scholarly journals ASSOCIATION OF VISITING NURSES’ RESPONSE WITH CANCER PATIENTS’ GOOD DEATH BY AWARENESS OF DYING TYPE

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 434-434
Author(s):  
M. Akiyama ◽  
M. Kabayama ◽  
K. Kuyama ◽  
K. Kamide
Keyword(s):  
Cancer Patients ◽  
Good Death ◽  
Visiting Nurses ◽  
Awareness Of Dying

scholarly journals To hydrate or not to hydrate? The effect of hydration on survival, symptoms and quality of dying among terminally ill cancer patients

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Chien-Yi Wu ◽  
Ping-Jen Chen ◽  
Tzu-Lin Ho ◽  
Wen-Yuan Lin ◽  
Shao-Yi Cheng
Keyword(s):  
Cancer Patients ◽  
Proportional Hazards Model ◽  
Clinical Symptoms ◽  
Terminally Ill ◽  
Good Death ◽  
Artificial Nutrition ◽  
Symptom Improvement ◽  
Terminally Ill Cancer Patients ◽  
Quality Of Dying

Abstract Background Artificial nutrition and hydration do not prolong survival or improve clinical symptoms of terminally ill cancer patients. Nonetheless, little is known about the effect of artificial hydration (AH) alone on patients’ survival, symptoms or quality of dying. This study explored the relationship between AH and survival, symptoms and quality of dying among terminally ill cancer patients. Methods A pilot prospective, observational study was conducted in the palliative care units of three tertiary hospitals in Taiwan between October 2016 and December 2017. A total of 100 patients were included and classified into the hydration and non-hydration group using 400 mL of fluid per day as the cut-off point. The quality of dying was measured by the Good Death Scale (GDS). Multivariate analyses using Cox’s proportional hazards model were used to assess the survival status of patients, the Wilcoxon rank-sum test for within-group analyses and the Mann-Whitney U test for between-groups analyses to evaluate changes in symptoms between day 0 and 7 in both groups. Logistic regression analysis was used to assess the predictors of a good death. Results There were no differences in survival (p = 0.337) or symptom improvement between the hydration and non-hydration group, however, patients with AH had higher GDS scores. Conclusions AH did not prolong survival nor significantly improve dehydration symptoms of terminally ill cancer patients but it may influence the quality of dying. Communication with patients and their families on the effect of AH may help them better prepared for the end-of-life experience.

Priorities of a “good death” according to cancer patients, their family caregivers, physicians, and the general population: a nationwide survey

2018 ◽  
Vol 26 (10) ◽  
pp. 3479-3488 ◽  
Author(s):  
Young Ho Yun ◽  
Kyoung-Nam Kim ◽  
Jin-Ah Sim ◽  
EunKyo Kang ◽  
Jihye Lee ◽  
...  
Keyword(s):  
General Population ◽  
Cancer Patients ◽  
Family Caregivers ◽  
Nationwide Survey ◽  
Good Death

Preferences around the disclosure of dying: A vision from Portuguese society

2019 ◽  
Vol 18 (1) ◽  
pp. 63-68
Author(s):  
Ana Patrícia Hilário
Keyword(s):  
Palliative Care ◽  
Participant Observation ◽  
Good Death ◽  
Social Embeddedness ◽  
Ethnographic Approach ◽  
The Social ◽  
Cultural Preference ◽  
Palliative Care Units ◽  
Awareness Of Dying ◽  
Depth Interviews

AbstractObjectiveThis paper aims to explore the extent to which the “revivalist” discourse of a good death, which promotes an awareness of dying shapes the lived realities of palliative care patients and their families in Portugal.MethodAn ethnographic approach was developed. Participant observation was carried out in 2 palliative care units, and this was complemented by in-depth interviews. Ten terminally ill patients, 20 family members, and 20 palliative care professionals were interviewed.ResultsThe “revivalist” good death script might not be suitable for all dying people, as they might not want an open awareness of dying and, thereby, the acknowledgment of imminent potential death. This might be related to cultural factors and personal circumstances. The “social embeddedness narrative” offers an alternative to the “revivalist” good death script.Significance of resultsThe “revivalist” discourse, which calls for an open awareness of dying, is not a cultural preference in a palliative care context in Portugal, as it is not in accord with its familial nature.

Are cancer patients living alone more or less likely to achieve a good death? Two cross‐sectional surveys of bereaved families

2021 ◽  
Author(s):  
Naoko Igarashi ◽  
Maho Aoyama ◽  
Kento Masukawa ◽  
Tatsuya Morita ◽  
Yoshiyuki Kizawa ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Living Alone ◽  
Good Death ◽  
Cross Sectional

Opinions of Cancer Patients, Their Relatives, and Nurses on Good Death

2021 ◽  
pp. 003022282110534
Author(s):  
Dilan Özyalçın Özcan ◽  
Banu Çevik
Keyword(s):  
Cancer Patients ◽  
Significant Relationship ◽  
Avoidance Behavior ◽  
Fear Of Death ◽  
Good Death ◽  
Moderate Correlation ◽  
Scale Total Score ◽  
Attitude Toward Death

The study sample consists of participants as the patient, patient relatives, and nurse. In our study, a significant relationship was found between the ages of patients, and fear of death, avoidance of death, accepting approach, non-acceptance, and the DAP-R scale total score. A positive moderate correlation was found between the fear of death and death avoidance among my nurses who participated in the study. The nurse, the patient, and patient relatives had a good perception of death and had a higher attitude toward death. Additionally, that found to nurses’ fear of death and death avoidance behavior are higher than patients and their relatives.

Evaluation of palliative care for a good death: perception of caregivers of cancer patients

2020 ◽  
Vol 30 ◽  
Author(s):  
Luiza Paixão de Oliveira ◽  
Cláudio Henrique Rebello Gomes ◽  
Lívia Caroline Cambuí Santos ◽  
Érica Romina Andrade Xavier ◽  
Lorenna Jéssyka Silveira Neres ◽  
...  
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Good Death

The importance of good death components among cancer patients, the general population, oncologists, and oncology nurses in Japan: patients prefer “fighting against cancer”

2014 ◽  
Vol 23 (1) ◽  
pp. 103-110 ◽  
Author(s):  
Mitsunori Miyashita ◽  
Sachiko Kawakami ◽  
Daiki Kato ◽  
Hideomi Yamashita ◽  
Hiroshi Igaki ◽  
...  
Keyword(s):  
General Population ◽  
Cancer Patients ◽  
Oncology Nurses ◽  
Good Death

Existential Crisis and the Awareness of Dying: The Role of Meaning and Spirituality

2010 ◽  
Vol 61 (1) ◽  
pp. 53-69 ◽  
Author(s):  
William Yang ◽  
Ton Staps ◽  
Ellen Hijmans
Keyword(s):  
Cancer Patients ◽  
Healthcare Workers ◽  
Meaning Of Life ◽  
Existential Crisis ◽  
Life Itself ◽  
Awareness Of Dying

An existential crisis may occur in cancer patients when they realize that their death may be imminent. We explore the ways in which patients deal with this crisis, in which the meaning of life itself is at stake. In dealing with an existential crisis, it is important to have the courage to confront the loss of meaning and security. Then, a new sense of meaning may emerge which is essentially a receptive experience of connectedness with an ego-transcending reality, such as mankind, nature, or God. This reduces existential fear and despair and leads to acceptance of “life-as-it-is,” including its finitude. The article concludes with implications for healthcare workers.

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