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.

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.

scholarly journals PERCEPTION OF CANCER PATIENTS ON CHEMOTHERAPY SIDE EFFECTS

2021 ◽  
Vol 10 (1) ◽  
pp. 71-76
Author(s):  
Rani Lisa Indra ◽  
Bayu Saputra
Keyword(s):  
Weight Loss ◽  
Side Effects ◽  
Cancer Patients ◽  
Descriptive Study ◽  
Fear Of Death ◽  
Validity And Reliability ◽  
Physical Problems ◽  
Chemotherapy Side Effects ◽  
Skin Discoloration ◽  
Loss Of Appetite

Chemotherapy causes various side effects that can affect the patient's physical or non-physical condition. Patients' perceptions or ratings of these side effects vary. This study aimed to identify cancer patients' perceptions of the side effects of chemotherapy they are undergoing. The descriptive study was conducted on 84 samples, namely cancer patients aged 20 years who had undergone chemotherapy at least once before. Data collection using a questionnaire that has been tested for validity and reliability. Data analysis was carried out descriptively with frequency distribution. The results showed that the perception of the physical side effects of chemotherapy that was considered very disturbing by the patient (severe symptoms) was nausea (59.5%), feeling of weakness (36.9%), hair loss (35.7%), vomiting. (29.8%), loss of appetite (28.6%). %), weight loss (27.4%), insomnia and skin discoloration (19% each), headache (16.7%) and fever (15.5%). When the perception of non-physical side effects was fear of death, affecting work/household duties and feeling fear (15.5% each), feeling anxious about my life, and the presence of family members I have to take care (14.3% each). The most disturbing side effects of chemotherapy are physical problems. The health service is expected to increase interventions to minimize the side effects of chemotherapy. 

Personal Constructs, Threat and Attitudes toward Death

1975 ◽  
Vol 5 (4) ◽  
pp. 299-310 ◽  
Author(s):  
Seth R. Krieger ◽  
Franz R. Epting ◽  
Larry M. Leitner
Keyword(s):  
Significant Relationship ◽  
Self Report ◽  
Fear Of Death ◽  
Personal Construct ◽  
Personal Constructs ◽  
Attitudes Toward Death ◽  
Assessment Techniques ◽  
Threat Index ◽  
Relationship Of ◽  
The Relationship

The present study introduced a personal construct approach to the assessment of threat of death. Two experiments were reported in which the relationship of this measure, referred to as the Threat Index, to a number of self-report variables, the Lester Fear of Death Scale, and the Templer Death Anxiety Scale was investigated. A total of 112 college students participated in the experiments which demonstrated a significant relationship between the Threat Index, self-reported fear of death, conceivability of personal mortality, and the Lester Scale. No significant relationship was found between the Threat Index and belief in afterlife, frequency of thoughts about death or suicide, or the Templer Scale. The possible advantages of the Threat Index procedure were discussed in terms of its relationship with the other measures of death concern, the various self-report variables, and previous criticisms of death concern assessment techniques.

Good Death: Responsible Choice in a Changing Society

1976 ◽  
Vol 10 (1) ◽  
pp. 3-6 ◽  
Author(s):  
A. L. Saclier
Keyword(s):  
Mental Distress ◽  
Medical Knowledge ◽  
Fear Of Death ◽  
Good Death ◽  
Social Demand ◽  
Whole Person ◽  
Changing Society

Revolutionary advances in social and medical knowledge and technology have radically changed the conditions which precede death for an increasing number of people. The fear of death is being replaced by the dread of too-prolonged life, a feature of which is a widely documented incidence of both pain and physical and mental distress. This situation has produced the accelerating social demand for euthanasia (a painless inducement of death, preferably by medical means) to be legally available to a suffering person earnestly desiring it. The attitudes of medical workers are ambivalent, trapped as they are between a changing society and intransigent law. Psychiatry, however, and its concern for the whole person, is potentially an ally of those who desire to educate the community to a healthier view of death, even a planned death, as a part of life and a responsible conclusion to it.

scholarly journals Depression and Fatigue of Breast Cancer Patients Receiving Chemotherapy during the Covid-19

2021 ◽  
Vol 3 (3) ◽  
pp. 297-304
Author(s):  
Dwi Retnaningsih ◽  
Roudhotul Auliyak ◽  
Mariyati Mariyati ◽  
Enggar Nurnaningsih
Keyword(s):  
Breast Cancer ◽  
Data Analysis ◽  
Cancer Patients ◽  
Depression Scale ◽  
Fear Of Death ◽  
Anxiety And Depression ◽  
P Value ◽  
Breast Cancer Patients ◽  
Increased Risk ◽  
The Relationship

Depression in breast cancer patients includes mental shock, inability to accept reality, hopelessness, fear of death, and fear of the future. Depression creates long periods of sadness and worry, usually accompanied by feelings of worthlessness. Fatigue is a symptom that often appears in cancer patients undergoing chemotherapy. Associated with the conditions of the COVID-19 pandemic, cancer patients have an increased risk of transmitting COVID-19 because they have decreased endurance. This study aims to determine the relationship between depression and fatigue in breast cancer patients undergoing chemotherapy at Hospital Sultan Agung Semarang Indonesia. The instruments used in this study were questionnaire of the hospitals anxiety and Depression Scale (HADS) and questionnaire of fatigue, 30 female respondents who suffer from breast cancer and have undergone chemotherapy. Rank Spearman data analysis. P value = 0.000 and correlation coefficient value r = 0.671. There is a relationship between depression and fatigue in breast cancer patients undergoing chemotherapy which has an impact on adherence to chemotherapy for breast cancer patients. The higher the level of depression is, the more severe the level of fatigue in cancer patients.

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

scholarly journals Penghematan Biaya Perawatan Pasien Kanker Terminal Dewasa melalui Konsultasi Tim Paliatif di Rumah Sakit Dr. Cipto Mangunkusumo

2017 ◽  
Vol 4 (1) ◽  
pp. 35 ◽  
Author(s):  
Rudi Putranto ◽  
Laksono Trisnantoro ◽  
Yos Hendra
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Significant Relationship ◽  
End Of Life Care ◽  
Terminal Cancer ◽  
Life Care ◽  
Palliative Care Consultation ◽  
Terminal Cancer Patients ◽  
Care Consultation ◽  
The Relationship

Pendahaluan. Meningkatnya penderita kanker terminal di Indonesia akan meningkatkan kebutuhan perawatan paliatif dan akhir kehidupan (palliative and end of life care). Pelayanan kesehatan pada pasien kanker membebani rumah sakit, karena menyebabkan biaya tinggi dan lama rawat memanjang. Penelitian ini bertujuan untuk mengevaluasi hubungan lama rawat inap dan tarif pelayanan rawat inap pasien kanker terminal dewasa dengan intervensi paliatif di Rumah Sakit dr. Cipto Mangunkusumo (RSCM).Metode. Penelitian ini adalah deskriptif analitik dengan desain kasus kontrol dan dilakukan di ruang rawat inap RSCM Jakarta selama bulan Januari–Desember 2015. Subjek adalah pasien kanker terminal dewasa di rawat inap kelas III pada tahun Januari-Desember 2015 dengan penjamin Badan Penyelenggara Jaminan Sosial (BPJS). Data diperoleh dari data rekam medis dan billing dan dianalisis menggunakan uji Mann-Whitney.Hasil. Diketahui bahwa terdapat hubungan yang signifikan antara intervensi paliatif dengan pengeluaran pasien sesuai tarif RS (p=0,041), sedangkan tidak terdapat hubungan signifikan antara intervensi paliatif dengan lama hari rawat (p=0,873). Terdapat hubungan bermakna antara intervensi paliatif dan tarif pengeluaran kamar, visite, tindakan dan obat dan intervensi paliatif.Simpulan. Terdapat hubungan yang signifikan antara intervensi paliatif dengan pengeluaran pasien sesuai tarif RS. Terdapat hubungan bermakna antara intervensi paliatif dan tarif pengeluaran kamar, visite, tindakan dan obat dan intervensi paliatif.Kata Kunci: intervensi, lama rawat, perawatan paliatif, tarif Cost of Care Saving of Terminal Cancer Adult Patient Using Palliative Care Consultation in Cipto Mangunkusumo HospitalIntroduction. Terminal cancer patients was increasing in Indonesia, and need attention to approach palliative and end of life care. Terminal cancer management was burden the hospital, because it causes high costly and the length of stay This study aimed to get a general picture of service palliative at Cipto Mangunkusumo, then to evaluate the relationship hospitalization and rates of inpatient services people with terminal cancer adults who received the intervention palliative care and to evaluate the relationship variable rates for accommodation (room), doctor visit, procedure/surgery, medicines and consumables, laboratory and radiology to palliative interventions in patients with terminal cancer in inpatient Dr. Cipto Mangunkusumo Hospital. Methods. This research was descriptive study with case control design and performed in the inpatient unit, Dr Cipto Mangunkusumo Hospital, during the month of January to December 2015. The subjects were medical records and billing of terminal cancer patients were .hospitalized adults in class III in January - December 2015 with National Health Insurance (BPJS). Inclusion criteria are terminal cancer patients, beusia ≥ 18 years, received palliative care consultation team while exclusion criteria are patients receiving palliative consultation on treatment days ≥ 25 days.Results. It is known that there is a significant relationship between palliative interventions to patients with hospital rates (p= 0.041), whereas there was no significant relationship between palliative interventions by the length of stay (p = 0.873). There is a significant relationship between palliative interventions and expenditures room rates, visite, action and medicine and palliative interventions.Conclusions. There is a significant relationship between palliative interventions with hospital rates. There is a significant relationship between palliative interventions and expenditures room rates, visite, action and medicine and palliative interventions. These data showed that palliative care intervention was saving money for hospital. 

Fear of death among young breast cancer patients during adjuvant endocrine therapy

2020 ◽  
Vol 138 ◽  
pp. S122
Author(s):  
P. Luz ◽  
A.Nobre Carvalho ◽  
A. Oliveira ◽  
M. Menezes ◽  
R. Dinis ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Endocrine Therapy ◽  
Adjuvant Endocrine Therapy ◽  
Fear Of Death ◽  
Breast Cancer Patients ◽  
Young Breast Cancer

Wisdom as the Mediator in the Relationships Between Meaning in Life and Attitude Toward Death

2019 ◽  
pp. 003022281983777 ◽  
Author(s):  
Paweł Brudek ◽  
Marcin Sekowski
Keyword(s):  
Meaning In Life ◽  
Three Dimensional ◽  
Personal Meaning ◽  
Fear Of Death ◽  
Late Adulthood ◽  
Mediating Role ◽  
Attitude Toward Death

The goal of the presented research was to investigate if wisdom plays a mediating role in the relationships between meaning in life and the attitude toward death in the period of middle and late adulthood. A study was carried out that included 567 persons aged 40 to 75 years. Three measures were used: Personal Meaning Profile, Three-Dimensional Wisdom Scale, and Death Attitude Profile-Revised. The conducted analyses allowed the authors to confirm the mediating role of wisdom in the relationships between meaning in life and fear of death as well as death avoidance in persons during the period of middle and late adulthood.

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