The Covid-19 pandemic has limited almost all daily activities. In anticipating this, the palliative team arranged several online programs to continue providing support for cancer patients. although almost all activities are carried out online, the palliative team still coordinates with the doctors and nurses of the oncology unit at Baladhika Husada Hospital to provide services that can help cancer patients. Routine activities that are still being carried out today are online consultation, entrusted services queue number, online sharing, and a home visit.


Activity Purpose



Entrusted Queue Number To help patients on registration  collectively Every Monday, Wednesday, and Friday

Time: conditional


Online Consultation Patient consultation services through the palliative team to oncologists at Baladhika Husada Hospital via WhatsApp online Every Monday to Friday

Time :

at 08.00 AM – 02.00 PM


Health Information Online Sharing Share health information and detect patient needs

Purpose: to educate patients and families



Home Visit   Helping patient care, motivating, and educate patients and their families about self-care Conditional



Palliative care team recently got special donations from our partner, Nestle Health ScienceNestle Health Science engaged in the fulfilment of nutritional therapy for cancer patients. About 50 boxes of Isocal milk and 15 cans of Boost Optimum milk were donated to several cancer patients through the palliative team. This assistance was specifically given to the patients with certain conditions because our aim is to bolster up the patient’s nutritional needs during therapy.



Psychological problems are considered to have the most powerful influence on the success of cancer patient therapy, one of which is stress. dr. Andreas Andrianto, Sp.B (K) Onk, gave an overview of the psychological conditions and several causes of the stress of the cancer patients in an online seminar held by the Garwita Palliative Care Team on Saturday, October 17, 2020. The seminar was delivered through the Zoom meeting application and Live Youtube. In this seminar, Mrs I. Gusti Ayu Karnasih, as a senior nurse and hypnotherapist, also thoroughly discussed the benefits of relaxation for cancer patients and how this method can be an alternative for stress management.

It was discussed in the seminar that many of the cancer patients in Jember had severe stress conditions due to the chemotherapy process because of its side effects. Therefore, they need a stronger support system from caregivers, health practitioners, and other patients. This seminar was attended by various groups: cancer patients, caregivers, health workers, cancer observers, and students from health-related major. It is hoped that this seminar could increase the awareness of the society about the effect of stress on cancer patients and provide the support needed by the patients and their families to continue fighting cancer.



Psychological conditions, in general, have a very important role in supporting the cancer patient therapy. Various things can trigger stress that affects the patient’s psychological condition while undergoing treatment. In dealing with psychological problems, it is necessary to have good coordination between patients, families, and health practitioners to keep the patient’s condition stable during treatment. One of the methods of stress management that can be done by patients and their families is a relaxation program.

To solve psychological problems in cancer patients, the palliative team held Virtual Relaxation Program. This program was carried independently by the patients and their families in their respective homes under the direction of the palliative team. In collaboration with Mrs I Gusti Ayu Karnasih, M. Kep, Ns. Sp. Kep Mat, Garwita Institute designed relaxation recordings that were made and customized to the conditions of the patients.

The palliative team and volunteers did an assessment as an initial stage and also a post-relaxation assessment to know the patients’ conditions further. Some patients became calmer after the program. Besides, the feeling of anxiety towards the disease also gradually decreased after undergoing the relaxation regularly. Based on the interim evaluation, the palliative team will continue to study and conduct research to produce relaxation records that can be useful for many more cancer patients.

Relaksasi Sebagai Alternatif Menunjang Keberhasilan Terapi Pasien Kanker


Kondisi psikologis secara umum memiliki peran yang sangat penting dalam menunjang keberhasilan terapi pasien kanker.  Berbagai hal dapat menjadi pemicu stres sehingga mempengaruhi kondisi psikologis pasien kanker saat menjalani pengobatan. Untuk mengatasi hal ini pasien dan keluarga harus saling bekerjasama dalam mengelola stres dan menjaga kondisi psikologis pasien tetapstabil selama masa pengobatan. Metode pengelolaan stress yang dapat dilakukan oleh pasien dan keluarga salah satunya dengan memanfaatkan alternatif relaksasi.

Penjelasan seputar kondisi psikologis pasien kanker dibahas secara jelas dan menarik oleh dr. Andreas Andrianto, Sp.B(K)Onk dalam webinar yang diadakan oleh Tim Perawatan Paliatif Garwita pada hari Sabtu,17 Oktober 2020 melalui aplikasi zoom meeting dan Live Youtube. Tidak hanya itu dalam webinar ini Ibu I. Gusti Ayu Karnasih juga mengupas tuntas manfaat relaksasi bagi pasien kanker serta bagaimana meode ini dapat menjadi alternnatif pengelolaan stress.

Tim Paliatif Garwita mengusung tema”Pengaruh Stres Terhadap Efektivitas Terapi Pasien Kanker”. Webinar ini diikuti oleh berbagai kalangan baik dari pasien kanker, keluarga, tenaga kesehatan, pemerhati kanker, mahasiswa dan umum. Diharapkan webinar ini dapat memberi manfaat dan dukungan bagi pasien kanker dan keluarga untuk terus berjuang dalam menjalani pengobatan.

Teman-teman Garwita dapat mengakses rekaman dan materi diskusi melalui link di bawah ini:

Materi :
1. Materi 1 dr. Andreas
2. Cancer survivor with Relaxation_Materi 2_B Ayu 

Youtube Link :




The Palliative Support Group or PSG is a routine activity carried out by the Palliative Team every Monday and Wednesday at DKT Hospital. PSG topics in February and March 2020 were how to take care of a wound after surgery and education about coronavirus. The goal was to increase awareness and make the patients and their families skilful in taking care of the patient at home.

This program is important regarding that many of the patients live in villages and have insufficient healt

h information access. There were 30 patients who joined each PSG. PSG ended with a personal co

nsultation for several patients related to the topic.

Due to the spreading of COVID-19, PSG has been held online via Whatsapp Group. The themes have been how to wash hands properly and mental health practices to maintain during the coronavirus lockdown.  (Rin)

Palliative Support Group: Made The Patients Skilful In Post-Surgery Care At Home


The Palliative Support Group or PSG is an activity carried out by the Palliative Team every Monday and Wednesday. The activity is carried out at DKT Hospital. The purpose is to strengthen the patient’s motivation to undergo the medication and spread health-related information.

PSG topic during November 2019 was how to take care of a wound after surgery. The goal was to make the patients and their families skilful in taking care of the patient at home. There were 30 patients were involved. PSG ended with a personal consultation for several patients about their post-surgery treatment. (Rin)

Palliative Health Trip 5: Fun At Warung Kembang


Palliative Health Trip is the most awaited program by patients. This trip is carried out by patients with their families, volunteers, and the medical team twice in a year. Travelling becomes a valuable moment for patients, considering that most of their time is used for medical treatment as well as the limitations of the families to facilitate recreation. The purpose of this trip is to reduce the level of the patient’s distress.

The 5th health trip was held on September 7th, 2019 at Warung Kembang. It is a restaurant with natural nuances in Ajung, Jember. The activities carried were health examination, relaxation, and fun games. We also held a seminar about creating a brighter future for the elderly which was facilitated by Dr Soedjono, a psychiatrist. The trip was attended by 30 cancer patients and their families. Everyone enjoyed the trip, had much laughter, and came home happily. (Ta)

Basic Counselling Program For Palliative Ambassadors


Palliative ambassadors are cancer patients (and survivors) who proactively move to motivate other patients to undergo treatment. On 15th and 29th November 2019, the Palliative Team held a Basic Counseling Program for the palliative ambassadors. The speaker was Mrs Kusuma Nurainingtyas, a clinical psychologist. The purpose of this program is to make the ambassadors have practical skills in motivating other patients. They were taught how to understand one’s strengths and weaknesses and verbal skills to strengthen other patients. (Nad)

Big Struggle For A Little Angel: A Patient’s Story.


My long struggle against breast cancer began in 2016. In early 2018 I was declared to have recovered, but by the end of 2018, my cancer had grown again. While undergoing the chemotherapy process in early 2019, I planned to have a sterile family planning program. However, in January 2019, I was pregnant.

A doctor asked me to choose, either saving myself as the mother or saving my baby. He told me that it was impossible to undergo both, the chemotherapy and the pregnancy. I was frantic. Then I consulted with an oncologist. This oncologist said the opposite. He strengthened me to continue my pregnancy. I also met an obstetrician who encouraged me to keep on maintaining this pregnancy. I became more determined to fight for the little angel in my body.

At the age of 8 months of my pregnancy, I had a cesarean section. My baby was crying loudly, reminiscent me of the twists and turns of my struggle. He was health. Now, I am still undergoing cancer treatment while continuing my duty as an elementary teacher. My baby is also getting stronger. I am sure that this miracle happened because of God’s help.