Assessment of the wish to hasten death in patients with advanced cancer: A comparison of 2 different approaches

2018 ◽  
Vol 27 (6) ◽  
pp. 1538-1544 ◽  
Author(s):  
Mercedes Bellido-Pérez ◽  
Iris Crespo ◽  
Keith G. Wilson ◽  
Josep Porta-Sales ◽  
Albert Balaguer ◽  
...  
Keyword(s):  
Advanced Cancer ◽  
Wish To Hasten Death

scholarly journals The role of perceived dignity and control in the wish to hasten death among advanced cancer patients: A mediation model

2018 ◽  
Vol 27 (12) ◽  
pp. 2840-2846 ◽  
Author(s):  
Cristina Monforte-Royo ◽  
Iris Crespo ◽  
Andrea Rodríguez-Prat ◽  
Frederic Marimon ◽  
Josep Porta-Sales ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Advanced Cancer ◽  
Mediation Model ◽  
Advanced Cancer Patients ◽  
Wish To Hasten Death ◽  
And Control

Physical and psychological factors and the wish to hasten death in advanced cancer patients

2014 ◽  
Vol 23 (10) ◽  
pp. 1125-1132 ◽  
Author(s):  
Christian Villavicencio-Chávez ◽  
Cristina Monforte-Royo ◽  
Joaquín Tomás-Sábado ◽  
Markus A. Maier ◽  
Josep Porta-Sales ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Advanced Cancer ◽  
Psychological Factors ◽  
Advanced Cancer Patients ◽  
Wish To Hasten Death

scholarly journals Meaning in Life as a Mediator Between Physical Impairment and the Wish to Hasten Death in Patients With Advanced Cancer

2017 ◽  
Vol 54 (6) ◽  
pp. 826-834 ◽  
Author(s):  
Mariona Guerrero-Torrelles ◽  
Cristina Monforte-Royo ◽  
Joaquín Tomás-Sábado ◽  
Frederic Marimon ◽  
Josep Porta-Sales ◽  
...  
Keyword(s):  
Advanced Cancer ◽  
Meaning In Life ◽  
Physical Impairment ◽  
Wish To Hasten Death

Health-related quality of life in patients with advanced cancer who express a wish to hasten death: A comparative study

2020 ◽  
Vol 34 (5) ◽  
pp. 630-638 ◽  
Author(s):  
Iris Crespo ◽  
Andrea Rodríguez-Prat ◽  
Cristina Monforte-Royo ◽  
Keith G Wilson ◽  
Josep Porta-Sales ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Advanced Cancer ◽  
Self Efficacy ◽  
Control Group ◽  
Case Group ◽  
Health Related Quality ◽  
Related Quality ◽  
Wish To Hasten Death ◽  
Health Related

Background: Some evidence suggests the wish to hasten death is related to poor health-related quality of life. Deficits in perceived dignity and self-efficacy are risk factors for wish to hasten death that also impact health-related quality of life. Aim: To compare perceived health-related quality of life, dignity and self-efficacy in patients with advanced cancer who either do (case group) or do not (control group) express a wish to hasten death. Cases and controls were matched on sociodemographic and functional characteristics. Design: A comparative cross-sectional study. Participants: A total of 153 adult patients with advanced cancer were assessed for wish to hasten death using the Desire for Death Rating Scale. Scores ⩾1 indicate some degree of wish to hasten death (case group, n = 51), and score = 0 implies no wish to hasten death (control group, n = 102). Assessments included health-related quality of life using the European Organization for Research and Treatment of Cancer Quality-of-Life Core 15-Item Palliative Questionnaire, perceived loss of dignity using the Patient Dignity Inventory and self-efficacy using the General Self-Efficacy Scale. Results: Patients with a wish to hasten death had worse emotional functioning ( p < 0.001), greater perceived loss of dignity ( p < 0.001) and lower self-efficacy ( p = 0.001). There was no difference in most physical symptoms. Perceived overall health-related quality of life was significantly worse for those with a clinically relevant wish to hasten death ( p = 0.023) and marginally worse for the case group than the control group ( p = 0.052). Conclusion: Patients with wish to hasten death showed lower perceived dignity, self-efficacy and emotional quality of life than patients without wish to hasten death without necessarily perceiving worse physical symptoms.

The clinical evaluation of the wish to hasten death is not upsetting for advanced cancer patients: A cross-sectional study

2019 ◽  
Vol 33 (6) ◽  
pp. 570-577 ◽  
Author(s):  
Josep Porta-Sales ◽  
Iris Crespo ◽  
Cristina Monforte-Royo ◽  
Mar Marín ◽  
Sonia Abenia-Chavarria ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Advanced Cancer ◽  
Healthcare Professionals ◽  
Cross Sectional Study ◽  
Routine Clinical Practice ◽  
Sectional Study ◽  
Advanced Cancer Patients ◽  
Cross Sectional ◽  
Important Concern ◽  
Wish To Hasten Death

Background: An important concern of healthcare professionals when exploring the wish to hasten death with patients is the risk of causing them some type of distress. Aim: To assess the opinion of hospitalized patients with advanced cancer about the proactive assessment of the wish to hasten death. Design: Descriptive, cross-sectional study. Setting/participants: We assessed 193 advanced cancer patients admitted to an oncology ward for the wish to hasten death using a semi-structured clinical interview. After the assessment the participants were surveyed to determine whether they found the interview upsetting and, if so to what extent, and also their opinion regarding the assessment’s importance. Results: The wish to hasten death was reported by 46 (23.8%) patients. The majority of patients (94.8%) did not find talking about the wish to hasten death to be upsetting, regardless of whether they presented it or not. The majority of patients (79.3%) considered that it was either quite or extremely important for the clinician to proactively assess the wish to hasten death and discuss this topic, regardless of whether they experienced it. Conclusions: In this study, most of the advanced cancer patients did not find the assessment of wish to hasten death to be upsetting, and a substantial proportion of patients in this study believe that it is important to routinely evaluate it in this setting. These findings suggest that healthcare professionals can explore the wish to hasten death proactively in routine clinical practice without fear of upsetting patients.

The changing hope trajectory in patients with advanced cancer

2010 ◽  
Author(s):  
Carl Kardinal ◽  
Judith Sanders ◽  
Helen Cupper
Keyword(s):  
Advanced Cancer
Sign in / Sign up

Export Citation Format

Share Document