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Surgery
for cancer can result in any of the functional disabilities, such as
loss of speech, loss or limitation of mobility of an arm or leg, or
severe general debility. It is essential to restore the cancer patient
to the maximum possible functional capacity, either through exercises
involving the affected part of the body or by providing prostheses and
artificial appliances to substitute the lost part, so as to duplicate
normal functions to the maximum extent possible.
Various
prostheses and appliances needed by cancer patients such as artificial
larynx, breast prostheses and colostomy bags are easily available in the
open market in Western countries. But in India, many of these prostheses
and appliances still cannot be had for the asking. This led us to start
manufacturing these items in our Rehabilitation Centre. Samples of
breast prostheses and irrigation sets obtained from well-known
manufacturers were modified to suit Indian conditions. We substituted
foam rubber for the silicon jelly used in manufacturing breast
prostheses in the West. Such foam-based prostheses usually last for 4 to
5 years and cost Rs. 250/- to Rs. 350/-. Similarly, irrigation
sets for the ostomates based on imported samples cost about Rs. 550/-
per set. They are sent by post to patients all over India with
instructions for their use.
Treatment of cancer of the soft tissues or
bone often demands an amputation. Many such patients had to wait for a
year or more to get artificial limbs from the few artificial limb
manufacturing agencies currently functioning in India. A small
prosthestic and orthotic unit was, therefore, established at the
Rehabilitation Centre in March 1982. Hip-Disarticulation Limb and
Rotation Limb are available only at our Rehabilitation Centre. The
unique aspect of our programme lies in the fact that all the prostheses
and appliances are prepared by cancer patients trained for such jobs
from indigenously available materials. Between 2000 to 3000 cancer
patients are given various aids and appliances from the centre every
year.
Physical
restoration services at the Rehabilitation Centre also include the
provision of free-meals, extra-nutritives, clothing, medicines and training the
laryngectomees in oesophageal speech.
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