Smart Vest for Palliative Therapy of Metastatic Cancer Patients Using TENS Integrated with Thermotherapy, Aromatherapy, and Multimedia Based on the Internet of Things

There are 19.292.789 global cancer cases, with 9.958.133 fatalities. Lung cancer is the leading cause of death among men with 1.796.144 cases, and breast cancer is most prevalent in women with 684.996 cases. In Indonesia, there were 396.914 new cases and 234.511 deaths [1]–[2]. Metastatic cancer or stage 4 cancer, is characterized by highly aggressive cancer cells that have spread to other areas of the body. Approximately 60% of advanced cancer patients with pain struggle with daily activities, impacting sleep, and exacerbating emotional distress. Depression rates among cancer patients are three times higher than the general population. Addressing these challenges without medication, PALIAVEST integrates therapies like TENS, thermotherapy, aromatherapy, and multimedia with real-time ECG monitoring via IoT. Validated trials show high accuracy of ECG sensors more than 95% with 0.8% error and TENS therapy (2 Hz and 100 Hz) at over 95% with 0.52% error. PALIAVEST ensures consistent therapeutic temperatures, enhancing care reliability and promising better patient quality of life through comprehensive palliative approaches.