients: A Randomized Controlled Study.

Author

Beng, Tan Seng, Jie, How Wen, Yan, Loo Hui, Ni, Cheah Xin, Capelle, David Paul, Yee, Anne, Guan, Ng Chong, Hasan, Mohd Shahnaz bin, Seang, Lim Kheng, Chin, Loh Ee, and Loong, Lam Chee

Abstract

A randomized controlled study was conducted to evaluate the efficacy of 20-minute mindful breathing in suffering reduction. Forty palliative care patients with an overall suffering score of 4 or above as measured with the Suffering Pictogram were recruited and randomly assigned to 20-minute mindful breathing or 20-minute supportive listening. There was statistically significant reduction of suffering score in both the groups. For Bispectral Index Score value, there was statistically significant difference between intervention and control. A 20-minute mindful breathing could be useful in the alleviation of suffering in palliative care. [ABSTRACT FROM AUTHOR]

Published
2019
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43. Palliative Care Suffering Interview

Author

Beng, Tan Seng, primary, Guan, Ng Chong, additional, Seang, Lim Kheng, additional, Pathmawathi, Subramaniam, additional, Ming, Moy Foong, additional, Jane, Lim Ee, additional, Chin, Loh Ee, additional, and Loong, Lam Chee, additional

Published
2014
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50. Distress Reduction for Palliative Care Patients and Families With 5-Minute Mindful Breathing.

Author

Beng, Tan Seng, Ahmad, Fazlina, Loong, Lam Chee, Chin, Loh Ee, Zainal, Nor Zuraida, Guan, Ng Chong, Ann, Yee Hway, Li, Lee Mei, and Meng, Christopher Boey Chiong

Abstract

A pilot study was conducted to evaluate the efficacy of 5-minute mindful breathing in distress reduction. Twenty palliative care patients and family caregivers with a distress score ≥4 measured by the Distress Thermometer were recruited and randomly assigned to mindful breathing or “listening” (being listened to). Median distress reductions after 5 minutes were 2.5 for the mindful breathing group and 1.0 for the listening group. A significantly larger reduction in the distress score was observed in the mindful breathing group (Mann-Whitney U test: U = 8.0, n1 = n2 = 10, mean rank1 = 6.30, mean rank2 = 14.70, z = −3.208, P = .001). The 5-minute mindful breathing could be useful in distress reduction in palliative care. [ABSTRACT FROM AUTHOR]

Published
2016
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