Prevalence of minimum muscular strength test of school children aged 12-16 years using Kraus-Weber strength test
Author(s): Ramesh Kumar, Kuldeep, Kuldeep Nara
Abstract:
Cancer pain remains one of the most challenging and often overlooked aspects of care in many low-resource health systems. Although opioids such as oral morphine are globally recognized as essential medicines for moderate to severe cancer pain, their use is frequently limited by inconsistent supply, restrictive regulatory procedures, and a persistent fear of misuse among both clinicians and policymakers. As a result, many patients continue to experience significant and preventable suffering.
This case study review examines how real-world ethical constraints influence opioid use through three well-documented examples from global palliative care practice. The first case highlights the difficulties that health facilities encounter when implementing international cancer pain guidelines, particularly in situations where training and system support are limited. The second examines long-standing barriers to opioid availability within palliative care programs, where stockouts, supply-chain gaps, and regulatory bottlenecks can delay or block appropriate treatment. The third considers the ethical dilemmas clinicians face when balancing legitimate concerns about addiction or diversion with their responsibility to relieve severe pain.
Across all cases, common themes emerge: the need for balanced opioid policies, the importance of reliable supply systems, and the value of strengthening clinical confidence through education and supportive regulation. These insights underscore the potential for positive change, empowering healthcare providers to enhance their clinical confidence and ensure compassionate and evidence-based cancer pain management in resource-constrained settings.
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How to cite this article:
Kumar, R, Nara, K. (2025). Prevalence of minimum muscular strength test of school children aged 12-16 years using Kraus-Weber strength test. The Scholars Time: A Multidisciplinary Journal of Research and Development. 08(09). 01-07