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“Ma’am, is there anyone with you?” the radiologist asked. This marked the beginning of my stage IV metastatic breast cancer journey. I stood outside the ultrasound department, shocked, frozen, and clueless. How could I have not seen or felt this underlying demon? As a cancer patient, one of the key messages on World Cancer Day is the importance of early detection. Periodical checkups and timely detection often leads to more effective treatment and improves the chances of survival. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. Age is just a number, as they say. Cancer can affect people of any age group. Cervical cancer is the fourth most common type of cancer in the world and the most common type found in India. As a palliative care specialist, when asked why they didn’t consider cancer as a possibility when experiencing symptoms, patients often respond with, “I thought it was just menopause, and irregular bleeding is a common sign of menopause. I never thought it could be something so serious.”As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. Ramu (name changed), a 42-year-old farmer from rural part of North Karnataka, was diagnosed with cancer of the tongue. The nearest specialized cancer treatment centre was 600 kilometres away and took 11 hours to reach. Ramu is unable to speak and is in extreme pain. He and his wife have travelled to Bengaluru, hoping for better treatment. At the cancer center they have been told that further tests need to be conducted before they start him on chemotherapy. Having no place to stay nor enough money, they are living on the streets. In addition, they are worried about their young children, who are currently staying with their relatives. The Global Cancer Observatory (GLOBOCAN) survey estimates that there were 19.3 million new cancer cases globally in 2020. In India, we had 14,61,427 new cancer cases in 2022. Ramu is just one of them. During their 10-day stay in Bengaluru, Ramu and his wife struggled to understand the name of the cancer, its extent, its implications, treatment choices, and the likelihood of progression. They neither had the financial, intellectual, or social capital to manage this dreaded disease. All the while, Ramu continued to struggle with pain and the stress of not being able to speak. The healthcare system, oblivious to the suffering of Ramu and his wife, continued to forge ahead with their ‘one size fits all’, ‘evidence-based’ attempt at managing the cancer. The wait for the government insurance, the multitudes of documents that needed to be produced ensured that Ramu’s treatment got inexorably delayed. By the time Ramu’s treatment commenced, the couple had exhausted their resources, physically and emotionally, were demotivated, and abandoning all hope, they headed back home. Age is just a number, as they say. Cancer can affect people of any age group. Cervical cancer is the fourth most common type of cancer in the world and the most common type found in India. As a palliative care specialist, when asked why they didn’t consider cancer as a possibility when experiencing symptoms, patients often respond with, “I thought it was just menopause, and irregular bleeding is a common sign of menopause. I never thought it could be something so serious.”Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. Age is just a number, as they say. Cancer can affect people of any age group. Cervical cancer is the fourth most common type of cancer in the world and the most common type found in India. As a palliative care specialist, when asked why they didn’t consider cancer as a possibility when experiencing symptoms, patients often respond with, “I thought it was just menopause, and irregular bleeding is a common sign of menopause. I never thought it could be something so serious.”As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Ma’am, is there anyone with you?” the radiologist asked. This marked the beginning of my stage IV metastatic breast cancer journey. I stood outside the ultrasound department, shocked, frozen, and clueless. How could I have not seen or felt this underlying demon? As a cancer patient, one of the key messages on World Cancer Day is the importance of early detection. Periodical checkups and timely detection often leads to more effective treatment and improves the chances of survival.Ramu (name changed), a 42-year-old farmer from rural part of North Karnataka, was diagnosed with cancer of the tongue. The nearest specialized cancer treatment centre was 600 kilometres away and took 11 hours to reach. Ramu is unable to speak and is in extreme pain. He and his wife have travelled to Bengaluru, hoping for better treatment. At the cancer center they have been told that further tests need to be conducted before they start him on chemotherapy. Having no place to stay nor enough money, they are living on the streets. In addition, they are worried about their young children, who are currently staying with their relatives. The Global Cancer Observatory (GLOBOCAN) survey estimates that there were 19.3 million new cancer cases globally in 2020. In India, we had 14,61,427 new cancer cases in 2022. Ramu is just one of them. During their 10-day stay in Bengaluru, Ramu and his wife struggled to understand the name of the cancer, its extent, its implications, treatment choices, and the likelihood of progression. They neither had the financial, intellectual, or social capital to manage this dreaded disease. All the while, Ramu continued to struggle with pain and the stress of not being able to speak. The healthcare system, oblivious to the suffering of Ramu and his wife, continued to forge ahead with their ‘one size fits all’, ‘evidence-based’ attempt at managing the cancer. The wait for the government insurance, the multitudes of documents that needed to be produced ensured that Ramu’s treatment got inexorably delayed. By the time Ramu’s treatment commenced, the couple had exhausted their resources, physically and emotionally, were demotivated, and abandoning all hope, they headed back home. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. Age is just a number, as they say. Cancer can affect people of any age group. Cervical cancer is the fourth most common type of cancer in the world and the most common type found in India. As a palliative care specialist, when asked why they didn’t consider cancer as a possibility when experiencing symptoms, patients often respond with, “I thought it was just menopause, and irregular bleeding is a common sign of menopause. I never thought it could be something so serious.”As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. Ramu (name changed), a 42-year-old farmer from rural part of North Karnataka, was diagnosed with cancer of the tongue. The nearest specialized cancer treatment centre was 600 kilometres away and took 11 hours to reach. Ramu is unable to speak and is in extreme pain. He and his wife have travelled to Bengaluru, hoping for better treatment. At the cancer center they have been told that further tests need to be conducted before they start him on chemotherapy. Having no place to stay nor enough money, they are living on the streets. In addition, they are worried about their young children, who are currently staying with their relatives. The Global Cancer Observatory (GLOBOCAN) survey estimates that there were 19.3 million new cancer cases globally in 2020. In India, we had 14,61,427 new cancer cases in 2022. Ramu is just one of them. During their 10-day stay in Bengaluru, Ramu and his wife struggled to understand the name of the cancer, its extent, its implications, treatment choices, and the likelihood of progression. They neither had the financial, intellectual, or social capital to manage this dreaded disease. All the while, Ramu continued to struggle with pain and the stress of not being able to speak. The healthcare system, oblivious to the suffering of Ramu and his wife, continued to forge ahead with their ‘one size fits all’, ‘evidence-based’ attempt at managing the cancer. The wait for the government insurance, the multitudes of documents that needed to be produced ensured that Ramu’s treatment got inexorably delayed. By the time Ramu’s treatment commenced, the couple had exhausted their resources, physically and emotionally, were demotivated, and abandoning all hope, they headed back home. Age is just a number, as they say. Cancer can affect people of any age group. Cervical cancer is the fourth most common type of cancer in the world and the most common type found in India. As a palliative care specialist, when asked why they didn’t consider cancer as a possibility when experiencing symptoms, patients often respond with, “I thought it was just menopause, and irregular bleeding is a common sign of menopause. I never thought it could be something so serious.”Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. Age is just a number, as they say. Cancer can affect people of any age group. Cervical cancer is the fourth most common type of cancer in the world and the most common type found in India. As a palliative care specialist, when asked why they didn’t consider cancer as a possibility when experiencing symptoms, patients often respond with, “I thought it was just menopause, and irregular bleeding is a common sign of menopause. I never thought it could be something so serious.”As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year.

World Cancer Day was established on February 4, 2000, at the World Summit against Cancer for the New Millennium in Paris. Its goal is to save lives by raising awareness about cancer and fostering a collective commitment to its prevention, detection, and treatment. At Karunashraya, we believe it is an opportunity for everyone to come together and lessen the impact of cancer on the world.Today, we stand on the threshold of World Cancer Day 2024 in solidarity with countless individuals like Ramu, who are not only battling a relentless adversary like cancer but are also victims of the gross inequities associated with cancer care. The statistics for cancer are grim in India. One in nine individuals is expected to get cancer in their lifetime, with every second person affected by cancer likely to die (mortality of >55%). Equally concerning is the fact that less than 30% of individuals in low-income countries have access to cancer treatment as compared to 90% in high-income countries. Differences in income and educational levels; geographical locations (urban-rural divide); discrimination based on ethnicity, race, gender, sexual orientation, age, disability and lifestyle; and poor infrastructure impact the cancer journey. Ramu not only needs treatment for cancer but also respite from the pain he is experiencing. They need emotional support and help in making healthcare decisions. In addition to oncological care, this couple needs palliative care and psycho-oncology support. Unfortunately, cancer care is very fragmented in India, with less than 4% of Indians having access to palliative care and even fewer having access to psycho-oncology and counselling services. Ramu and his wife abandoned treatment halfway and chose to go back home against medical advice. Ramu died at home two months later in agony, reiterating the narrative of cancer being an incurable disease. In the current scenario, the outcome of the illness depends upon who you are, where you live, and how much money you have.Many people tend to assume that their health is fine and that their symptoms are minor issues, neglecting to take them seriously. India, being a developing country and a hub for IT, is amazing. However, not many people are aware of what cervical cancer is and how to prevent it. In the 21st century, where Chandrayaan (India’s lunar mission) is a great success, I believe it is important to spread awareness about cervical cancer to the general population.World Cancer Day was established on February 4, 2000, at the World Summit against Cancer for the New Millennium in Paris. Its goal is to save lives by raising awareness about cancer and fostering a collective commitment to its prevention, detection, and treatment. At Karunashraya, we believe it is an opportunity for everyone to come together and lessen the impact of cancer on the world.Today, we stand on the threshold of World Cancer Day 2024 in solidarity with countless individuals like Ramu, who are not only battling a relentless adversary like cancer but are also victims of the gross inequities associated with cancer care. The statistics for cancer are grim in India. One in nine individuals is expected to get cancer in their lifetime, with every second person affected by cancer likely to die (mortality of >55%). Equally concerning is the fact that less than 30% of individuals in low-income countries have access to cancer treatment as compared to 90% in high-income countries. Differences in income and educational levels; geographical locations (urban-rural divide); discrimination based on ethnicity, race, gender, sexual orientation, age, disability and lifestyle; and poor infrastructure impact the cancer journey. Ramu not only needs treatment for cancer but also respite from the pain he is experiencing. They need emotional support and help in making healthcare decisions. In addition to oncological care, this couple needs palliative care and psycho-oncology support. Unfortunately, cancer care is very fragmented in India, with less than 4% of Indians having access to palliative care and even fewer having access to psycho-oncology and counselling services. Ramu and his wife abandoned treatment halfway and chose to go back home against medical advice. Ramu died at home two months later in agony, reiterating the narrative of cancer being an incurable disease. In the current scenario, the outcome of the illness depends upon who you are, where you live, and how much money you have.Today, we stand on the threshold of World Cancer Day 2024 in solidarity with countless individuals like Ramu, who are not only battling a relentless adversary like cancer but are also victims of the gross inequities associated with cancer care. The statistics for cancer are grim in India. One in nine individuals is expected to get cancer in their lifetime, with every second person affected by cancer likely to die (mortality of >55%). Equally concerning is the fact that less than 30% of individuals in low-income countries have access to cancer treatment as compared to 90% in high-income countries. Differences in income and educational levels; geographical locations (urban-rural divide); discrimination based on ethnicity, race, gender, sexual orientation, age, disability and lifestyle; and poor infrastructure impact the cancer journey. Ramu not only needs treatment for cancer but also respite from the pain he is experiencing. They need emotional support and help in making healthcare decisions. In addition to oncological care, this couple needs palliative care and psycho-oncology support. Unfortunately, cancer care is very fragmented in India, with less than 4% of Indians having access to palliative care and even fewer having access to psycho-oncology and counselling services. Ramu and his wife abandoned treatment halfway and chose to go back home against medical advice. Ramu died at home two months later in agony, reiterating the narrative of cancer being an incurable disease. In the current scenario, the outcome of the illness depends upon who you are, where you live, and how much money you have.Many people tend to assume that their health is fine and that their symptoms are minor issues, neglecting to take them seriously. India, being a developing country and a hub for IT, is amazing. However, not many people are aware of what cervical cancer is and how to prevent it. In the 21st century, where Chandrayaan (India’s lunar mission) is a great success, I believe it is important to spread awareness about cervical cancer to the general population.

Despite living in a time of remarkable advancements in cancer prevention, diagnosis, and treatment, many of us are denied basic care. During my breast cancer treatment, I realized how fortunate I was compared to those around me who lacked adequate finances and access to quality care. Cancer is a burdensome disease, both emotionally and financially, and the inaccessibility of care feels like a death sentence. Since 1994, BHT-Karunashraya has bridged this gap by providing free and equitable palliative care to all cancer patients. It ensures that every patient, regardless of their socio-economic background, receives comprehensive support from a team of competent healthcare professionals. The theme for the 2024 World Cancer Day campaign is “Close the Care Gap,” which emphasizes the need for unity and action. The care gap extends beyond medical treatment and encompasses a holistic approach to supporting patients throughout their journey. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. According to current population data in India, there are 511.4 million women aged 15 years and above who are at risk of cervical cancer. More than 95% of cervical cancer cases are caused by the sexually transmitted human papillomavirus (HPV). Current estimates suggest that every year, 123,907 women in India are diagnosed with cervical cancer, and out of those, 77,348 die from the disease.Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. In most countries worldwide, there are apparent gaps in cancer care, more so in low- and middle-income countries. The World Cancer Day 2024 theme emphasizes on the need to close these gaps. The key aims of celebrating this day on February 4th of every year are to raise awareness about cancer, improve education and knowledge about cancer, and press governments, policymakers and individuals worldwide to take action against the disease and improve the inequities in access and affordability of cancer care. The 3-year ‘Close the Care Gap’ campaign focused on the inequities in cancer care globally in its first year (2022), building new collaborations and alliances for better cancer care in its second year (2023), and challenging those in power to address and eliminate the inequities in its final year (2024). Compassionate and equitable cancer care involves being able to prevent cancer by educating, screening, and identifying cancer at an early stage, creating centres for quality cancer care that are easily accessible and affordable for all populations, coordinating care across different healthcare settings, improving access to palliative and supportive care, while also increasing access and availability of psycho-oncological services, and supporting patients and families throughout the cancer trajectory from diagnosis to end-of-life or survivorships. This campaign closely aligns with the Sustainable Development Goal of achieving Universal Health Coverage for all. To ‘Close the Care Gap”, healthcare providers, patients, caregivers, the general public, and the policymakers in government need to come together as one and speak in one voice. Let closing the care gap be not an abstract goal, but a tangible promise that we can fulfil together by joining hands with each other. In the spirit of humanity and compassion, let us pledge to bridge hearts and close the gaps, ensuring that people like Ramu do not have to fight alone. According to current population data in India, there are 511.4 million women aged 15 years and above who are at risk of cervical cancer. More than 95% of cervical cancer cases are caused by the sexually transmitted human papillomavirus (HPV). Current estimates suggest that every year, 123,907 women in India are diagnosed with cervical cancer, and out of those, 77,348 die from the disease.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. According to current population data in India, there are 511.4 million women aged 15 years and above who are at risk of cervical cancer. More than 95% of cervical cancer cases are caused by the sexually transmitted human papillomavirus (HPV). Current estimates suggest that every year, 123,907 women in India are diagnosed with cervical cancer, and out of those, 77,348 die from the disease.Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Despite living in a time of remarkable advancements in cancer prevention, diagnosis, and treatment, many of us are denied basic care. During my breast cancer treatment, I realized how fortunate I was compared to those around me who lacked adequate finances and access to quality care. Cancer is a burdensome disease, both emotionally and financially, and the inaccessibility of care feels like a death sentence. Since 1994, BHT-Karunashraya has bridged this gap by providing free and equitable palliative care to all cancer patients. It ensures that every patient, regardless of their socio-economic background, receives comprehensive support from a team of competent healthcare professionals. The theme for the 2024 World Cancer Day campaign is “Close the Care Gap,” which emphasizes the need for unity and action. The care gap extends beyond medical treatment and encompasses a holistic approach to supporting patients throughout their journey.In most countries worldwide, there are apparent gaps in cancer care, more so in low- and middle-income countries. The World Cancer Day 2024 theme emphasizes on the need to close these gaps. The key aims of celebrating this day on February 4th of every year are to raise awareness about cancer, improve education and knowledge about cancer, and press governments, policymakers and individuals worldwide to take action against the disease and improve the inequities in access and affordability of cancer care. The 3-year ‘Close the Care Gap’ campaign focused on the inequities in cancer care globally in its first year (2022), building new collaborations and alliances for better cancer care in its second year (2023), and challenging those in power to address and eliminate the inequities in its final year (2024). Compassionate and equitable cancer care involves being able to prevent cancer by educating, screening, and identifying cancer at an early stage, creating centres for quality cancer care that are easily accessible and affordable for all populations, coordinating care across different healthcare settings, improving access to palliative and supportive care, while also increasing access and availability of psycho-oncological services, and supporting patients and families throughout the cancer trajectory from diagnosis to end-of-life or survivorships. This campaign closely aligns with the Sustainable Development Goal of achieving Universal Health Coverage for all. To ‘Close the Care Gap”, healthcare providers, patients, caregivers, the general public, and the policymakers in government need to come together as one and speak in one voice. Let closing the care gap be not an abstract goal, but a tangible promise that we can fulfil together by joining hands with each other. In the spirit of humanity and compassion, let us pledge to bridge hearts and close the gaps, ensuring that people like Ramu do not have to fight alone. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. According to current population data in India, there are 511.4 million women aged 15 years and above who are at risk of cervical cancer. More than 95% of cervical cancer cases are caused by the sexually transmitted human papillomavirus (HPV). Current estimates suggest that every year, 123,907 women in India are diagnosed with cervical cancer, and out of those, 77,348 die from the disease.Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. In most countries worldwide, there are apparent gaps in cancer care, more so in low- and middle-income countries. The World Cancer Day 2024 theme emphasizes on the need to close these gaps. The key aims of celebrating this day on February 4th of every year are to raise awareness about cancer, improve education and knowledge about cancer, and press governments, policymakers and individuals worldwide to take action against the disease and improve the inequities in access and affordability of cancer care. The 3-year ‘Close the Care Gap’ campaign focused on the inequities in cancer care globally in its first year (2022), building new collaborations and alliances for better cancer care in its second year (2023), and challenging those in power to address and eliminate the inequities in its final year (2024). Compassionate and equitable cancer care involves being able to prevent cancer by educating, screening, and identifying cancer at an early stage, creating centres for quality cancer care that are easily accessible and affordable for all populations, coordinating care across different healthcare settings, improving access to palliative and supportive care, while also increasing access and availability of psycho-oncological services, and supporting patients and families throughout the cancer trajectory from diagnosis to end-of-life or survivorships. This campaign closely aligns with the Sustainable Development Goal of achieving Universal Health Coverage for all. To ‘Close the Care Gap”, healthcare providers, patients, caregivers, the general public, and the policymakers in government need to come together as one and speak in one voice. Let closing the care gap be not an abstract goal, but a tangible promise that we can fulfil together by joining hands with each other. In the spirit of humanity and compassion, let us pledge to bridge hearts and close the gaps, ensuring that people like Ramu do not have to fight alone. According to current population data in India, there are 511.4 million women aged 15 years and above who are at risk of cervical cancer. More than 95% of cervical cancer cases are caused by the sexually transmitted human papillomavirus (HPV). Current estimates suggest that every year, 123,907 women in India are diagnosed with cervical cancer, and out of those, 77,348 die from the disease.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. According to current population data in India, there are 511.4 million women aged 15 years and above who are at risk of cervical cancer. More than 95% of cervical cancer cases are caused by the sexually transmitted human papillomavirus (HPV). Current estimates suggest that every year, 123,907 women in India are diagnosed with cervical cancer, and out of those, 77,348 die from the disease.Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity.

As a social individual, I have always been open about my cancer condition with the outside world. However, I soon realized that many other cancer patients do not share the same sentiment. Misconceptions, fear, and societal stigma surrounding cancer have prevented many individuals from seeking timely care. World Cancer Day is an opportunity to dispel myths and encourage patients to start conversations. Let’s not silence our courage, but silence cancer! Research has shown that cancer patients have numerous unmet needs regarding their last wishes and preserving dignity at the end of life. Karunashraya has compassionately gone the extra mile to fulfill the last wishes of end-stage cancer patients. Experienced therapists have encouraged patients to express themselves, and the hospice ensures that the end of their lives is filled with high-quality care.As a social individual, I have always been open about my cancer condition with the outside world. However, I soon realized that many other cancer patients do not share the same sentiment. Misconceptions, fear, and societal stigma surrounding cancer have prevented many individuals from seeking timely care. World Cancer Day is an opportunity to dispel myths and encourage patients to start conversations. Let’s not silence our courage, but silence cancer! Research has shown that cancer patients have numerous unmet needs regarding their last wishes and preserving dignity at the end of life. Karunashraya has compassionately gone the extra mile to fulfill the last wishes of end-stage cancer patients. Experienced therapists have encouraged patients to express themselves, and the hospice ensures that the end of their lives is filled with high-quality care.Despite living in a time of remarkable advancements in cancer prevention, diagnosis, and treatment, many of us are denied basic care. During my breast cancer treatment, I realized how fortunate I was compared to those around me who lacked adequate finances and access to quality care. Cancer is a burdensome disease, both emotionally and financially, and the inaccessibility of care feels like a death sentence. Since 1994, BHT-Karunashraya has bridged this gap by providing free and equitable palliative care to all cancer patients. It ensures that every patient, regardless of their socio-economic background, receives comprehensive support from a team of competent healthcare professionals. The theme for the 2024 World Cancer Day campaign is “Close the Care Gap,” which emphasizes the need for unity and action. The care gap extends beyond medical treatment and encompasses a holistic approach to supporting patients throughout their journey.

World Cancer Day reminds us that each of us can play a role in controlling the disease by raising awareness and educating patients and their families about the importance of palliative care. Palliative care enhances overall quality of life, manages pain and symptoms, assists in complex decision-making, and provides emotional support. Karunashraya plays a crucial role in providing support in various aspects of a cancer patient’s well-being, including psychosocial, financial, and psychological support. They tailor care plans to meet the individual needs of each patient.As a social individual, I have always been open about my cancer condition with the outside world. However, I soon realized that many other cancer patients do not share the same sentiment. Misconceptions, fear, and societal stigma surrounding cancer have prevented many individuals from seeking timely care. World Cancer Day is an opportunity to dispel myths and encourage patients to start conversations. Let’s not silence our courage, but silence cancer! Research has shown that cancer patients have numerous unmet needs regarding their last wishes and preserving dignity at the end of life. Karunashraya has compassionately gone the extra mile to fulfill the last wishes of end-stage cancer patients. Experienced therapists have encouraged patients to express themselves, and the hospice ensures that the end of their lives is filled with high-quality care.Despite living in a time of remarkable advancements in cancer prevention, diagnosis, and treatment, many of us are denied basic care. During my breast cancer treatment, I realized how fortunate I was compared to those around me who lacked adequate finances and access to quality care. Cancer is a burdensome disease, both emotionally and financially, and the inaccessibility of care feels like a death sentence. Since 1994, BHT-Karunashraya has bridged this gap by providing free and equitable palliative care to all cancer patients. It ensures that every patient, regardless of their socio-economic background, receives comprehensive support from a team of competent healthcare professionals. The theme for the 2024 World Cancer Day campaign is “Close the Care Gap,” which emphasizes the need for unity and action. The care gap extends beyond medical treatment and encompasses a holistic approach to supporting patients throughout their journey.

Today, as we delve deeper into cancer care aspects, the World Health Organization emphasizes managing the disease by embracing a holistic and healthy lifestyle after diagnosis, as it can significantly increase the patient’s survival rate. I hope that my advocacy and personal journey can inspire others to prioritize their health and take action. Together, we are stronger than cancer. Let’s fight cancer with hope and heart!As a social individual, I have always been open about my cancer condition with the outside world. However, I soon realized that many other cancer patients do not share the same sentiment. Misconceptions, fear, and societal stigma surrounding cancer have prevented many individuals from seeking timely care. World Cancer Day is an opportunity to dispel myths and encourage patients to start conversations. Let’s not silence our courage, but silence cancer! Research has shown that cancer patients have numerous unmet needs regarding their last wishes and preserving dignity at the end of life. Karunashraya has compassionately gone the extra mile to fulfill the last wishes of end-stage cancer patients. Experienced therapists have encouraged patients to express themselves, and the hospice ensures that the end of their lives is filled with high-quality care.Despite living in a time of remarkable advancements in cancer prevention, diagnosis, and treatment, many of us are denied basic care. During my breast cancer treatment, I realized how fortunate I was compared to those around me who lacked adequate finances and access to quality care. Cancer is a burdensome disease, both emotionally and financially, and the inaccessibility of care feels like a death sentence. Since 1994, BHT-Karunashraya has bridged this gap by providing free and equitable palliative care to all cancer patients. It ensures that every patient, regardless of their socio-economic background, receives comprehensive support from a team of competent healthcare professionals. The theme for the 2024 World Cancer Day campaign is “Close the Care Gap,” which emphasizes the need for unity and action. The care gap extends beyond medical treatment and encompasses a holistic approach to supporting patients throughout their journey.

Author: Shilpi Agrawal Dr. Lakshmi Abhishek Krishnan Author: Shilpi AgrawalSeema R RaoAuthor: Dr. Lakshmi Abhishek Krishnan Dr. Lakshmi Abhishek Krishnan Author: Shilpi AgrawalShilpi AgrawalAuthor: Seema R Rao Dr. Lakshmi Abhishek Krishnan Author: Shilpi AgrawalSeema R RaoAuthor: Dr. Lakshmi Abhishek Krishnan Dr. Lakshmi Abhishek Krishnan Author: Shilpi Agrawal

Volunteer at Bangalore Hospice Trust – Karunashraya


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Ramu (name changed), a 42-year-old farmer from rural part of North Karnataka, was diagnosed with cancer of the tongue. The nearest specialized cancer treatment centre was 600 kilometres away and took 11 hours to reach. Ramu is unable to speak and is in extreme pain. He and his wife have travelled to Bengaluru, hoping for better treatment. At the cancer center they have been told that further tests need to be conducted before they start him on chemotherapy. Having no place to stay nor enough money, they are living on the streets. In addition, they are worried about their young children, who are currently staying with their relatives. The Global Cancer Observatory (GLOBOCAN) survey estimates that there were 19.3 million new cancer cases globally in 2020. In India, we had 14,61,427 new cancer cases in 2022. Ramu is just one of them. During their 10-day stay in Bengaluru, Ramu and his wife struggled to understand the name of the cancer, its extent, its implications, treatment choices, and the likelihood of progression. They neither had the financial, intellectual, or social capital to manage this dreaded disease. All the while, Ramu continued to struggle with pain and the stress of not being able to speak. The healthcare system, oblivious to the suffering of Ramu and his wife, continued to forge ahead with their ‘one size fits all’, ‘evidence-based’ attempt at managing the cancer. The wait for the government insurance, the multitudes of documents that needed to be produced ensured that Ramu’s treatment got inexorably delayed. By the time Ramu’s treatment commenced, the couple had exhausted their resources, physically and emotionally, were demotivated, and abandoning all hope, they headed back home. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. Age is just a number, as they say. Cancer can affect people of any age group. Cervical cancer is the fourth most common type of cancer in the world and the most common type found in India. As a palliative care specialist, when asked why they didn’t consider cancer as a possibility when experiencing symptoms, patients often respond with, “I thought it was just menopause, and irregular bleeding is a common sign of menopause. I never thought it could be something so serious.”As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. Ramu (name changed), a 42-year-old farmer from rural part of North Karnataka, was diagnosed with cancer of the tongue. The nearest specialized cancer treatment centre was 600 kilometres away and took 11 hours to reach. Ramu is unable to speak and is in extreme pain. He and his wife have travelled to Bengaluru, hoping for better treatment. At the cancer center they have been told that further tests need to be conducted before they start him on chemotherapy. Having no place to stay nor enough money, they are living on the streets. In addition, they are worried about their young children, who are currently staying with their relatives. The Global Cancer Observatory (GLOBOCAN) survey estimates that there were 19.3 million new cancer cases globally in 2020. In India, we had 14,61,427 new cancer cases in 2022. Ramu is just one of them. During their 10-day stay in Bengaluru, Ramu and his wife struggled to understand the name of the cancer, its extent, its implications, treatment choices, and the likelihood of progression. They neither had the financial, intellectual, or social capital to manage this dreaded disease. All the while, Ramu continued to struggle with pain and the stress of not being able to speak. The healthcare system, oblivious to the suffering of Ramu and his wife, continued to forge ahead with their ‘one size fits all’, ‘evidence-based’ attempt at managing the cancer. The wait for the government insurance, the multitudes of documents that needed to be produced ensured that Ramu’s treatment got inexorably delayed. By the time Ramu’s treatment commenced, the couple had exhausted their resources, physically and emotionally, were demotivated, and abandoning all hope, they headed back home. Age is just a number, as they say. Cancer can affect people of any age group. Cervical cancer is the fourth most common type of cancer in the world and the most common type found in India. As a palliative care specialist, when asked why they didn’t consider cancer as a possibility when experiencing symptoms, patients often respond with, “I thought it was just menopause, and irregular bleeding is a common sign of menopause. I never thought it could be something so serious.”Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. Age is just a number, as they say. Cancer can affect people of any age group. Cervical cancer is the fourth most common type of cancer in the world and the most common type found in India. As a palliative care specialist, when asked why they didn’t consider cancer as a possibility when experiencing symptoms, patients often respond with, “I thought it was just menopause, and irregular bleeding is a common sign of menopause. I never thought it could be something so serious.”As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year.

Today, we stand on the threshold of World Cancer Day 2024 in solidarity with countless individuals like Ramu, who are not only battling a relentless adversary like cancer but are also victims of the gross inequities associated with cancer care. The statistics for cancer are grim in India. One in nine individuals is expected to get cancer in their lifetime, with every second person affected by cancer likely to die (mortality of >55%). Equally concerning is the fact that less than 30% of individuals in low-income countries have access to cancer treatment as compared to 90% in high-income countries. Differences in income and educational levels; geographical locations (urban-rural divide); discrimination based on ethnicity, race, gender, sexual orientation, age, disability and lifestyle; and poor infrastructure impact the cancer journey. Ramu not only needs treatment for cancer but also respite from the pain he is experiencing. They need emotional support and help in making healthcare decisions. In addition to oncological care, this couple needs palliative care and psycho-oncology support. Unfortunately, cancer care is very fragmented in India, with less than 4% of Indians having access to palliative care and even fewer having access to psycho-oncology and counselling services. Ramu and his wife abandoned treatment halfway and chose to go back home against medical advice. Ramu died at home two months later in agony, reiterating the narrative of cancer being an incurable disease. In the current scenario, the outcome of the illness depends upon who you are, where you live, and how much money you have.Today, we stand on the threshold of World Cancer Day 2024 in solidarity with countless individuals like Ramu, who are not only battling a relentless adversary like cancer but are also victims of the gross inequities associated with cancer care. The statistics for cancer are grim in India. One in nine individuals is expected to get cancer in their lifetime, with every second person affected by cancer likely to die (mortality of >55%). Equally concerning is the fact that less than 30% of individuals in low-income countries have access to cancer treatment as compared to 90% in high-income countries. Differences in income and educational levels; geographical locations (urban-rural divide); discrimination based on ethnicity, race, gender, sexual orientation, age, disability and lifestyle; and poor infrastructure impact the cancer journey. Ramu not only needs treatment for cancer but also respite from the pain he is experiencing. They need emotional support and help in making healthcare decisions. In addition to oncological care, this couple needs palliative care and psycho-oncology support. Unfortunately, cancer care is very fragmented in India, with less than 4% of Indians having access to palliative care and even fewer having access to psycho-oncology and counselling services. Ramu and his wife abandoned treatment halfway and chose to go back home against medical advice. Ramu died at home two months later in agony, reiterating the narrative of cancer being an incurable disease. In the current scenario, the outcome of the illness depends upon who you are, where you live, and how much money you have.Many people tend to assume that their health is fine and that their symptoms are minor issues, neglecting to take them seriously. India, being a developing country and a hub for IT, is amazing. However, not many people are aware of what cervical cancer is and how to prevent it. In the 21st century, where Chandrayaan (India’s lunar mission) is a great success, I believe it is important to spread awareness about cervical cancer to the general population.

In most countries worldwide, there are apparent gaps in cancer care, more so in low- and middle-income countries. The World Cancer Day 2024 theme emphasizes on the need to close these gaps. The key aims of celebrating this day on February 4th of every year are to raise awareness about cancer, improve education and knowledge about cancer, and press governments, policymakers and individuals worldwide to take action against the disease and improve the inequities in access and affordability of cancer care. The 3-year ‘Close the Care Gap’ campaign focused on the inequities in cancer care globally in its first year (2022), building new collaborations and alliances for better cancer care in its second year (2023), and challenging those in power to address and eliminate the inequities in its final year (2024). Compassionate and equitable cancer care involves being able to prevent cancer by educating, screening, and identifying cancer at an early stage, creating centres for quality cancer care that are easily accessible and affordable for all populations, coordinating care across different healthcare settings, improving access to palliative and supportive care, while also increasing access and availability of psycho-oncological services, and supporting patients and families throughout the cancer trajectory from diagnosis to end-of-life or survivorships. This campaign closely aligns with the Sustainable Development Goal of achieving Universal Health Coverage for all. To ‘Close the Care Gap”, healthcare providers, patients, caregivers, the general public, and the policymakers in government need to come together as one and speak in one voice. Let closing the care gap be not an abstract goal, but a tangible promise that we can fulfil together by joining hands with each other. In the spirit of humanity and compassion, let us pledge to bridge hearts and close the gaps, ensuring that people like Ramu do not have to fight alone. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. According to current population data in India, there are 511.4 million women aged 15 years and above who are at risk of cervical cancer. More than 95% of cervical cancer cases are caused by the sexually transmitted human papillomavirus (HPV). Current estimates suggest that every year, 123,907 women in India are diagnosed with cervical cancer, and out of those, 77,348 die from the disease.Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. In most countries worldwide, there are apparent gaps in cancer care, more so in low- and middle-income countries. The World Cancer Day 2024 theme emphasizes on the need to close these gaps. The key aims of celebrating this day on February 4th of every year are to raise awareness about cancer, improve education and knowledge about cancer, and press governments, policymakers and individuals worldwide to take action against the disease and improve the inequities in access and affordability of cancer care. The 3-year ‘Close the Care Gap’ campaign focused on the inequities in cancer care globally in its first year (2022), building new collaborations and alliances for better cancer care in its second year (2023), and challenging those in power to address and eliminate the inequities in its final year (2024). Compassionate and equitable cancer care involves being able to prevent cancer by educating, screening, and identifying cancer at an early stage, creating centres for quality cancer care that are easily accessible and affordable for all populations, coordinating care across different healthcare settings, improving access to palliative and supportive care, while also increasing access and availability of psycho-oncological services, and supporting patients and families throughout the cancer trajectory from diagnosis to end-of-life or survivorships. This campaign closely aligns with the Sustainable Development Goal of achieving Universal Health Coverage for all. To ‘Close the Care Gap”, healthcare providers, patients, caregivers, the general public, and the policymakers in government need to come together as one and speak in one voice. Let closing the care gap be not an abstract goal, but a tangible promise that we can fulfil together by joining hands with each other. In the spirit of humanity and compassion, let us pledge to bridge hearts and close the gaps, ensuring that people like Ramu do not have to fight alone. According to current population data in India, there are 511.4 million women aged 15 years and above who are at risk of cervical cancer. More than 95% of cervical cancer cases are caused by the sexually transmitted human papillomavirus (HPV). Current estimates suggest that every year, 123,907 women in India are diagnosed with cervical cancer, and out of those, 77,348 die from the disease.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. According to current population data in India, there are 511.4 million women aged 15 years and above who are at risk of cervical cancer. More than 95% of cervical cancer cases are caused by the sexually transmitted human papillomavirus (HPV). Current estimates suggest that every year, 123,907 women in India are diagnosed with cervical cancer, and out of those, 77,348 die from the disease.Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity.

Author: Seema R Rao Dr. Lakshmi Abhishek Krishnan Author: Shilpi AgrawalSeema R RaoAuthor: Dr. Lakshmi Abhishek Krishnan Dr. Lakshmi Abhishek Krishnan Author: Shilpi Agrawal

Associate Director (Education and Research)
Karunashraya Institute for Palliative Care Education and Research (KIPCER)
Bengaluru, India
Honorary Tutor, School of Medicine, Cardiff University, UK

 Learn. Prevent. Screen.”

Did you know that we here in India have the highest number of cervical cancer cases in the world?

Age is just a number, as they say. Cancer can affect people of any age group. Cervical cancer is the fourth most common type of cancer in the world and the most common type found in India. As a palliative care specialist, when asked why they didn’t consider cancer as a possibility when experiencing symptoms, patients often respond with, “I thought it was just menopause, and irregular bleeding is a common sign of menopause. I never thought it could be something so serious.”Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. Age is just a number, as they say. Cancer can affect people of any age group. Cervical cancer is the fourth most common type of cancer in the world and the most common type found in India. As a palliative care specialist, when asked why they didn’t consider cancer as a possibility when experiencing symptoms, patients often respond with, “I thought it was just menopause, and irregular bleeding is a common sign of menopause. I never thought it could be something so serious.”As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year.

Many people tend to assume that their health is fine and that their symptoms are minor issues, neglecting to take them seriously. India, being a developing country and a hub for IT, is amazing. However, not many people are aware of what cervical cancer is and how to prevent it. In the 21st century, where Chandrayaan (India’s lunar mission) is a great success, I believe it is important to spread awareness about cervical cancer to the general population.

According to current population data in India, there are 511.4 million women aged 15 years and above who are at risk of cervical cancer. More than 95% of cervical cancer cases are caused by the sexually transmitted human papillomavirus (HPV). Current estimates suggest that every year, 123,907 women in India are diagnosed with cervical cancer, and out of those, 77,348 die from the disease.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. According to current population data in India, there are 511.4 million women aged 15 years and above who are at risk of cervical cancer. More than 95% of cervical cancer cases are caused by the sexually transmitted human papillomavirus (HPV). Current estimates suggest that every year, 123,907 women in India are diagnosed with cervical cancer, and out of those, 77,348 die from the disease.Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity.

Preventing the development of cervical cancer by increasing access to effective vaccines is a crucial step in reducing unnecessary illness and death. The primary target for vaccination is girls aged 9-14, before they become sexually active. According to WHO guidelines, women living with HIV are six times more likely to develop cervical cancer.Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues. While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and death Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues. Today, more than 50 percent of India’s total population is under the age of 25. The future of the country rests on their shoulders- making celebrations that empower young people important. It is believed that the philosophy of Swamiji and the ideals for which he lived and worked can be a great source of inspiration for any youth.While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues. While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and death Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues. Today, more than 50 percent of India’s total population is under the age of 25. The future of the country rests on their shoulders- making celebrations that empower young people important. It is believed that the philosophy of Swamiji and the ideals for which he lived and worked can be a great source of inspiration for any youth.While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues. While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and death Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues. Today, more than 50 percent of India’s total population is under the age of 25. The future of the country rests on their shoulders- making celebrations that empower young people important. It is believed that the philosophy of Swamiji and the ideals for which he lived and worked can be a great source of inspiration for any youth.While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues. While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and death Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues.

HPV is a common sexually transmitted disease that can infect the skin, genitals, or throat. Any sexually active person is at risk of HPV infection at some point. If left untreated, persistent HPV infection of the cervix (the lower part of the womb) can lead to cervical cancer in 95% of cases.Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. As per United Nations Volunteers program, around 60% of the volunteers in India, are below the age of 30. Approximately 40% of Indians engage in some form of volunteering. As the world confronts increasing challenges, younger volunteers are often the first to step forward, positioning youth volunteers at the forefront during crises and emergencies. This allows them to bring their unique skill sets to the organisation.  NGO’s have always benefitted from the experiences brought by the senior volunteers, no matter how big or small. In today’s world, time is the most precious thing to gift or donate. Corporate and the working individuals set an example by donating their time and resources, no matter how busy they may be. To quote the quote by Martin Luther King Jr. “Volunteers do not necessarily have time, they just have the heart.” Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings. Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. Karunashraya, the hospice, has served as a significant platform for numerous schools and colleges to participate in social responsibilities and volunteerism. Their involvement includes engaging in community services, environmental initiatives or providing diversional therapy for end-stage cancer patients. The wisdom and experiences gained by the younger generation while assisting others in palliative care have shaped the values and attitudes of many youths, fostering a society that is more compassionate.As per United Nations Volunteers program, around 60% of the volunteers in India, are below the age of 30. Approximately 40% of Indians engage in some form of volunteering. As the world confronts increasing challenges, younger volunteers are often the first to step forward, positioning youth volunteers at the forefront during crises and emergencies. This allows them to bring their unique skill sets to the organisation.  NGO’s have always benefitted from the experiences brought by the senior volunteers, no matter how big or small. In today’s world, time is the most precious thing to gift or donate. Corporate and the working individuals set an example by donating their time and resources, no matter how busy they may be. To quote the quote by Martin Luther King Jr. “Volunteers do not necessarily have time, they just have the heart.”   Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. As per United Nations Volunteers program, around 60% of the volunteers in India, are below the age of 30. Approximately 40% of Indians engage in some form of volunteering. As the world confronts increasing challenges, younger volunteers are often the first to step forward, positioning youth volunteers at the forefront during crises and emergencies. This allows them to bring their unique skill sets to the organisation.  NGO’s have always benefitted from the experiences brought by the senior volunteers, no matter how big or small. In today’s world, time is the most precious thing to gift or donate. Corporate and the working individuals set an example by donating their time and resources, no matter how busy they may be. To quote the quote by Martin Luther King Jr. “Volunteers do not necessarily have time, they just have the heart.” Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings. Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign.

Preventing cervical cancer is easy and affordable. Early detection can be achieved by recognizing the following symptoms: unusual bleeding between periods, after intercourse, or after menopause; increased foul-smelling vaginal discharge; pain in the legs, pelvis, or back; weight loss, loss of appetite, or fatigue; and swelling of the lower limbs. Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. As per United Nations Volunteers program, around 60% of the volunteers in India, are below the age of 30. Approximately 40% of Indians engage in some form of volunteering. As the world confronts increasing challenges, younger volunteers are often the first to step forward, positioning youth volunteers at the forefront during crises and emergencies. This allows them to bring their unique skill sets to the organisation.  NGO’s have always benefitted from the experiences brought by the senior volunteers, no matter how big or small. In today’s world, time is the most precious thing to gift or donate. Corporate and the working individuals set an example by donating their time and resources, no matter how busy they may be. To quote the quote by Martin Luther King Jr. “Volunteers do not necessarily have time, they just have the heart.” Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings. Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. National Youth Day is not merely a celebration; it serves as a call to action. The theme for National Youth Day 2024, “It’s all in the mind,” aims to empower young individuals to recognize their own potential and take control of their lives. By providing them with education, opportunities, prioritizing their mental well-being, and instilling a sense of responsibility, we pave the way for a future where the youth become catalysts for positive change. Over the years, Karunashraya has been making a positive impact on youth through various educational and awareness initiatives. It has provided a cohesive environment that focuses on building self-confidence, kindness, and a sense of fulfilment among the young adults and we work together towards a more compassionate and empathetic world. Every year on 5th December, International Volunteers Day, serves as a reminder that volunteering is not just one-day celebration but a lifelong commitment to making the world a better place. This year’s theme, “the collective action: if everyone did”, encourages us to recognise the impact of individual contributions when combined with the efforts of others.  Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. As per United Nations Volunteers program, around 60% of the volunteers in India, are below the age of 30. Approximately 40% of Indians engage in some form of volunteering. As the world confronts increasing challenges, younger volunteers are often the first to step forward, positioning youth volunteers at the forefront during crises and emergencies. This allows them to bring their unique skill sets to the organisation.  NGO’s have always benefitted from the experiences brought by the senior volunteers, no matter how big or small. In today’s world, time is the most precious thing to gift or donate. Corporate and the working individuals set an example by donating their time and resources, no matter how busy they may be. To quote the quote by Martin Luther King Jr. “Volunteers do not necessarily have time, they just have the heart.” Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings. Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. Preventing cervical cancer is easy and affordable. Early detection can be achieved by recognizing the following symptoms: unusual bleeding between periods, after intercourse, or after menopause; increased foul-smelling vaginal discharge; pain in the legs, pelvis, or back; weight loss, loss of appetite, or fatigue; and swelling of the lower limbs.National Youth Day is not merely a celebration; it serves as a call to action. The theme for National Youth Day 2024, “It’s all in the mind,” aims to empower young individuals to recognize their own potential and take control of their lives. By providing them with education, opportunities, prioritizing their mental well-being, and instilling a sense of responsibility, we pave the way for a future where the youth become catalysts for positive change. Over the years, Karunashraya has been making a positive impact on youth through various educational and awareness initiatives. It has provided a cohesive environment that focuses on building self-confidence, kindness, and a sense of fulfilment among the young adults and we work together towards a more compassionate and empathetic world.  Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. As per United Nations Volunteers program, around 60% of the volunteers in India, are below the age of 30. Approximately 40% of Indians engage in some form of volunteering. As the world confronts increasing challenges, younger volunteers are often the first to step forward, positioning youth volunteers at the forefront during crises and emergencies. This allows them to bring their unique skill sets to the organisation.  NGO’s have always benefitted from the experiences brought by the senior volunteers, no matter how big or small. In today’s world, time is the most precious thing to gift or donate. Corporate and the working individuals set an example by donating their time and resources, no matter how busy they may be. To quote the quote by Martin Luther King Jr. “Volunteers do not necessarily have time, they just have the heart.” Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings. Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. National Youth Day is not merely a celebration; it serves as a call to action. The theme for National Youth Day 2024, “It’s all in the mind,” aims to empower young individuals to recognize their own potential and take control of their lives. By providing them with education, opportunities, prioritizing their mental well-being, and instilling a sense of responsibility, we pave the way for a future where the youth become catalysts for positive change. Over the years, Karunashraya has been making a positive impact on youth through various educational and awareness initiatives. It has provided a cohesive environment that focuses on building self-confidence, kindness, and a sense of fulfilment among the young adults and we work together towards a more compassionate and empathetic world. Every year on 5th December, International Volunteers Day, serves as a reminder that volunteering is not just one-day celebration but a lifelong commitment to making the world a better place. This year’s theme, “the collective action: if everyone did”, encourages us to recognise the impact of individual contributions when combined with the efforts of others.  Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. As per United Nations Volunteers program, around 60% of the volunteers in India, are below the age of 30. Approximately 40% of Indians engage in some form of volunteering. As the world confronts increasing challenges, younger volunteers are often the first to step forward, positioning youth volunteers at the forefront during crises and emergencies. This allows them to bring their unique skill sets to the organisation.  NGO’s have always benefitted from the experiences brought by the senior volunteers, no matter how big or small. In today’s world, time is the most precious thing to gift or donate. Corporate and the working individuals set an example by donating their time and resources, no matter how busy they may be. To quote the quote by Martin Luther King Jr. “Volunteers do not necessarily have time, they just have the heart.” Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings. Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign.

HPV vaccines are available globally and should be administered to all girls aged 9-14 before they become sexually active. Self-screening should begin at the age of 30, with screenings every 5-10 years. Women living with HIV should be screened every 3 years, starting from the age of 25.Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise. Youth is the most precious time of the life. The way in which our youths are guided in this period will decide the nature of coming years that lie ahead of them. The power of the youth is the common wealth for the entire nation. The faces of the young people are the faces of our past, our present and our future.On this special day, Karunashraya takes the opportunity to recognize and applaud the millions of volunteers who selflessly dedicate their time, skills, energy, and resources to make the world a better place to live. Let’s stand with volunteers- Everywhere! Together, we can build a more compassionate, inclusive, and sustainable world.  Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise. HPV vaccines are available globally and should be administered to all girls aged 9-14 before they become sexually active. Self-screening should begin at the age of 30, with screenings every 5-10 years. Women living with HIV should be screened every 3 years, starting from the age of 25.Youth is the most precious time of the life. The way in which our youths are guided in this period will decide the nature of coming years that lie ahead of them. The power of the youth is the common wealth for the entire nation. The faces of the young people are the faces of our past, our present and our future.Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise. Youth is the most precious time of the life. The way in which our youths are guided in this period will decide the nature of coming years that lie ahead of them. The power of the youth is the common wealth for the entire nation. The faces of the young people are the faces of our past, our present and our future.On this special day, Karunashraya takes the opportunity to recognize and applaud the millions of volunteers who selflessly dedicate their time, skills, energy, and resources to make the world a better place to live. Let’s stand with volunteers- Everywhere! Together, we can build a more compassionate, inclusive, and sustainable world.  Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise.

WHO now recommends a one or two-dose schedule for girls aged 9-14, a one or two-dose schedule for girls and women aged 15-20, and two doses with a 6-month interval for women older than 21. Prevention can also be achieved by quitting smoking and using condoms.Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise. Youth is the most precious time of the life. The way in which our youths are guided in this period will decide the nature of coming years that lie ahead of them. The power of the youth is the common wealth for the entire nation. The faces of the young people are the faces of our past, our present and our future.On this special day, Karunashraya takes the opportunity to recognize and applaud the millions of volunteers who selflessly dedicate their time, skills, energy, and resources to make the world a better place to live. Let’s stand with volunteers- Everywhere! Together, we can build a more compassionate, inclusive, and sustainable world.  Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise. HPV vaccines are available globally and should be administered to all girls aged 9-14 before they become sexually active. Self-screening should begin at the age of 30, with screenings every 5-10 years. Women living with HIV should be screened every 3 years, starting from the age of 25.Youth is the most precious time of the life. The way in which our youths are guided in this period will decide the nature of coming years that lie ahead of them. The power of the youth is the common wealth for the entire nation. The faces of the young people are the faces of our past, our present and our future.Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise. Youth is the most precious time of the life. The way in which our youths are guided in this period will decide the nature of coming years that lie ahead of them. The power of the youth is the common wealth for the entire nation. The faces of the young people are the faces of our past, our present and our future.On this special day, Karunashraya takes the opportunity to recognize and applaud the millions of volunteers who selflessly dedicate their time, skills, energy, and resources to make the world a better place to live. Let’s stand with volunteers- Everywhere! Together, we can build a more compassionate, inclusive, and sustainable world.  Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise.

As we observe Cervical Cancer Awareness Month in January 2024, it is crucial to emphasize the necessity of educating people with knowledge about minimizing cervical cancer risks and the life-saving importance of regular screenings.Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise. Youth is the most precious time of the life. The way in which our youths are guided in this period will decide the nature of coming years that lie ahead of them. The power of the youth is the common wealth for the entire nation. The faces of the young people are the faces of our past, our present and our future.On this special day, Karunashraya takes the opportunity to recognize and applaud the millions of volunteers who selflessly dedicate their time, skills, energy, and resources to make the world a better place to live. Let’s stand with volunteers- Everywhere! Together, we can build a more compassionate, inclusive, and sustainable world.  Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise. HPV vaccines are available globally and should be administered to all girls aged 9-14 before they become sexually active. Self-screening should begin at the age of 30, with screenings every 5-10 years. Women living with HIV should be screened every 3 years, starting from the age of 25.Youth is the most precious time of the life. The way in which our youths are guided in this period will decide the nature of coming years that lie ahead of them. The power of the youth is the common wealth for the entire nation. The faces of the young people are the faces of our past, our present and our future.Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise. Youth is the most precious time of the life. The way in which our youths are guided in this period will decide the nature of coming years that lie ahead of them. The power of the youth is the common wealth for the entire nation. The faces of the young people are the faces of our past, our present and our future.On this special day, Karunashraya takes the opportunity to recognize and applaud the millions of volunteers who selflessly dedicate their time, skills, energy, and resources to make the world a better place to live. Let’s stand with volunteers- Everywhere! Together, we can build a more compassionate, inclusive, and sustainable world.  Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise. As we observe Cervical Cancer Awareness Month in January 2024, it is crucial to emphasize the necessity of educating people with knowledge about minimizing cervical cancer risks and the life-saving importance of regular screenings.WHO now recommends a one or two-dose schedule for girls aged 9-14, a one or two-dose schedule for girls and women aged 15-20, and two doses with a 6-month interval for women older than 21. Prevention can also be achieved by quitting smoking and using condoms.Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise. Youth is the most precious time of the life. The way in which our youths are guided in this period will decide the nature of coming years that lie ahead of them. The power of the youth is the common wealth for the entire nation. The faces of the young people are the faces of our past, our present and our future.On this special day, Karunashraya takes the opportunity to recognize and applaud the millions of volunteers who selflessly dedicate their time, skills, energy, and resources to make the world a better place to live. Let’s stand with volunteers- Everywhere! Together, we can build a more compassionate, inclusive, and sustainable world.  Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise. HPV vaccines are available globally and should be administered to all girls aged 9-14 before they become sexually active. Self-screening should begin at the age of 30, with screenings every 5-10 years. Women living with HIV should be screened every 3 years, starting from the age of 25.Youth is the most precious time of the life. The way in which our youths are guided in this period will decide the nature of coming years that lie ahead of them. The power of the youth is the common wealth for the entire nation. The faces of the young people are the faces of our past, our present and our future.Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise. Youth is the most precious time of the life. The way in which our youths are guided in this period will decide the nature of coming years that lie ahead of them. The power of the youth is the common wealth for the entire nation. The faces of the young people are the faces of our past, our present and our future.On this special day, Karunashraya takes the opportunity to recognize and applaud the millions of volunteers who selflessly dedicate their time, skills, energy, and resources to make the world a better place to live. Let’s stand with volunteers- Everywhere! Together, we can build a more compassionate, inclusive, and sustainable world.  Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise.

Author: Dr. Lakshmi Abhishek Krishnan Dr. Lakshmi Abhishek Krishnan Author: Shilpi Agrawal

Junior Consultant
Bangalore Hospice Trust – Karunashraya
Bengaluru, India

” We cannot always build the future for our youth, but we can build our youth for the future “

As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. As I was growing up, my parents were constantly searching for ways to effectively channelize my boundless energy and passion, ensuring that I could make a meaningful impact on society. During this process, I learned different skills, participated in various sports, gained insights and knowledge, engaged in community services, and volunteered for various social causes. The exposure to selfless service for others shaped my understanding of the need for and importance of giving back to society.“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year.

Today, as a mother of two teenagers, I am reminded of the crucial role that youth can play in shaping the future of any nation. The philosophies and teachings of Swami Vivekananda inspire young minds to seek knowledge, cultivate virtues, and actively contribute to society. He saw hope for the future in every youth and believed that with “muscles of iron” and “nerves of steel,” they could bring about social change. To honour him, the government of India marked his birth anniversary, January 12th, as National Youth Day, also known as Yuva Diwas. The main objective behind the celebration is to create a better future for the country by motivating the youth and spreading his ideas.This story about Ram is about his difficult life experiences and how these experiences have shaped him over the years. Today, Ram is 36 years old and married with two children. When he came in for a session, he narrated how he has coped by reminding himself that life goes on and that it was his responsibility to hold himself accountable for all that took place, which involved his family and career. He feels he should possess strong masculine traits to lead a good life, but he also mentioned that it is just what people around him and society expect. The myriad of unresolved questions and emotions of grief from back then has culminated in him asking, “Is it forever that I have to prove to be masculine enough and mask my feelings and losses as a person just to prove to others I am strong?” A significant proportion of such individuals at any stage of the disease trajectory suffer social, emotional, and psychological distress due to stigma related to cancer, diagnosis and treatment side-effects, survivorship issues etc. Therefore, psychological distress needs to be assessed on a regular basis to understand the reason and severity of the problem in order to help the individuals. In a world overflowing with challenges, societal injustice, outbreak of sudden disease, mental and physical health issues, it is evident that we all carry our own baggage. While some may succumb to these difficult times, others discover their strength and view these moments as inspiration to take action. Volunteering is one such way to discover ourselves and focus our attention on more productive avenues.This story about Ram is about his difficult life experiences and how these experiences have shaped him over the years. Today, Ram is 36 years old and married with two children. When he came in for a session, he narrated how he has coped by reminding himself that life goes on and that it was his responsibility to hold himself accountable for all that took place, which involved his family and career. He feels he should possess strong masculine traits to lead a good life, but he also mentioned that it is just what people around him and society expect. The myriad of unresolved questions and emotions of grief from back then has culminated in him asking, “Is it forever that I have to prove to be masculine enough and mask my feelings and losses as a person just to prove to others I am strong?” This story about Ram is about his difficult life experiences and how these experiences have shaped him over the years. Today, Ram is 36 years old and married with two children. When he came in for a session, he narrated how he has coped by reminding himself that life goes on and that it was his responsibility to hold himself accountable for all that took place, which involved his family and career. He feels he should possess strong masculine traits to lead a good life, but he also mentioned that it is just what people around him and society expect. The myriad of unresolved questions and emotions of grief from back then has culminated in him asking, “Is it forever that I have to prove to be masculine enough and mask my feelings and losses as a person just to prove to others I am strong?” A significant proportion of such individuals at any stage of the disease trajectory suffer social, emotional, and psychological distress due to stigma related to cancer, diagnosis and treatment side-effects, survivorship issues etc. Therefore, psychological distress needs to be assessed on a regular basis to understand the reason and severity of the problem in order to help the individuals. Today, as a mother of two teenagers, I am reminded of the crucial role that youth can play in shaping the future of any nation. The philosophies and teachings of Swami Vivekananda inspire young minds to seek knowledge, cultivate virtues, and actively contribute to society. He saw hope for the future in every youth and believed that with “muscles of iron” and “nerves of steel,” they could bring about social change. To honour him, the government of India marked his birth anniversary, January 12th, as National Youth Day, also known as Yuva Diwas. The main objective behind the celebration is to create a better future for the country by motivating the youth and spreading his ideas.In a world overflowing with challenges, societal injustice, outbreak of sudden disease, mental and physical health issues, it is evident that we all carry our own baggage. While some may succumb to these difficult times, others discover their strength and view these moments as inspiration to take action. Volunteering is one such way to discover ourselves and focus our attention on more productive avenues.This story about Ram is about his difficult life experiences and how these experiences have shaped him over the years. Today, Ram is 36 years old and married with two children. When he came in for a session, he narrated how he has coped by reminding himself that life goes on and that it was his responsibility to hold himself accountable for all that took place, which involved his family and career. He feels he should possess strong masculine traits to lead a good life, but he also mentioned that it is just what people around him and society expect. The myriad of unresolved questions and emotions of grief from back then has culminated in him asking, “Is it forever that I have to prove to be masculine enough and mask my feelings and losses as a person just to prove to others I am strong?” A significant proportion of such individuals at any stage of the disease trajectory suffer social, emotional, and psychological distress due to stigma related to cancer, diagnosis and treatment side-effects, survivorship issues etc. Therefore, psychological distress needs to be assessed on a regular basis to understand the reason and severity of the problem in order to help the individuals. In a world overflowing with challenges, societal injustice, outbreak of sudden disease, mental and physical health issues, it is evident that we all carry our own baggage. While some may succumb to these difficult times, others discover their strength and view these moments as inspiration to take action. Volunteering is one such way to discover ourselves and focus our attention on more productive avenues.This story about Ram is about his difficult life experiences and how these experiences have shaped him over the years. Today, Ram is 36 years old and married with two children. When he came in for a session, he narrated how he has coped by reminding himself that life goes on and that it was his responsibility to hold himself accountable for all that took place, which involved his family and career. He feels he should possess strong masculine traits to lead a good life, but he also mentioned that it is just what people around him and society expect. The myriad of unresolved questions and emotions of grief from back then has culminated in him asking, “Is it forever that I have to prove to be masculine enough and mask my feelings and losses as a person just to prove to others I am strong?” This story about Ram is about his difficult life experiences and how these experiences have shaped him over the years. Today, Ram is 36 years old and married with two children. When he came in for a session, he narrated how he has coped by reminding himself that life goes on and that it was his responsibility to hold himself accountable for all that took place, which involved his family and career. He feels he should possess strong masculine traits to lead a good life, but he also mentioned that it is just what people around him and society expect. The myriad of unresolved questions and emotions of grief from back then has culminated in him asking, “Is it forever that I have to prove to be masculine enough and mask my feelings and losses as a person just to prove to others I am strong?” A significant proportion of such individuals at any stage of the disease trajectory suffer social, emotional, and psychological distress due to stigma related to cancer, diagnosis and treatment side-effects, survivorship issues etc. Therefore, psychological distress needs to be assessed on a regular basis to understand the reason and severity of the problem in order to help the individuals.

Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. Karunashraya has been instrumental in providing guidance and mentorship to youths. We, at Karunashraya, have been conducting the nursing aide training program with the aim of empowering young women to become independent individuals. The free-of-charge residential and training program with a minimum stipend has also motivated them to stay involved. The vibrant energy of the palliative care is credited to the youthful staff, comprising 75 percent of employees who are 25 years and below. Karunashraya has invested in youth education, promoted social responsibility, enabled financial independence, and aided in skill development, thus building and boosting self confidence among these women to face the challenges of the new century.I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity.

Today, more than 50 percent of India’s total population is under the age of 25. The future of the country rests on their shoulders- making celebrations that empower young people important. It is believed that the philosophy of Swamiji and the ideals for which he lived and worked can be a great source of inspiration for any youth. Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues. While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and death Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues. Today, more than 50 percent of India’s total population is under the age of 25. The future of the country rests on their shoulders- making celebrations that empower young people important. It is believed that the philosophy of Swamiji and the ideals for which he lived and worked can be a great source of inspiration for any youth.While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues. While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and death Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues. Today, more than 50 percent of India’s total population is under the age of 25. The future of the country rests on their shoulders- making celebrations that empower young people important. It is believed that the philosophy of Swamiji and the ideals for which he lived and worked can be a great source of inspiration for any youth.While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues. While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and death Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues. Today, more than 50 percent of India’s total population is under the age of 25. The future of the country rests on their shoulders- making celebrations that empower young people important. It is believed that the philosophy of Swamiji and the ideals for which he lived and worked can be a great source of inspiration for any youth.While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues. While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and death Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues.

Karunashraya, the hospice, has served as a significant platform for numerous schools and colleges to participate in social responsibilities and volunteerism. Their involvement includes engaging in community services, environmental initiatives or providing diversional therapy for end-stage cancer patients. The wisdom and experiences gained by the younger generation while assisting others in palliative care have shaped the values and attitudes of many youths, fostering a society that is more compassionate.  Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. As per United Nations Volunteers program, around 60% of the volunteers in India, are below the age of 30. Approximately 40% of Indians engage in some form of volunteering. As the world confronts increasing challenges, younger volunteers are often the first to step forward, positioning youth volunteers at the forefront during crises and emergencies. This allows them to bring their unique skill sets to the organisation.  NGO’s have always benefitted from the experiences brought by the senior volunteers, no matter how big or small. In today’s world, time is the most precious thing to gift or donate. Corporate and the working individuals set an example by donating their time and resources, no matter how busy they may be. To quote the quote by Martin Luther King Jr. “Volunteers do not necessarily have time, they just have the heart.” Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings. Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. Karunashraya, the hospice, has served as a significant platform for numerous schools and colleges to participate in social responsibilities and volunteerism. Their involvement includes engaging in community services, environmental initiatives or providing diversional therapy for end-stage cancer patients. The wisdom and experiences gained by the younger generation while assisting others in palliative care have shaped the values and attitudes of many youths, fostering a society that is more compassionate.As per United Nations Volunteers program, around 60% of the volunteers in India, are below the age of 30. Approximately 40% of Indians engage in some form of volunteering. As the world confronts increasing challenges, younger volunteers are often the first to step forward, positioning youth volunteers at the forefront during crises and emergencies. This allows them to bring their unique skill sets to the organisation.  NGO’s have always benefitted from the experiences brought by the senior volunteers, no matter how big or small. In today’s world, time is the most precious thing to gift or donate. Corporate and the working individuals set an example by donating their time and resources, no matter how busy they may be. To quote the quote by Martin Luther King Jr. “Volunteers do not necessarily have time, they just have the heart.”   Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. As per United Nations Volunteers program, around 60% of the volunteers in India, are below the age of 30. Approximately 40% of Indians engage in some form of volunteering. As the world confronts increasing challenges, younger volunteers are often the first to step forward, positioning youth volunteers at the forefront during crises and emergencies. This allows them to bring their unique skill sets to the organisation.  NGO’s have always benefitted from the experiences brought by the senior volunteers, no matter how big or small. In today’s world, time is the most precious thing to gift or donate. Corporate and the working individuals set an example by donating their time and resources, no matter how busy they may be. To quote the quote by Martin Luther King Jr. “Volunteers do not necessarily have time, they just have the heart.” Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings. Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign.

National Youth Day is not merely a celebration; it serves as a call to action. The theme for National Youth Day 2024, “It’s all in the mind,” aims to empower young individuals to recognize their own potential and take control of their lives. By providing them with education, opportunities, prioritizing their mental well-being, and instilling a sense of responsibility, we pave the way for a future where the youth become catalysts for positive change. Over the years, Karunashraya has been making a positive impact on youth through various educational and awareness initiatives. It has provided a cohesive environment that focuses on building self-confidence, kindness, and a sense of fulfilment among the young adults and we work together towards a more compassionate and empathetic world.  Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. As per United Nations Volunteers program, around 60% of the volunteers in India, are below the age of 30. Approximately 40% of Indians engage in some form of volunteering. As the world confronts increasing challenges, younger volunteers are often the first to step forward, positioning youth volunteers at the forefront during crises and emergencies. This allows them to bring their unique skill sets to the organisation.  NGO’s have always benefitted from the experiences brought by the senior volunteers, no matter how big or small. In today’s world, time is the most precious thing to gift or donate. Corporate and the working individuals set an example by donating their time and resources, no matter how busy they may be. To quote the quote by Martin Luther King Jr. “Volunteers do not necessarily have time, they just have the heart.” Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings. Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. National Youth Day is not merely a celebration; it serves as a call to action. The theme for National Youth Day 2024, “It’s all in the mind,” aims to empower young individuals to recognize their own potential and take control of their lives. By providing them with education, opportunities, prioritizing their mental well-being, and instilling a sense of responsibility, we pave the way for a future where the youth become catalysts for positive change. Over the years, Karunashraya has been making a positive impact on youth through various educational and awareness initiatives. It has provided a cohesive environment that focuses on building self-confidence, kindness, and a sense of fulfilment among the young adults and we work together towards a more compassionate and empathetic world. Every year on 5th December, International Volunteers Day, serves as a reminder that volunteering is not just one-day celebration but a lifelong commitment to making the world a better place. This year’s theme, “the collective action: if everyone did”, encourages us to recognise the impact of individual contributions when combined with the efforts of others.  Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. As per United Nations Volunteers program, around 60% of the volunteers in India, are below the age of 30. Approximately 40% of Indians engage in some form of volunteering. As the world confronts increasing challenges, younger volunteers are often the first to step forward, positioning youth volunteers at the forefront during crises and emergencies. This allows them to bring their unique skill sets to the organisation.  NGO’s have always benefitted from the experiences brought by the senior volunteers, no matter how big or small. In today’s world, time is the most precious thing to gift or donate. Corporate and the working individuals set an example by donating their time and resources, no matter how busy they may be. To quote the quote by Martin Luther King Jr. “Volunteers do not necessarily have time, they just have the heart.” Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings. Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign.

Youth is the most precious time of the life. The way in which our youths are guided in this period will decide the nature of coming years that lie ahead of them. The power of the youth is the common wealth for the entire nation. The faces of the young people are the faces of our past, our present and our future.Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise. Youth is the most precious time of the life. The way in which our youths are guided in this period will decide the nature of coming years that lie ahead of them. The power of the youth is the common wealth for the entire nation. The faces of the young people are the faces of our past, our present and our future.On this special day, Karunashraya takes the opportunity to recognize and applaud the millions of volunteers who selflessly dedicate their time, skills, energy, and resources to make the world a better place to live. Let’s stand with volunteers- Everywhere! Together, we can build a more compassionate, inclusive, and sustainable world.  Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise.

Author: Shilpi Agrawal

Volunteer at Bangalore Hospice Trust – Karunashraya

“Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year. “Don’t ever question the value of volunteers. Noah’s Ark was built by volunteers, the Titanic was built by professionals.”-Dave GlynnMr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year.

In a world overflowing with challenges, societal injustice, outbreak of sudden disease, mental and physical health issues, it is evident that we all carry our own baggage. While some may succumb to these difficult times, others discover their strength and view these moments as inspiration to take action. Volunteering is one such way to discover ourselves and focus our attention on more productive avenues.This story about Ram is about his difficult life experiences and how these experiences have shaped him over the years. Today, Ram is 36 years old and married with two children. When he came in for a session, he narrated how he has coped by reminding himself that life goes on and that it was his responsibility to hold himself accountable for all that took place, which involved his family and career. He feels he should possess strong masculine traits to lead a good life, but he also mentioned that it is just what people around him and society expect. The myriad of unresolved questions and emotions of grief from back then has culminated in him asking, “Is it forever that I have to prove to be masculine enough and mask my feelings and losses as a person just to prove to others I am strong?” A significant proportion of such individuals at any stage of the disease trajectory suffer social, emotional, and psychological distress due to stigma related to cancer, diagnosis and treatment side-effects, survivorship issues etc. Therefore, psychological distress needs to be assessed on a regular basis to understand the reason and severity of the problem in order to help the individuals. In a world overflowing with challenges, societal injustice, outbreak of sudden disease, mental and physical health issues, it is evident that we all carry our own baggage. While some may succumb to these difficult times, others discover their strength and view these moments as inspiration to take action. Volunteering is one such way to discover ourselves and focus our attention on more productive avenues.This story about Ram is about his difficult life experiences and how these experiences have shaped him over the years. Today, Ram is 36 years old and married with two children. When he came in for a session, he narrated how he has coped by reminding himself that life goes on and that it was his responsibility to hold himself accountable for all that took place, which involved his family and career. He feels he should possess strong masculine traits to lead a good life, but he also mentioned that it is just what people around him and society expect. The myriad of unresolved questions and emotions of grief from back then has culminated in him asking, “Is it forever that I have to prove to be masculine enough and mask my feelings and losses as a person just to prove to others I am strong?” This story about Ram is about his difficult life experiences and how these experiences have shaped him over the years. Today, Ram is 36 years old and married with two children. When he came in for a session, he narrated how he has coped by reminding himself that life goes on and that it was his responsibility to hold himself accountable for all that took place, which involved his family and career. He feels he should possess strong masculine traits to lead a good life, but he also mentioned that it is just what people around him and society expect. The myriad of unresolved questions and emotions of grief from back then has culminated in him asking, “Is it forever that I have to prove to be masculine enough and mask my feelings and losses as a person just to prove to others I am strong?” A significant proportion of such individuals at any stage of the disease trajectory suffer social, emotional, and psychological distress due to stigma related to cancer, diagnosis and treatment side-effects, survivorship issues etc. Therefore, psychological distress needs to be assessed on a regular basis to understand the reason and severity of the problem in order to help the individuals.

I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity. I have been volunteering in many different ways from childhood and it has added valuable dimension to my personality. My experiences with volunteering know no boundaries – it transcends borders, cultures, and languages. It has also aided me in building trust and confidence between societies.In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity.

While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues. While I initially believed, I was giving back to the society, I soon realized that i was the one benefiting from volunteering. It liberated my soul, I became more willing to take responsibility, did engaging work, gained new skills, made new friends, felt more confident than ever, improved my mental health, reduced stress and more importantly, it gave meaning to my life. Simultaneously, Sadhguru’s words echoed into my ears, “To volunteer is to become willing. To be willing beyond personal choices is the way to liberation”. It cemented my understanding of benefits of volunteering when I recently stumbled on the fact that approximately 77% of the volunteers have acknowledged to have  improved mental health from the time they began doing so.  Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and death Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues.

As per United Nations Volunteers program, around 60% of the volunteers in India, are below the age of 30. Approximately 40% of Indians engage in some form of volunteering. As the world confronts increasing challenges, younger volunteers are often the first to step forward, positioning youth volunteers at the forefront during crises and emergencies. This allows them to bring their unique skill sets to the organisation.  NGO’s have always benefitted from the experiences brought by the senior volunteers, no matter how big or small. In today’s world, time is the most precious thing to gift or donate. Corporate and the working individuals set an example by donating their time and resources, no matter how busy they may be. To quote the quote by Martin Luther King Jr. “Volunteers do not necessarily have time, they just have the heart.”   Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. As per United Nations Volunteers program, around 60% of the volunteers in India, are below the age of 30. Approximately 40% of Indians engage in some form of volunteering. As the world confronts increasing challenges, younger volunteers are often the first to step forward, positioning youth volunteers at the forefront during crises and emergencies. This allows them to bring their unique skill sets to the organisation.  NGO’s have always benefitted from the experiences brought by the senior volunteers, no matter how big or small. In today’s world, time is the most precious thing to gift or donate. Corporate and the working individuals set an example by donating their time and resources, no matter how busy they may be. To quote the quote by Martin Luther King Jr. “Volunteers do not necessarily have time, they just have the heart.” Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings. Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign.

Every year on 5th December, International Volunteers Day, serves as a reminder that volunteering is not just one-day celebration but a lifelong commitment to making the world a better place. This year’s theme, “the collective action: if everyone did”, encourages us to recognise the impact of individual contributions when combined with the efforts of others.  Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign. As per United Nations Volunteers program, around 60% of the volunteers in India, are below the age of 30. Approximately 40% of Indians engage in some form of volunteering. As the world confronts increasing challenges, younger volunteers are often the first to step forward, positioning youth volunteers at the forefront during crises and emergencies. This allows them to bring their unique skill sets to the organisation.  NGO’s have always benefitted from the experiences brought by the senior volunteers, no matter how big or small. In today’s world, time is the most precious thing to gift or donate. Corporate and the working individuals set an example by donating their time and resources, no matter how busy they may be. To quote the quote by Martin Luther King Jr. “Volunteers do not necessarily have time, they just have the heart.” Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings. Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign.

On this special day, Karunashraya takes the opportunity to recognize and applaud the millions of volunteers who selflessly dedicate their time, skills, energy, and resources to make the world a better place to live. Let’s stand with volunteers- Everywhere! Together, we can build a more compassionate, inclusive, and sustainable world.  Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise.

Author: Shilpi Agrawal

Volunteer at Bangalore Hospice Trust – Karunashraya Volunteer at Bangalore Hospice Trust – Karunashraya Psycho oncologist & Lead counselling services
Bagchi Karunashraya Palliative Care Center
Bhubaneswar, Odisha,  India

Preface

Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man. Mr. Ram was 17 years old and far away from home in boarding school when he lost his father to a chronic illness. He was aware that his father was unwell but was not informed by his family about the rapidly declining condition. Ram was not informed about his father’s death for almost two months because the family knew he had important examinations to take in the upcoming months. When he was eventually told about his father’s passing, he was in shock, was angry at the family for keeping him in the dark, and felt they made decisions on his behalf, leaving him feeling lonely and abandoned in his grief. His mother and elders in the family told him, “Don’t cry like this; you are the man in this house, and you have to be strong.” Six years later, he is seen changing multiple jobs and facing rejection, which leaves him struggling to cope and confused about how he should be feeling as a man.Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year.

This story about Ram is about his difficult life experiences and how these experiences have shaped him over the years. Today, Ram is 36 years old and married with two children. When he came in for a session, he narrated how he has coped by reminding himself that life goes on and that it was his responsibility to hold himself accountable for all that took place, which involved his family and career. He feels he should possess strong masculine traits to lead a good life, but he also mentioned that it is just what people around him and society expect. The myriad of unresolved questions and emotions of grief from back then has culminated in him asking, “Is it forever that I have to prove to be masculine enough and mask my feelings and losses as a person just to prove to others I am strong?” This story about Ram is about his difficult life experiences and how these experiences have shaped him over the years. Today, Ram is 36 years old and married with two children. When he came in for a session, he narrated how he has coped by reminding himself that life goes on and that it was his responsibility to hold himself accountable for all that took place, which involved his family and career. He feels he should possess strong masculine traits to lead a good life, but he also mentioned that it is just what people around him and society expect. The myriad of unresolved questions and emotions of grief from back then has culminated in him asking, “Is it forever that I have to prove to be masculine enough and mask my feelings and losses as a person just to prove to others I am strong?” A significant proportion of such individuals at any stage of the disease trajectory suffer social, emotional, and psychological distress due to stigma related to cancer, diagnosis and treatment side-effects, survivorship issues etc. Therefore, psychological distress needs to be assessed on a regular basis to understand the reason and severity of the problem in order to help the individuals.

In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture. In the grandeur of life, the cry “Gone but not forgotten” is a voice that speaks to every heart. But for men, facing the complexities of bereavement is a challenge of its own. In a culture that thrives on stoicism, navigating grief is a path less traveled. It is a walk of unspoken struggles and a journey fraught with societal expectations. This blog explores the complexities of men’s mental health in relation to bereavement and explores why it is so important to break the silence and create a healing culture.Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity.

Our Current Scenario Our current scenarioThe 6th vital sign

Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and death Discrimination based on mental health has a detrimental effect on access to mental health care, help-seeking behavior, and the first treatment for people with mental struggles or illnesses, resulting in higher rates of disease and deathEveryone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues.

Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings. Grief is a complex emotion, and it can be difficult for many people to express it in a way that is appropriate for them. For many men, grief can be difficult to express because they have been taught to suppress their emotions. This can lead to delayed or unresolved grief. Society including mental health professionals must recognize and respect different ways in which grief can be expressed through providing a safe space to share and process these unique difficult feelings.Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign.

Masculine Norms Masculine norms Vulnerability to distress

Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress. Masculine standards are the social norms and behaviors that men and manhood must adhere to within a cultural context. Failing to adhere to these strict masculine standards can exacerbate depression and anxiety, substance abuse, increased health risks, dating and interpersonal intimacy problems, interpersonal violence issues, stigma around seeking help, and an increase in general psychological distress.Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise.

While masculine norms seem to be important to society at one end, it is also important to consider that grieving is a natural experience for all man-kind. Men are no exceptions, and hence, they too can equally feel vulnerable to grief through the journey. As suggested by the well-known psychiatrist Elizabeth Kubler Ross, sailing through grief can be a continuous and fluid journey with waves through different phases like denial, anger, bargaining, depression, and acceptance. Being in denial can help one take the shock of the sudden loss initially, but prolonged denial can impact one’s well-being. Anger is a large wave of many emotions, but one barely swims deep to see the other emotions resulting. Bargaining might not change the situation, but the wishful thinking behind it provides coping. Society holds a taboo against depression, but no one steps forward to understand the multiple complex layers and help one resolve issues and pass through it. Acceptance (with unique meanings to each one) comes with time, and patience is what is not understood by all. An important bottleneck is the silence taken by the individual in the shade of masculine norms. While masculine norms seem to be important to society at one end, it is also important to consider that grieving is a natural experience for all man-kind. Men are no exceptions, and hence, they too can equally feel vulnerable to grief through the journey. As suggested by the well-known psychiatrist Elizabeth Kubler Ross, sailing through grief can be a continuous and fluid journey with waves through different phases like denial, anger, bargaining, depression, and acceptance. Being in denial can help one take the shock of the sudden loss initially, but prolonged denial can impact one’s well-being. Anger is a large wave of many emotions, but one barely swims deep to see the other emotions resulting. Bargaining might not change the situation, but the wishful thinking behind it provides coping. Society holds a taboo against depression, but no one steps forward to understand the multiple complex layers and help one resolve issues and pass through it. Acceptance (with unique meanings to each one) comes with time, and patience is what is not understood by all. An important bottleneck is the silence taken by the individual in the shade of masculine norms.This becomes clinically significant when it interferes with the patients’ general functioning with their cancer treatment or with their progress in cancer care. It can be influenced by many factors such as type of cancer, stage of cancer, type of treatment, individual characteristics such as patients’ personality, available social support, financial conditions etc. Psychological distress is common as patient with cancer move beyond their diagnosis and into the intensive treatment. Distress is very common among cancer patients across diagnosis and across the disease trajectory. Psychological distress is common in cancer patients; however, it is often unrecognized and untreated.

Grieving is a universal human experience, but men are often held back by society’s expectation that they should be “strong pillars.” It’s time to break the taboo around men’s mental health when it comes to bereavement. There’s a time and a place for everyone to feel vulnerable, but it’s important to remember that speaking up is the only way to heal. Grieving is a universal human experience, but men are often held back by society’s expectation that they should be “strong pillars.” It’s time to break the taboo around men’s mental health when it comes to bereavement. There’s a time and a place for everyone to feel vulnerable, but it’s important to remember that speaking up is the only way to heal.Patients are vulnerable to distress at various stages of the disease trajectory, since they face the risk of substantial and permanent physical impairment, disability, and inability to perform routine activities. Investigation periods/ process and finding out diagnosis, getting treatment and facing its side effects are the stages when patient’ vulnerability is high. Stressor of the survivorship, as the constant fear of recurrence or relapse is always there.  Getting back to the normalcy also becomes a challenge for many people surviving cancer.

Expressing GriefExpressing GriefVulnerability to distress

The case study mentioned at the beginning is an example of how men, too, experience the intricacies of grief but cannot express their feelings. The first step in the healing process for an individual is to allow them to express their grief openly. Whether through conversation, writing, or creative expression, providing men with ways to express their grief empowers them to navigate the emotional rollercoaster of grief. Expression freedom enables men to express their emotions in a way that allows them to feel more in control as they move through the grieving process. The case study mentioned at the beginning is an example of how men, too, experience the intricacies of grief but cannot express their feelings. The first step in the healing process for an individual is to allow them to express their grief openly. Whether through conversation, writing, or creative expression, providing men with ways to express their grief empowers them to navigate the emotional rollercoaster of grief. Expression freedom enables men to express their emotions in a way that allows them to feel more in control as they move through the grieving process.Patients are vulnerable to distress at various stages of the disease trajectory, since they face the risk of substantial and permanent physical impairment, disability, and inability to perform routine activities. Investigation periods/ process and finding out diagnosis, getting treatment and facing its side effects are the stages when patient’ vulnerability is high. Stressor of the survivorship, as the constant fear of recurrence or relapse is always there.  Getting back to the normalcy also becomes a challenge for many people surviving cancer.

Seeking Support Expressing GriefVulnerability to distressSeeking support Expressing GriefExpressing GriefVulnerability to distress

Grief can be an isolating experience for any individual. Especially for men, who have always been taught to hold themselves strong, maintain their distance and high self-esteem, and deal with grief in silence. This can make it more difficult for men to find someone to lean on.Grief can be an isolating experience for any individual. Especially for men, who have always been taught to hold themselves strong, maintain their distance and high self-esteem, and deal with grief in silence. This can make it more difficult for men to find someone to lean on.Distressed patients tend to make extra visits to the physician and hospitals. Often, they seem to have trouble making decisions about treatment and adhering to the treatment. Patients also become dissatisfied with their physicians and medical care when in distress.

Establishing relationships with friends and family or mental health professionals can be a lifesaver during these challenging times. Support groups, therapy sessions, or even simple conversations can give bereaved men a sense of belonging, reminding them that they don’t have to go through this alone.Grief can be an isolating experience for any individual. Especially for men, who have always been taught to hold themselves strong, maintain their distance and high self-esteem, and deal with grief in silence. This can make it more difficult for men to find someone to lean on.Distressed patients tend to make extra visits to the physician and hospitals. Often, they seem to have trouble making decisions about treatment and adhering to the treatment. Patients also become dissatisfied with their physicians and medical care when in distress.

Coping Strategies

Managing the mental health challenges of bereavement can be made easier by providing men with coping strategies. Mindfulness, self-reflection/ introspection, exercise, and joy-filled activities can help to improve emotional health. Creating a personalized toolkit can help cope with grief with resilience and compassion.  Managing the mental health challenges of bereavement can be made easier by providing men with coping strategies. Mindfulness, self-reflection/ introspection, exercise, and joy-filled activities can help to improve emotional health. Creating a personalized toolkit can help cope with grief with resilience and compassion.Early diagnosis and Psycho-oncology services help the patients in theenhancement of treatment satisfaction and helps them cope with the accompanying emotions. It also helps in improving patients – physician communication, respect, and trust. Additionally Psycho oncology services are also helpful in improving patients’ adherence to the treatment regimen and survivorship issues. 

Understanding when professional support is needed is important for mental health care during the grief journey. Psychologists can help navigate the grieving process, provide coping strategies, and provide a safe space for them to express their emotions. It’s important not to stigmatize seeking professional help but to emphasize that it’s a brave step towards healing. The effort to seek professional help might seem like a big step, but the consistent therapeutic process can be nurturing and fulfilling. It is built on stepping stones, but one can not only understand their loss and feelings better but also differentiate between healthy and unhealthy coping. Thus enhancing one’s well-functioning life as an individual.  Managing the mental health challenges of bereavement can be made easier by providing men with coping strategies. Mindfulness, self-reflection/ introspection, exercise, and joy-filled activities can help to improve emotional health. Creating a personalized toolkit can help cope with grief with resilience and compassion.Early diagnosis and Psycho-oncology services help the patients in theenhancement of treatment satisfaction and helps them cope with the accompanying emotions. It also helps in improving patients – physician communication, respect, and trust. Additionally Psycho oncology services are also helpful in improving patients’ adherence to the treatment regimen and survivorship issues.  Understanding when professional support is needed is important for mental health care during the grief journey. Psychologists can help navigate the grieving process, provide coping strategies, and provide a safe space for them to express their emotions. It’s important not to stigmatize seeking professional help but to emphasize that it’s a brave step towards healing. The effort to seek professional help might seem like a big step, but the consistent therapeutic process can be nurturing and fulfilling. It is built on stepping stones, but one can not only understand their loss and feelings better but also differentiate between healthy and unhealthy coping. Thus enhancing one’s well-functioning life as an individual.Managing the mental health challenges of bereavement can be made easier by providing men with coping strategies. Mindfulness, self-reflection/ introspection, exercise, and joy-filled activities can help to improve emotional health. Creating a personalized toolkit can help cope with grief with resilience and compassion.  Managing the mental health challenges of bereavement can be made easier by providing men with coping strategies. Mindfulness, self-reflection/ introspection, exercise, and joy-filled activities can help to improve emotional health. Creating a personalized toolkit can help cope with grief with resilience and compassion.Early diagnosis and Psycho-oncology services help the patients in theenhancement of treatment satisfaction and helps them cope with the accompanying emotions. It also helps in improving patients – physician communication, respect, and trust. Additionally Psycho oncology services are also helpful in improving patients’ adherence to the treatment regimen and survivorship issues. 

To summarize, recognizing the unique issues men face in the complex dance of grief is an essential part of building a healing culture. By challenging societal norms, allowing people to express themselves freely, connecting with others, and providing culturally responsive care, we can create a mental health landscape that empowers men to navigate the grief process with strength, resilience, and authenticity. Let’s work together to create a symphony of support where vulnerability is a strength and healing is a shared journey.To summarize, recognizing the unique issues men face in the complex dance of grief is an essential part of building a healing culture. By challenging societal norms, allowing people to express themselves freely, connecting with others, and providing culturally responsive care, we can create a mental health landscape that empowers men to navigate the grief process with strength, resilience, and authenticity. Let’s work together to create a symphony of support where vulnerability is a strength and healing is a shared journey.Psycho oncology is a specialty which is concerned with the understanding and treating the social, psychological, emotional, spiritual, quality of life and other functional aspects of cancer from prevention to palliation and survivorship. Hence it focuses on improving the mental health of individuals who are diagnosed with cancer and their caregivers.   Cancer affects not only to an individual, but it affects the entire family. Hence it becomes imperative to care for the caregivers as well. Patients admitted in the hospital for cancer directed treatment are regularly seen by psycho-oncologist. Therefore, regular screening of distress helps understanding the severity and specific area due to which psychological issues and concerns arise and helps to plan the better intervention for the same.

This blog commemorates Men’s Day, celebrated on 19th November 2023. To summarize, recognizing the unique issues men face in the complex dance of grief is an essential part of building a healing culture. By challenging societal norms, allowing people to express themselves freely, connecting with others, and providing culturally responsive care, we can create a mental health landscape that empowers men to navigate the grief process with strength, resilience, and authenticity. Let’s work together to create a symphony of support where vulnerability is a strength and healing is a shared journey.Psycho oncology is a specialty which is concerned with the understanding and treating the social, psychological, emotional, spiritual, quality of life and other functional aspects of cancer from prevention to palliation and survivorship. Hence it focuses on improving the mental health of individuals who are diagnosed with cancer and their caregivers.   Cancer affects not only to an individual, but it affects the entire family. Hence it becomes imperative to care for the caregivers as well. Patients admitted in the hospital for cancer directed treatment are regularly seen by psycho-oncologist. Therefore, regular screening of distress helps understanding the severity and specific area due to which psychological issues and concerns arise and helps to plan the better intervention for the same.

Author: Keshav Sharma

Psycho oncologist & Lead counselling services
Bagchi Karunashraya Palliative Care Center
Bhubaneswar, Odisha,  India

Animals have coexisted with us in harmony for thousands of years and have even been revered as protectors and deities in several ancient civilizations. The first documented instance of healing through animals was noted by Florence Nightingale in her book ‘Notes on Nursing’ in the 1800s, where she mentioned small animals assisting in recovery. In 1989, an animal education group called the Delta Society proposed a certification program for animal assisted therapy, and these guidelines are still in use in pet therapy. There has been widespread use of animals, including dogs, cats, pigs, guinea pigs, and horses, in animal assisted therapy, with dogs being the most common. It’s the 21st of September 1994, in Edinburgh, when Alzheimer’s International-an organisation dedicated for research and spreading of awareness for Alzheimer’s disease, celebrated the 1st “World Alzheimer’s’ Day”. The day and the entire month of September is utilised to enhance our knowledge, in one of the most common causes of dementia in elderly-Alzheimer’s’ disease. It dates back to the year 1906, when Dr Alzheimer Aloi named the disease, which he discovered in a lady, he had first encountered in 1901.In a day and age like ours, good lifestyle practises are comprised. We have breakfast that is instant, processed and easy to eat, on the go, work long hours while sometimes skipping meals, stay up late and grab just a few winks and most importantly, do not find time to exercise or meditate. We are caught up in a race for time, money, power and in general, life itself. When on the one hand technological advancements have made life easier, they have also successfully tipped the scale onto the other side with the plethora of side effects their existence brings with them. As I sit down to write this blog, I cannot help but think of my parents and the myriad number of uncles and aunts that I am privileged to have in my life. Their countless stories, compelling experiences, and collective wisdom have shaped me and influenced my worldview. As a child, I have watched them chase their dreams, conquer challenges, and embrace new experiences with an insatiable thirst for life. Their homes bustling with activity, the tantalizing aroma of delectable dishes wafting through the air, our holidays were a delightful experience that left cherished memories etched in our hearts. Now in their 70s and 80s, their boundless energy dissipated, I see them struggle with the complexities of ageing. Their homes empty, the children having flown the coop, I see them struggle with loneliness seeking solace in memories and in each other, awaiting the phone call from the ever-busy progeny. They have considerably slowed down physically and mentally, and falls have become the norm. Regular doctor visits, multiple medications, and aches and pains are the new normal. I see their struggle as they attempt to assimilate themselves into a rapidly changing world, struggling to use WhatsApp, G-Pay, and manage Teleconsults. I also see the impatience in many of the younger generation tech-geeks. With the passing of their contemporaries and near and dear ones, our elders grapple with grief and their own mortality, often reflecting on the fragility of life and the inevitability of their own journey’s end. I returned from my parent’s home a few weeks ago, and my father’s words still echo in my ears. He said, “You should learn to detach yourself from us now. Learn to let go of us.” It’s the 21st of September 1994, in Edinburgh, when Alzheimer’s International-an organisation dedicated for research and spreading of awareness for Alzheimer’s disease, celebrated the 1st “World Alzheimer’s’ Day”. The day and the entire month of September is utilised to enhance our knowledge, in one of the most common causes of dementia in elderly-Alzheimer’s’ disease. It dates back to the year 1906, when Dr Alzheimer Aloi named the disease, which he discovered in a lady, he had first encountered in 1901.It’s the 21st of September 1994, in Edinburgh, when Alzheimer’s International-an organisation dedicated for research and spreading of awareness for Alzheimer’s disease, celebrated the 1st “World Alzheimer’s’ Day”. The day and the entire month of September is utilised to enhance our knowledge, in one of the most common causes of dementia in elderly-Alzheimer’s’ disease. It dates back to the year 1906, when Dr Alzheimer Aloi named the disease, which he discovered in a lady, he had first encountered in 1901.In a day and age like ours, good lifestyle practises are comprised. We have breakfast that is instant, processed and easy to eat, on the go, work long hours while sometimes skipping meals, stay up late and grab just a few winks and most importantly, do not find time to exercise or meditate. We are caught up in a race for time, money, power and in general, life itself. When on the one hand technological advancements have made life easier, they have also successfully tipped the scale onto the other side with the plethora of side effects their existence brings with them. Animals have coexisted with us in harmony for thousands of years and have even been revered as protectors and deities in several ancient civilizations. The first documented instance of healing through animals was noted by Florence Nightingale in her book ‘Notes on Nursing’ in the 1800s, where she mentioned small animals assisting in recovery. In 1989, an animal education group called the Delta Society proposed a certification program for animal assisted therapy, and these guidelines are still in use in pet therapy. There has been widespread use of animals, including dogs, cats, pigs, guinea pigs, and horses, in animal assisted therapy, with dogs being the most common.As I sit down to write this blog, I cannot help but think of my parents and the myriad number of uncles and aunts that I am privileged to have in my life. Their countless stories, compelling experiences, and collective wisdom have shaped me and influenced my worldview. As a child, I have watched them chase their dreams, conquer challenges, and embrace new experiences with an insatiable thirst for life. Their homes bustling with activity, the tantalizing aroma of delectable dishes wafting through the air, our holidays were a delightful experience that left cherished memories etched in our hearts. Now in their 70s and 80s, their boundless energy dissipated, I see them struggle with the complexities of ageing. Their homes empty, the children having flown the coop, I see them struggle with loneliness seeking solace in memories and in each other, awaiting the phone call from the ever-busy progeny. They have considerably slowed down physically and mentally, and falls have become the norm. Regular doctor visits, multiple medications, and aches and pains are the new normal. I see their struggle as they attempt to assimilate themselves into a rapidly changing world, struggling to use WhatsApp, G-Pay, and manage Teleconsults. I also see the impatience in many of the younger generation tech-geeks. With the passing of their contemporaries and near and dear ones, our elders grapple with grief and their own mortality, often reflecting on the fragility of life and the inevitability of their own journey’s end. I returned from my parent’s home a few weeks ago, and my father’s words still echo in my ears. He said, “You should learn to detach yourself from us now. Learn to let go of us.” It’s the 21st of September 1994, in Edinburgh, when Alzheimer’s International-an organisation dedicated for research and spreading of awareness for Alzheimer’s disease, celebrated the 1st “World Alzheimer’s’ Day”. The day and the entire month of September is utilised to enhance our knowledge, in one of the most common causes of dementia in elderly-Alzheimer’s’ disease. It dates back to the year 1906, when Dr Alzheimer Aloi named the disease, which he discovered in a lady, he had first encountered in 1901.In a day and age like ours, good lifestyle practises are comprised. We have breakfast that is instant, processed and easy to eat, on the go, work long hours while sometimes skipping meals, stay up late and grab just a few winks and most importantly, do not find time to exercise or meditate. We are caught up in a race for time, money, power and in general, life itself. When on the one hand technological advancements have made life easier, they have also successfully tipped the scale onto the other side with the plethora of side effects their existence brings with them. As I sit down to write this blog, I cannot help but think of my parents and the myriad number of uncles and aunts that I am privileged to have in my life. Their countless stories, compelling experiences, and collective wisdom have shaped me and influenced my worldview. As a child, I have watched them chase their dreams, conquer challenges, and embrace new experiences with an insatiable thirst for life. Their homes bustling with activity, the tantalizing aroma of delectable dishes wafting through the air, our holidays were a delightful experience that left cherished memories etched in our hearts. Now in their 70s and 80s, their boundless energy dissipated, I see them struggle with the complexities of ageing. Their homes empty, the children having flown the coop, I see them struggle with loneliness seeking solace in memories and in each other, awaiting the phone call from the ever-busy progeny. They have considerably slowed down physically and mentally, and falls have become the norm. Regular doctor visits, multiple medications, and aches and pains are the new normal. I see their struggle as they attempt to assimilate themselves into a rapidly changing world, struggling to use WhatsApp, G-Pay, and manage Teleconsults. I also see the impatience in many of the younger generation tech-geeks. With the passing of their contemporaries and near and dear ones, our elders grapple with grief and their own mortality, often reflecting on the fragility of life and the inevitability of their own journey’s end. I returned from my parent’s home a few weeks ago, and my father’s words still echo in my ears. He said, “You should learn to detach yourself from us now. Learn to let go of us.” It’s the 21st of September 1994, in Edinburgh, when Alzheimer’s International-an organisation dedicated for research and spreading of awareness for Alzheimer’s disease, celebrated the 1st “World Alzheimer’s’ Day”. The day and the entire month of September is utilised to enhance our knowledge, in one of the most common causes of dementia in elderly-Alzheimer’s’ disease. It dates back to the year 1906, when Dr Alzheimer Aloi named the disease, which he discovered in a lady, he had first encountered in 1901.It’s the 21st of September 1994, in Edinburgh, when Alzheimer’s International-an organisation dedicated for research and spreading of awareness for Alzheimer’s disease, celebrated the 1st “World Alzheimer’s’ Day”. The day and the entire month of September is utilised to enhance our knowledge, in one of the most common causes of dementia in elderly-Alzheimer’s’ disease. It dates back to the year 1906, when Dr Alzheimer Aloi named the disease, which he discovered in a lady, he had first encountered in 1901.In a day and age like ours, good lifestyle practises are comprised. We have breakfast that is instant, processed and easy to eat, on the go, work long hours while sometimes skipping meals, stay up late and grab just a few winks and most importantly, do not find time to exercise or meditate. We are caught up in a race for time, money, power and in general, life itself. When on the one hand technological advancements have made life easier, they have also successfully tipped the scale onto the other side with the plethora of side effects their existence brings with them.

Animals used for pet therapy are carefully selected for their calm nature, interaction with humans, and ability to follow commands. These animals are specifically trained for therapy in various aspects, with trained handlers forming a pet therapy team.

Anxiety, loneliness, sadness, anger, and feelings of insecurity are all very common, especially when one is sick, and more so in people with chronic illnesses, life-limiting diseases, or the elderly admitted to nursing homes, care homes, or hospices. Animals are known to bring about positive emotions, build confidence, provide emotional support, and nurture compassion, reducing negative emotions, just by being non-judgmental, affectionate, and attentive. The act of petting a dog or holding onto one can create a sense of security and comfort. Published data points to the significant benefits of animal assisted therapy in many areas of health-related suffering, and in the current era, pet therapy or animal assisted therapy is recognized as a scientific intervention to promote health and encourage healing.Undoubtedly it is a disease of the elderly, but about 5% people develop the disease in middle age as well. Life comes to a standstill, with Alzheimer’s and things turn haywire. The theme for this year is – “It’s never too early, It’s never too late” (hence the title!). It refers to the early identification of risk factors as well as proficient risk reduction for prevention of the disease, as Alzheimer’s begins 20 years before the development of noticeable symptoms. Unfortunately, it is an incurable, progressive, neurogenerative disorder leading to decrease in cognition, loss of memory and impairment of mental functions. The disease leads to the death of nerve cells, with consequent inflammation and shrinkage of the brain. The early symptoms are difficulty in recalling names, events, lack of enthusiasm, followed by depressive episodes, poor judgement and behavioural changes. In the late stages of the disease, it might be difficult to walk and speak for patients. Some patients leave home and are lost forever. Cancer related mortality is a hot subject of research conducted in various universities the world over and many a time, in collaboration with the WHO. A study on the Indian cancer statistics conducted by The Lancet in year 2012, reported a staggering 5,55,000 cancer deaths in India, in 2010 alone. Also, research led by Dr. Prabhat Jha, the Director for Centre for Global Health Research, St. Michael’s Hospital, Toronto, in year 2012 resulted in a model that is now being used as a reference to compute cancer deaths in India. They employed a unique method of arriving at statistics by extrapolating information derived from studying cancer patterns and mortalities in our country between years 2000 and 2003, using a sample of households. Another notable agency is the International Agency for Research on Cancer (IARC) whose GLOBOCAN database forms the basis for recording cancer incidences in India. Similarly Dr. Jha’s model is used to study cancer mortalities in India. India Today iterated that cancer deaths worldwide were approximately 8.2 million in year 2012. Indian Council for Medical Research (ICMR) has projected that by year 2020, the total number of cancer mortalities in the country will be nearly 17.3 lakh. In year 2016, the highest number of cancer cases was estimated to be of breast cancer followed by lung cancer. With such daunting statistics in hand proven and projected through research, it is of great relief to come to the realization that advanced medical procedures are now available that have been found to increase the human life span by almost 30 to 40 years. Organizations that specialize in palliative care for terminally ill patients are the new go-to centres for families with patients suffering from chronic illnesses. In India, where traditions and family values run deep, the significance of this day cannot be overstated. We have a rich cultural heritage that has been nurtured and preserved over centuries. Our elders are the living repositories of our heritage. One of the strong landmarks of our society is the emphasis on family bonds. Traditional Indian values have emphasized the value of respecting our elders, along with caring for them as our collective responsibility. As India modernizes and moves towards a more individualistic society, we seem to be losing the plot, with one in six of our elderly being abandoned and abused. The Maintenance and Welfare of Parents and Senior Citizens Act, 2007, empowers elders to seek redressal if they are abused or neglected, but what about the social isolation, love, and care they need? How can we as a society generate intergenerational solidarity?The disease leaves the option of only palliation of symptoms. The challenge is that, with passage of time, the symptoms become resistant to the medications and the increase in dose leads to intolerable side effects. Talking about achievements, Aducanumab and lecanemab are 2 FDA approved drugs for modifying the underlying pathology of the disease. Well, they are again not cure for Alzheimer’s, but they do decline the rate of progression of the disease and can be useful if used in early phase of the disease. Undoubtedly it is a disease of the elderly, but about 5% people develop the disease in middle age as well. Life comes to a standstill, with Alzheimer’s and things turn haywire. The theme for this year is – “It’s never too early, It’s never too late” (hence the title!). It refers to the early identification of risk factors as well as proficient risk reduction for prevention of the disease, as Alzheimer’s begins 20 years before the development of noticeable symptoms. Unfortunately, it is an incurable, progressive, neurogenerative disorder leading to decrease in cognition, loss of memory and impairment of mental functions. The disease leads to the death of nerve cells, with consequent inflammation and shrinkage of the brain. The early symptoms are difficulty in recalling names, events, lack of enthusiasm, followed by depressive episodes, poor judgement and behavioural changes. In the late stages of the disease, it might be difficult to walk and speak for patients. Some patients leave home and are lost forever. Cancer related mortality is a hot subject of research conducted in various universities the world over and many a time, in collaboration with the WHO. A study on the Indian cancer statistics conducted by The Lancet in year 2012, reported a staggering 5,55,000 cancer deaths in India, in 2010 alone. Also, research led by Dr. Prabhat Jha, the Director for Centre for Global Health Research, St. Michael’s Hospital, Toronto, in year 2012 resulted in a model that is now being used as a reference to compute cancer deaths in India. They employed a unique method of arriving at statistics by extrapolating information derived from studying cancer patterns and mortalities in our country between years 2000 and 2003, using a sample of households. Another notable agency is the International Agency for Research on Cancer (IARC) whose GLOBOCAN database forms the basis for recording cancer incidences in India. Similarly Dr. Jha’s model is used to study cancer mortalities in India. India Today iterated that cancer deaths worldwide were approximately 8.2 million in year 2012. Indian Council for Medical Research (ICMR) has projected that by year 2020, the total number of cancer mortalities in the country will be nearly 17.3 lakh. In year 2016, the highest number of cancer cases was estimated to be of breast cancer followed by lung cancer. With such daunting statistics in hand proven and projected through research, it is of great relief to come to the realization that advanced medical procedures are now available that have been found to increase the human life span by almost 30 to 40 years. Organizations that specialize in palliative care for terminally ill patients are the new go-to centres for families with patients suffering from chronic illnesses. Anxiety, loneliness, sadness, anger, and feelings of insecurity are all very common, especially when one is sick, and more so in people with chronic illnesses, life-limiting diseases, or the elderly admitted to nursing homes, care homes, or hospices. Animals are known to bring about positive emotions, build confidence, provide emotional support, and nurture compassion, reducing negative emotions, just by being non-judgmental, affectionate, and attentive. The act of petting a dog or holding onto one can create a sense of security and comfort. Published data points to the significant benefits of animal assisted therapy in many areas of health-related suffering, and in the current era, pet therapy or animal assisted therapy is recognized as a scientific intervention to promote health and encourage healing.In India, where traditions and family values run deep, the significance of this day cannot be overstated. We have a rich cultural heritage that has been nurtured and preserved over centuries. Our elders are the living repositories of our heritage. One of the strong landmarks of our society is the emphasis on family bonds. Traditional Indian values have emphasized the value of respecting our elders, along with caring for them as our collective responsibility. As India modernizes and moves towards a more individualistic society, we seem to be losing the plot, with one in six of our elderly being abandoned and abused. The Maintenance and Welfare of Parents and Senior Citizens Act, 2007, empowers elders to seek redressal if they are abused or neglected, but what about the social isolation, love, and care they need? How can we as a society generate intergenerational solidarity?Undoubtedly it is a disease of the elderly, but about 5% people develop the disease in middle age as well. Life comes to a standstill, with Alzheimer’s and things turn haywire. The theme for this year is – “It’s never too early, It’s never too late” (hence the title!). It refers to the early identification of risk factors as well as proficient risk reduction for prevention of the disease, as Alzheimer’s begins 20 years before the development of noticeable symptoms. Unfortunately, it is an incurable, progressive, neurogenerative disorder leading to decrease in cognition, loss of memory and impairment of mental functions. The disease leads to the death of nerve cells, with consequent inflammation and shrinkage of the brain. The early symptoms are difficulty in recalling names, events, lack of enthusiasm, followed by depressive episodes, poor judgement and behavioural changes. In the late stages of the disease, it might be difficult to walk and speak for patients. Some patients leave home and are lost forever. Cancer related mortality is a hot subject of research conducted in various universities the world over and many a time, in collaboration with the WHO. A study on the Indian cancer statistics conducted by The Lancet in year 2012, reported a staggering 5,55,000 cancer deaths in India, in 2010 alone. Also, research led by Dr. Prabhat Jha, the Director for Centre for Global Health Research, St. Michael’s Hospital, Toronto, in year 2012 resulted in a model that is now being used as a reference to compute cancer deaths in India. They employed a unique method of arriving at statistics by extrapolating information derived from studying cancer patterns and mortalities in our country between years 2000 and 2003, using a sample of households. Another notable agency is the International Agency for Research on Cancer (IARC) whose GLOBOCAN database forms the basis for recording cancer incidences in India. Similarly Dr. Jha’s model is used to study cancer mortalities in India. India Today iterated that cancer deaths worldwide were approximately 8.2 million in year 2012. Indian Council for Medical Research (ICMR) has projected that by year 2020, the total number of cancer mortalities in the country will be nearly 17.3 lakh. In year 2016, the highest number of cancer cases was estimated to be of breast cancer followed by lung cancer. With such daunting statistics in hand proven and projected through research, it is of great relief to come to the realization that advanced medical procedures are now available that have been found to increase the human life span by almost 30 to 40 years. Organizations that specialize in palliative care for terminally ill patients are the new go-to centres for families with patients suffering from chronic illnesses. In India, where traditions and family values run deep, the significance of this day cannot be overstated. We have a rich cultural heritage that has been nurtured and preserved over centuries. Our elders are the living repositories of our heritage. One of the strong landmarks of our society is the emphasis on family bonds. Traditional Indian values have emphasized the value of respecting our elders, along with caring for them as our collective responsibility. As India modernizes and moves towards a more individualistic society, we seem to be losing the plot, with one in six of our elderly being abandoned and abused. The Maintenance and Welfare of Parents and Senior Citizens Act, 2007, empowers elders to seek redressal if they are abused or neglected, but what about the social isolation, love, and care they need? How can we as a society generate intergenerational solidarity?The disease leaves the option of only palliation of symptoms. The challenge is that, with passage of time, the symptoms become resistant to the medications and the increase in dose leads to intolerable side effects. Talking about achievements, Aducanumab and lecanemab are 2 FDA approved drugs for modifying the underlying pathology of the disease. Well, they are again not cure for Alzheimer’s, but they do decline the rate of progression of the disease and can be useful if used in early phase of the disease. Undoubtedly it is a disease of the elderly, but about 5% people develop the disease in middle age as well. Life comes to a standstill, with Alzheimer’s and things turn haywire. The theme for this year is – “It’s never too early, It’s never too late” (hence the title!). It refers to the early identification of risk factors as well as proficient risk reduction for prevention of the disease, as Alzheimer’s begins 20 years before the development of noticeable symptoms. Unfortunately, it is an incurable, progressive, neurogenerative disorder leading to decrease in cognition, loss of memory and impairment of mental functions. The disease leads to the death of nerve cells, with consequent inflammation and shrinkage of the brain. The early symptoms are difficulty in recalling names, events, lack of enthusiasm, followed by depressive episodes, poor judgement and behavioural changes. In the late stages of the disease, it might be difficult to walk and speak for patients. Some patients leave home and are lost forever. Cancer related mortality is a hot subject of research conducted in various universities the world over and many a time, in collaboration with the WHO. A study on the Indian cancer statistics conducted by The Lancet in year 2012, reported a staggering 5,55,000 cancer deaths in India, in 2010 alone. Also, research led by Dr. Prabhat Jha, the Director for Centre for Global Health Research, St. Michael’s Hospital, Toronto, in year 2012 resulted in a model that is now being used as a reference to compute cancer deaths in India. They employed a unique method of arriving at statistics by extrapolating information derived from studying cancer patterns and mortalities in our country between years 2000 and 2003, using a sample of households. Another notable agency is the International Agency for Research on Cancer (IARC) whose GLOBOCAN database forms the basis for recording cancer incidences in India. Similarly Dr. Jha’s model is used to study cancer mortalities in India. India Today iterated that cancer deaths worldwide were approximately 8.2 million in year 2012. Indian Council for Medical Research (ICMR) has projected that by year 2020, the total number of cancer mortalities in the country will be nearly 17.3 lakh. In year 2016, the highest number of cancer cases was estimated to be of breast cancer followed by lung cancer. With such daunting statistics in hand proven and projected through research, it is of great relief to come to the realization that advanced medical procedures are now available that have been found to increase the human life span by almost 30 to 40 years. Organizations that specialize in palliative care for terminally ill patients are the new go-to centres for families with patients suffering from chronic illnesses.

Author: Dr. Babita P Abraham VarkeySeema R Rao Author: Dr Pratyasa PadhiDr. Babita P Abraham Varkey Author: Seema R RaoSeema R Rao Author: Dr Pratyasa Padhi

Associate Medical Director
Bangalore Hospice Trust – Karunashraya
Bengaluru, India
Associate Medical Director Associate Director (Education and Research)
Karunashraya Institute for Palliative Care Education and Research (KIPCER)
Bengaluru, India
Honorary Tutor, School of Medicine, Cardiff University, UK

As I sit down to write this blog, I cannot help but think of my parents and the myriad number of uncles and aunts that I am privileged to have in my life. Their countless stories, compelling experiences, and collective wisdom have shaped me and influenced my worldview. As a child, I have watched them chase their dreams, conquer challenges, and embrace new experiences with an insatiable thirst for life. Their homes bustling with activity, the tantalizing aroma of delectable dishes wafting through the air, our holidays were a delightful experience that left cherished memories etched in our hearts. Now in their 70s and 80s, their boundless energy dissipated, I see them struggle with the complexities of ageing. Their homes empty, the children having flown the coop, I see them struggle with loneliness seeking solace in memories and in each other, awaiting the phone call from the ever-busy progeny. They have considerably slowed down physically and mentally, and falls have become the norm. Regular doctor visits, multiple medications, and aches and pains are the new normal. I see their struggle as they attempt to assimilate themselves into a rapidly changing world, struggling to use WhatsApp, G-Pay, and manage Teleconsults. I also see the impatience in many of the younger generation tech-geeks. With the passing of their contemporaries and near and dear ones, our elders grapple with grief and their own mortality, often reflecting on the fragility of life and the inevitability of their own journey’s end. I returned from my parent’s home a few weeks ago, and my father’s words still echo in my ears. He said, “You should learn to detach yourself from us now. Learn to let go of us.” It’s the 21st of September 1994, in Edinburgh, when Alzheimer’s International-an organisation dedicated for research and spreading of awareness for Alzheimer’s disease, celebrated the 1st “World Alzheimer’s’ Day”. The day and the entire month of September is utilised to enhance our knowledge, in one of the most common causes of dementia in elderly-Alzheimer’s’ disease. It dates back to the year 1906, when Dr Alzheimer Aloi named the disease, which he discovered in a lady, he had first encountered in 1901.In a day and age like ours, good lifestyle practises are comprised. We have breakfast that is instant, processed and easy to eat, on the go, work long hours while sometimes skipping meals, stay up late and grab just a few winks and most importantly, do not find time to exercise or meditate. We are caught up in a race for time, money, power and in general, life itself. When on the one hand technological advancements have made life easier, they have also successfully tipped the scale onto the other side with the plethora of side effects their existence brings with them. As I sit down to write this blog, I cannot help but think of my parents and the myriad number of uncles and aunts that I am privileged to have in my life. Their countless stories, compelling experiences, and collective wisdom have shaped me and influenced my worldview. As a child, I have watched them chase their dreams, conquer challenges, and embrace new experiences with an insatiable thirst for life. Their homes bustling with activity, the tantalizing aroma of delectable dishes wafting through the air, our holidays were a delightful experience that left cherished memories etched in our hearts. Now in their 70s and 80s, their boundless energy dissipated, I see them struggle with the complexities of ageing. Their homes empty, the children having flown the coop, I see them struggle with loneliness seeking solace in memories and in each other, awaiting the phone call from the ever-busy progeny. They have considerably slowed down physically and mentally, and falls have become the norm. Regular doctor visits, multiple medications, and aches and pains are the new normal. I see their struggle as they attempt to assimilate themselves into a rapidly changing world, struggling to use WhatsApp, G-Pay, and manage Teleconsults. I also see the impatience in many of the younger generation tech-geeks. With the passing of their contemporaries and near and dear ones, our elders grapple with grief and their own mortality, often reflecting on the fragility of life and the inevitability of their own journey’s end. I returned from my parent’s home a few weeks ago, and my father’s words still echo in my ears. He said, “You should learn to detach yourself from us now. Learn to let go of us.” It’s the 21st of September 1994, in Edinburgh, when Alzheimer’s International-an organisation dedicated for research and spreading of awareness for Alzheimer’s disease, celebrated the 1st “World Alzheimer’s’ Day”. The day and the entire month of September is utilised to enhance our knowledge, in one of the most common causes of dementia in elderly-Alzheimer’s’ disease. It dates back to the year 1906, when Dr Alzheimer Aloi named the disease, which he discovered in a lady, he had first encountered in 1901.It’s the 21st of September 1994, in Edinburgh, when Alzheimer’s International-an organisation dedicated for research and spreading of awareness for Alzheimer’s disease, celebrated the 1st “World Alzheimer’s’ Day”. The day and the entire month of September is utilised to enhance our knowledge, in one of the most common causes of dementia in elderly-Alzheimer’s’ disease. It dates back to the year 1906, when Dr Alzheimer Aloi named the disease, which he discovered in a lady, he had first encountered in 1901.In a day and age like ours, good lifestyle practises are comprised. We have breakfast that is instant, processed and easy to eat, on the go, work long hours while sometimes skipping meals, stay up late and grab just a few winks and most importantly, do not find time to exercise or meditate. We are caught up in a race for time, money, power and in general, life itself. When on the one hand technological advancements have made life easier, they have also successfully tipped the scale onto the other side with the plethora of side effects their existence brings with them.

It also pushes me to reflect on as a society and as individuals how cognizant are we of their needs and wants. Around 15 million elderly Indians live all alone, with three-fourths of them being women (Census 2011). Of the 250 million households, 31% have at least one elderly person. Globally, one in every six elderly faces abuse, while the prevalence ranges between 9.6-62% in India, with the abusers being either family members or caregivers. The absence of geriatric clinics, the logistics of accessing hospitals, long waiting lines to meet doctors, and the exorbitant healthcare costs deter elders from seeking help for their medical problems. Financial dependency, malnutrition, social isolation, lack of autonomy, and social security impact the wellbeing of the elderly. The International Day of the Older Persons, observed on October 1, every year, was established by the United Nations to recognize and celebrate the contributions and achievements of older people worldwide. It also serves as a reminder of the challenges they face and the need for society to support and empower them. The theme of this year, “Fulfilling the Promises of the Universal Declaration of Human Rights for Older Persons: Across Generations”, aims to highlight the specific issues of older persons around the world, to empower them to enjoy their rights and address their violations, and strengthen the intergeneration bonds.We all forget things in our everyday lives. Be it the misplaced car key or the displaced phone, we all is used to such incidents. But it becomes pathological when one refuses to recognise one’s spouse, forgets the name of his mother or when a person of spectacular IQ once, finds it difficult to add 2 with 2. It’s worse than its sounds, people with Alzheimer’s’ and their caregivers have seen catastrophic consequences of the same. Often the patients are not treated well in their surroundings owing to the lack of awareness about the disease. We have 6.7 million people living with Alzheimer’s today, and each one of them is living in agony.It’s not of surprise that unhealthy lifestyles have paved paths for the onset of different types of diseases, cancer being most prevalent among them. We’ve all heard our friends or family members say that the incidence has exponentially increased over the last decade or two. Of course, there are other causes for cancer such as pollution, food adulteration, lack of hygiene, tobacco and alcohol abuse, and the list goes on. It also pushes me to reflect on as a society and as individuals how cognizant are we of their needs and wants. Around 15 million elderly Indians live all alone, with three-fourths of them being women (Census 2011). Of the 250 million households, 31% have at least one elderly person. Globally, one in every six elderly faces abuse, while the prevalence ranges between 9.6-62% in India, with the abusers being either family members or caregivers. The absence of geriatric clinics, the logistics of accessing hospitals, long waiting lines to meet doctors, and the exorbitant healthcare costs deter elders from seeking help for their medical problems. Financial dependency, malnutrition, social isolation, lack of autonomy, and social security impact the wellbeing of the elderly. The International Day of the Older Persons, observed on October 1, every year, was established by the United Nations to recognize and celebrate the contributions and achievements of older people worldwide. It also serves as a reminder of the challenges they face and the need for society to support and empower them. The theme of this year, “Fulfilling the Promises of the Universal Declaration of Human Rights for Older Persons: Across Generations”, aims to highlight the specific issues of older persons around the world, to empower them to enjoy their rights and address their violations, and strengthen the intergeneration bonds.We all forget things in our everyday lives. Be it the misplaced car key or the displaced phone, we all is used to such incidents. But it becomes pathological when one refuses to recognise one’s spouse, forgets the name of his mother or when a person of spectacular IQ once, finds it difficult to add 2 with 2. It’s worse than its sounds, people with Alzheimer’s’ and their caregivers have seen catastrophic consequences of the same. Often the patients are not treated well in their surroundings owing to the lack of awareness about the disease. We have 6.7 million people living with Alzheimer’s today, and each one of them is living in agony.We all forget things in our everyday lives. Be it the misplaced car key or the displaced phone, we all is used to such incidents. But it becomes pathological when one refuses to recognise one’s spouse, forgets the name of his mother or when a person of spectacular IQ once, finds it difficult to add 2 with 2. It’s worse than its sounds, people with Alzheimer’s’ and their caregivers have seen catastrophic consequences of the same. Often the patients are not treated well in their surroundings owing to the lack of awareness about the disease. We have 6.7 million people living with Alzheimer’s today, and each one of them is living in agony.It’s not of surprise that unhealthy lifestyles have paved paths for the onset of different types of diseases, cancer being most prevalent among them. We’ve all heard our friends or family members say that the incidence has exponentially increased over the last decade or two. Of course, there are other causes for cancer such as pollution, food adulteration, lack of hygiene, tobacco and alcohol abuse, and the list goes on.

In India, where traditions and family values run deep, the significance of this day cannot be overstated. We have a rich cultural heritage that has been nurtured and preserved over centuries. Our elders are the living repositories of our heritage. One of the strong landmarks of our society is the emphasis on family bonds. Traditional Indian values have emphasized the value of respecting our elders, along with caring for them as our collective responsibility. As India modernizes and moves towards a more individualistic society, we seem to be losing the plot, with one in six of our elderly being abandoned and abused. The Maintenance and Welfare of Parents and Senior Citizens Act, 2007, empowers elders to seek redressal if they are abused or neglected, but what about the social isolation, love, and care they need? How can we as a society generate intergenerational solidarity?Undoubtedly it is a disease of the elderly, but about 5% people develop the disease in middle age as well. Life comes to a standstill, with Alzheimer’s and things turn haywire. The theme for this year is – “It’s never too early, It’s never too late” (hence the title!). It refers to the early identification of risk factors as well as proficient risk reduction for prevention of the disease, as Alzheimer’s begins 20 years before the development of noticeable symptoms. Unfortunately, it is an incurable, progressive, neurogenerative disorder leading to decrease in cognition, loss of memory and impairment of mental functions. The disease leads to the death of nerve cells, with consequent inflammation and shrinkage of the brain. The early symptoms are difficulty in recalling names, events, lack of enthusiasm, followed by depressive episodes, poor judgement and behavioural changes. In the late stages of the disease, it might be difficult to walk and speak for patients. Some patients leave home and are lost forever. Cancer related mortality is a hot subject of research conducted in various universities the world over and many a time, in collaboration with the WHO. A study on the Indian cancer statistics conducted by The Lancet in year 2012, reported a staggering 5,55,000 cancer deaths in India, in 2010 alone. Also, research led by Dr. Prabhat Jha, the Director for Centre for Global Health Research, St. Michael’s Hospital, Toronto, in year 2012 resulted in a model that is now being used as a reference to compute cancer deaths in India. They employed a unique method of arriving at statistics by extrapolating information derived from studying cancer patterns and mortalities in our country between years 2000 and 2003, using a sample of households. Another notable agency is the International Agency for Research on Cancer (IARC) whose GLOBOCAN database forms the basis for recording cancer incidences in India. Similarly Dr. Jha’s model is used to study cancer mortalities in India. India Today iterated that cancer deaths worldwide were approximately 8.2 million in year 2012. Indian Council for Medical Research (ICMR) has projected that by year 2020, the total number of cancer mortalities in the country will be nearly 17.3 lakh. In year 2016, the highest number of cancer cases was estimated to be of breast cancer followed by lung cancer. With such daunting statistics in hand proven and projected through research, it is of great relief to come to the realization that advanced medical procedures are now available that have been found to increase the human life span by almost 30 to 40 years. Organizations that specialize in palliative care for terminally ill patients are the new go-to centres for families with patients suffering from chronic illnesses. In India, where traditions and family values run deep, the significance of this day cannot be overstated. We have a rich cultural heritage that has been nurtured and preserved over centuries. Our elders are the living repositories of our heritage. One of the strong landmarks of our society is the emphasis on family bonds. Traditional Indian values have emphasized the value of respecting our elders, along with caring for them as our collective responsibility. As India modernizes and moves towards a more individualistic society, we seem to be losing the plot, with one in six of our elderly being abandoned and abused. The Maintenance and Welfare of Parents and Senior Citizens Act, 2007, empowers elders to seek redressal if they are abused or neglected, but what about the social isolation, love, and care they need? How can we as a society generate intergenerational solidarity?The disease leaves the option of only palliation of symptoms. The challenge is that, with passage of time, the symptoms become resistant to the medications and the increase in dose leads to intolerable side effects. Talking about achievements, Aducanumab and lecanemab are 2 FDA approved drugs for modifying the underlying pathology of the disease. Well, they are again not cure for Alzheimer’s, but they do decline the rate of progression of the disease and can be useful if used in early phase of the disease. Undoubtedly it is a disease of the elderly, but about 5% people develop the disease in middle age as well. Life comes to a standstill, with Alzheimer’s and things turn haywire. The theme for this year is – “It’s never too early, It’s never too late” (hence the title!). It refers to the early identification of risk factors as well as proficient risk reduction for prevention of the disease, as Alzheimer’s begins 20 years before the development of noticeable symptoms. Unfortunately, it is an incurable, progressive, neurogenerative disorder leading to decrease in cognition, loss of memory and impairment of mental functions. The disease leads to the death of nerve cells, with consequent inflammation and shrinkage of the brain. The early symptoms are difficulty in recalling names, events, lack of enthusiasm, followed by depressive episodes, poor judgement and behavioural changes. In the late stages of the disease, it might be difficult to walk and speak for patients. Some patients leave home and are lost forever. Cancer related mortality is a hot subject of research conducted in various universities the world over and many a time, in collaboration with the WHO. A study on the Indian cancer statistics conducted by The Lancet in year 2012, reported a staggering 5,55,000 cancer deaths in India, in 2010 alone. Also, research led by Dr. Prabhat Jha, the Director for Centre for Global Health Research, St. Michael’s Hospital, Toronto, in year 2012 resulted in a model that is now being used as a reference to compute cancer deaths in India. They employed a unique method of arriving at statistics by extrapolating information derived from studying cancer patterns and mortalities in our country between years 2000 and 2003, using a sample of households. Another notable agency is the International Agency for Research on Cancer (IARC) whose GLOBOCAN database forms the basis for recording cancer incidences in India. Similarly Dr. Jha’s model is used to study cancer mortalities in India. India Today iterated that cancer deaths worldwide were approximately 8.2 million in year 2012. Indian Council for Medical Research (ICMR) has projected that by year 2020, the total number of cancer mortalities in the country will be nearly 17.3 lakh. In year 2016, the highest number of cancer cases was estimated to be of breast cancer followed by lung cancer. With such daunting statistics in hand proven and projected through research, it is of great relief to come to the realization that advanced medical procedures are now available that have been found to increase the human life span by almost 30 to 40 years. Organizations that specialize in palliative care for terminally ill patients are the new go-to centres for families with patients suffering from chronic illnesses.

Let us on this day pledge to keep our elders close to our hearts, individually and as a society. Respecting and integrating our elders into our lives and society is not just the mark of a culture society, but also a pathway for personal growth and wisdom. Their life stories and the lessons learned from their own trials and tribulations are invaluable. When we take time to listen, acknowledge, and learn from their life stories, we are able to foster the generational gap, fostering a sense of continuity and unity. I still remember my unique bond with my maternal grandmother (the only one I had the fortune to know), the comfort I felt in her embrace and the insight I absorbed from her life story. Elders provide us with invaluable life lessons and wisdom, while the we can provide them with companionship and technological assistance. With each generation learning from the other, this synergy ensures a harmonious existence and a culture that upholds human dignity.Let us on this day pledge to keep our elders close to our hearts, individually and as a society. Respecting and integrating our elders into our lives and society is not just the mark of a culture society, but also a pathway for personal growth and wisdom. Their life stories and the lessons learned from their own trials and tribulations are invaluable. When we take time to listen, acknowledge, and learn from their life stories, we are able to foster the generational gap, fostering a sense of continuity and unity. I still remember my unique bond with my maternal grandmother (the only one I had the fortune to know), the comfort I felt in her embrace and the insight I absorbed from her life story. Elders provide us with invaluable life lessons and wisdom, while the we can provide them with companionship and technological assistance. With each generation learning from the other, this synergy ensures a harmonious existence and a culture that upholds human dignity.At last, but not the least, the need of the hour, is to spread information regarding the disease, so that the patients and caregivers are treated with compassion and not hatred. They need empathy and not sympathy. It’s not always the medicine that heals, love and gestures of kindness often do wonders. So, it’s certainly not late. Let’s join hands together to make the world a better place for the ones who are suffering, for we never know, we might be one of them in a few years of time, after all we are all ageing!

Integrating elders into our lives and society means more than just paying lip service to their wisdom. It involves creating opportunities for meaningful interactions, seeking advice, and actively involving them in community and volunteering activities while being cognizant of their special needs. In doing so, we not only honour their contributions but also give them a sense of purpose and ensure that their legacy continues. In a fast-paced world that constantly seeks the newest and the latest, this day is a reminder that as we innovate and progress, we must not lose sight of the timeless values and traditions that has shaped us.

To conclude, intergenerational solidarity remains a vital component of Indian society, and the time has come to prevent further erosion of our traditional values. It is the responsibility of every Indian to unite the wisdom of the past, with the energy of the future. Intergenerational solidarity is not just a concept, but a commitment to nurturing a society, where the elderly are cherished, valued and facilitated to live a life of dignity and purpose.

Author: Seema R RaoSeema R Rao Author: Dr Pratyasa Padhi

Associate Director (Education and Research)
Karunashraya Institute for Palliative Care Education and Research (KIPCER)
Bengaluru, India
Honorary Tutor, School of Medicine, Cardiff University, UK

It’s the 21st of September 1994, in Edinburgh, when Alzheimer’s International-an organisation dedicated for research and spreading of awareness for Alzheimer’s disease, celebrated the 1st “World Alzheimer’s’ Day”. The day and the entire month of September is utilised to enhance our knowledge, in one of the most common causes of dementia in elderly-Alzheimer’s’ disease. It dates back to the year 1906, when Dr Alzheimer Aloi named the disease, which he discovered in a lady, he had first encountered in 1901.It’s the 21st of September 1994, in Edinburgh, when Alzheimer’s International-an organisation dedicated for research and spreading of awareness for Alzheimer’s disease, celebrated the 1st “World Alzheimer’s’ Day”. The day and the entire month of September is utilised to enhance our knowledge, in one of the most common causes of dementia in elderly-Alzheimer’s’ disease. It dates back to the year 1906, when Dr Alzheimer Aloi named the disease, which he discovered in a lady, he had first encountered in 1901.In a day and age like ours, good lifestyle practises are comprised. We have breakfast that is instant, processed and easy to eat, on the go, work long hours while sometimes skipping meals, stay up late and grab just a few winks and most importantly, do not find time to exercise or meditate. We are caught up in a race for time, money, power and in general, life itself. When on the one hand technological advancements have made life easier, they have also successfully tipped the scale onto the other side with the plethora of side effects their existence brings with them.

We all forget things in our everyday lives. Be it the misplaced car key or the displaced phone, we all is used to such incidents. But it becomes pathological when one refuses to recognise one’s spouse, forgets the name of his mother or when a person of spectacular IQ once, finds it difficult to add 2 with 2. It’s worse than its sounds, people with Alzheimer’s’ and their caregivers have seen catastrophic consequences of the same. Often the patients are not treated well in their surroundings owing to the lack of awareness about the disease. We have 6.7 million people living with Alzheimer’s today, and each one of them is living in agony.We all forget things in our everyday lives. Be it the misplaced car key or the displaced phone, we all is used to such incidents. But it becomes pathological when one refuses to recognise one’s spouse, forgets the name of his mother or when a person of spectacular IQ once, finds it difficult to add 2 with 2. It’s worse than its sounds, people with Alzheimer’s’ and their caregivers have seen catastrophic consequences of the same. Often the patients are not treated well in their surroundings owing to the lack of awareness about the disease. We have 6.7 million people living with Alzheimer’s today, and each one of them is living in agony.It’s not of surprise that unhealthy lifestyles have paved paths for the onset of different types of diseases, cancer being most prevalent among them. We’ve all heard our friends or family members say that the incidence has exponentially increased over the last decade or two. Of course, there are other causes for cancer such as pollution, food adulteration, lack of hygiene, tobacco and alcohol abuse, and the list goes on.

The disease leaves the option of only palliation of symptoms. The challenge is that, with passage of time, the symptoms become resistant to the medications and the increase in dose leads to intolerable side effects. Talking about achievements, Aducanumab and lecanemab are 2 FDA approved drugs for modifying the underlying pathology of the disease. Well, they are again not cure for Alzheimer’s, but they do decline the rate of progression of the disease and can be useful if used in early phase of the disease. Undoubtedly it is a disease of the elderly, but about 5% people develop the disease in middle age as well. Life comes to a standstill, with Alzheimer’s and things turn haywire. The theme for this year is – “It’s never too early, It’s never too late” (hence the title!). It refers to the early identification of risk factors as well as proficient risk reduction for prevention of the disease, as Alzheimer’s begins 20 years before the development of noticeable symptoms. Unfortunately, it is an incurable, progressive, neurogenerative disorder leading to decrease in cognition, loss of memory and impairment of mental functions. The disease leads to the death of nerve cells, with consequent inflammation and shrinkage of the brain. The early symptoms are difficulty in recalling names, events, lack of enthusiasm, followed by depressive episodes, poor judgement and behavioural changes. In the late stages of the disease, it might be difficult to walk and speak for patients. Some patients leave home and are lost forever. Cancer related mortality is a hot subject of research conducted in various universities the world over and many a time, in collaboration with the WHO. A study on the Indian cancer statistics conducted by The Lancet in year 2012, reported a staggering 5,55,000 cancer deaths in India, in 2010 alone. Also, research led by Dr. Prabhat Jha, the Director for Centre for Global Health Research, St. Michael’s Hospital, Toronto, in year 2012 resulted in a model that is now being used as a reference to compute cancer deaths in India. They employed a unique method of arriving at statistics by extrapolating information derived from studying cancer patterns and mortalities in our country between years 2000 and 2003, using a sample of households. Another notable agency is the International Agency for Research on Cancer (IARC) whose GLOBOCAN database forms the basis for recording cancer incidences in India. Similarly Dr. Jha’s model is used to study cancer mortalities in India. India Today iterated that cancer deaths worldwide were approximately 8.2 million in year 2012. Indian Council for Medical Research (ICMR) has projected that by year 2020, the total number of cancer mortalities in the country will be nearly 17.3 lakh. In year 2016, the highest number of cancer cases was estimated to be of breast cancer followed by lung cancer. With such daunting statistics in hand proven and projected through research, it is of great relief to come to the realization that advanced medical procedures are now available that have been found to increase the human life span by almost 30 to 40 years. Organizations that specialize in palliative care for terminally ill patients are the new go-to centres for families with patients suffering from chronic illnesses.

At last, but not the least, the need of the hour, is to spread information regarding the disease, so that the patients and caregivers are treated with compassion and not hatred. They need empathy and not sympathy. It’s not always the medicine that heals, love and gestures of kindness often do wonders. So, it’s certainly not late. Let’s join hands together to make the world a better place for the ones who are suffering, for we never know, we might be one of them in a few years of time, after all we are all ageing!

Author: Dr Pratyasa Padhi

MBBS, MD Palliative Medicine,
Junior Consultant
Bagchi Karunashraya Palliative Care Center
Bhubaneswar, Odisha, India

Preface

Cancer burden continues to grow day by day worldwide, with an increased number of newly diagnosed cases and deaths each year.

A significant proportion of such individuals at any stage of the disease trajectory suffer social, emotional, and psychological distress due to stigma related to cancer, diagnosis and treatment side-effects, survivorship issues etc. Therefore, psychological distress needs to be assessed on a regular basis to understand the reason and severity of the problem in order to help the individuals.

Distress is an unpleasant experience of a physical, mental, social, or spiritual nature. It can make it difficult for someone to cope with having cancer, its symptoms, treatment, both curative as well as side effects. This  affects their survivorship and hence it impacts the entire family.  Distress affect one across the range of experience. It varies from mild to severe, which includes sadness, fear, and helplessness with intensity.

Everyone with cancer has some level of distress at some point of time. Not only the patient but their caregivers too experience some level of distress during and after the course of illness, Moreover, distress extends along the continuum, ranging from common normal feelings of vulnerability, sadness, and fear to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual issues.

The 6th vital sign

Vital signs like body temperature, pulse or heart rate, blood pressure, and respiratory rate are four physical vital signs that are routinely measured to best described as a patient’s physical status. Pain is designated as the 5th vital sign as being very common symptom in cancer, and distress being highly prevalent in cancer, is designated as the 6th vital sign.

Forty percent of patients diagnosed with cancer experience significant level of distress.  However fewer than 10% of patients are identified and referred for appropriate psychosocial support. Screening for distress is important for every patient at the appropriate time, and this needs to be managed by health professionals with the required expertise.

This becomes clinically significant when it interferes with the patients’ general functioning with their cancer treatment or with their progress in cancer care. It can be influenced by many factors such as type of cancer, stage of cancer, type of treatment, individual characteristics such as patients’ personality, available social support, financial conditions etc. Psychological distress is common as patient with cancer move beyond their diagnosis and into the intensive treatment. Distress is very common among cancer patients across diagnosis and across the disease trajectory. Psychological distress is common in cancer patients; however, it is often unrecognized and untreated.

Vulnerability to distress

Patients are vulnerable to distress at various stages of the disease trajectory, since they face the risk of substantial and permanent physical impairment, disability, and inability to perform routine activities. Investigation periods/ process and finding out diagnosis, getting treatment and facing its side effects are the stages when patient’ vulnerability is high. Stressor of the survivorship, as the constant fear of recurrence or relapse is always there.  Getting back to the normalcy also becomes a challenge for many people surviving cancer.

Distressed patients tend to make extra visits to the physician and hospitals. Often, they seem to have trouble making decisions about treatment and adhering to the treatment. Patients also become dissatisfied with their physicians and medical care when in distress.

Role of the psycho-oncologist

Early diagnosis and Psycho-oncology services help the patients in theenhancement of treatment satisfaction and helps them cope with the accompanying emotions. It also helps in improving patients – physician communication, respect, and trust. Additionally Psycho oncology services are also helpful in improving patients’ adherence to the treatment regimen and survivorship issues. 

Summary

Psycho oncology is a specialty which is concerned with the understanding and treating the social, psychological, emotional, spiritual, quality of life and other functional aspects of cancer from prevention to palliation and survivorship. Hence it focuses on improving the mental health of individuals who are diagnosed with cancer and their caregivers.   Cancer affects not only to an individual, but it affects the entire family. Hence it becomes imperative to care for the caregivers as well. Patients admitted in the hospital for cancer directed treatment are regularly seen by psycho-oncologist. Therefore, regular screening of distress helps understanding the severity and specific area due to which psychological issues and concerns arise and helps to plan the better intervention for the same.

Author: Keshav Sharma

Psycho oncologist & Lead counselling services
Bagchi Karunashraya Palliative Care Center
Bhubaneswar, Odisha,  India