scholarly journals Analysis of Types And Costs of Drugs Used For 7 Days Before Death of Terminal Cancer Patients Hospitalized In Hospice And General Wards.

2021 ◽  
Author(s):  
Kichul Kim ◽  
Chul-Min Kim ◽  
Jeongran Ra ◽  
Yula Kim ◽  
Ahreum Park
Keyword(s):  
Cancer Patients ◽  
General Ward ◽  
University Hospital ◽  
Terminal Cancer ◽  
Dying Patients ◽  
Cost Of Drugs ◽  
General Wards ◽  
End Stage ◽  
The Cost ◽  
Hospice Palliative Care

Abstract 1) PurposeThe need for hospice palliative care continues to grow as the number of deaths from cancer increases with increasing interest in and need for the management of end stage cancer patients. We conducted this study to determine differences in quantity and cost of drugs used by end-stage cancer patients who were hospitalized in general wards or hospice wards for 7 days before death.2) MethodsAmong patients who died in the hospice ward or the general ward of a university hospital in a metropolitan city (Seoul) from January 2016 to September 2019, patients aged over 18 years with a hospital stay of 8 days or more were selected. A total of 526 patients were selected, including 290 from hospice wards and 236 from general wards.3) ResultsNumbers of PO, injections, and fluid, but not opioids, used in the hospice ward were significantly lower than those in the general ward. Cost of PO, injections, fluid, and total costs were significantly lower in the hospice ward than in the general ward. In the case of opioids, the cost was higher for the hospice ward. Total costs including all drug costs in the hospice ward were significantly lower than those in the general ward. 4) ConclusionCaring for people with terminal cancer in a hospice can lower costs and increase satisfaction for dying patients. Reducing the proportion of patients caring for terminal cancer in general wards and increasing access to hospice services can address health insurance deficits and exhaustion.

scholarly journals Discussing the Effect of Medical Team Model in the Hospice Palliative Care to Terminal Cancer Patient

2018 ◽  
Vol 2 (4) ◽  
Author(s):  
Chia Hsing Wu
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Care Program ◽  
Team Work ◽  
Terminal Cancer ◽  
Medical Team ◽  
Terminally Ill Cancer Patients ◽  
The Relationship ◽  
Hospice Palliative Care ◽  
Team Model

One of the main purposes of the hospice-palliative care program is to provide a hospice for the terminally ill cancer patients. Weisman assumed that a hospice should consist of five aspects which include Awareness of the end of life, Acceptance, Proprietary, Timing and Comfort. Therefore, the purpose of this research is to explore firstly the condition of the terminal cancer patients in the hospice. Secondly to Investigate the effect of Medical team work method and finally to compare the relationship between the hospice score and service result

scholarly journals A Terminal Patient’s Hopes for Connections Transcending Time

2012 ◽  
Vol 33 (2) ◽  
pp. 44-52 ◽  
Author(s):  
Megumi Kondo-Arita
Keyword(s):  
Cancer Patient ◽  
Cancer Patients ◽  
Life Experiences ◽  
Continuing Bonds ◽  
Terminal Cancer ◽  
Social Psychological ◽  
Terminal Patient ◽  
Dying Patients ◽  
Terminal Cancer Patients ◽  
Shed Light

Terminal cancer patients face not only issues unique to their diseases, but also issues rooted in their previous life experiences, including physical, social, psychological, and spiritual pain. This study focuses on the hopes of a terminal patient for “Continuing Bonds.” Much current research emphasizes the importance of “continuing bonds” for the health of bereaved families, but little has looked at the meaning of “continuing bonds” for dying patients themselves. I attended an elderly terminal cancer patient in a Japanese hospital, observing and conversing with her as she went through the process of examining her life and faith. The patient granted permission to record and share these observations to shed light on Japanese views of “death” and “life.” This research shows that Japanese face death not merely as personal issues, but in the broader perspective of continuing family bonds. 

Art therapy for terminal cancer patients in a hospice palliative care unit in Taiwan

2012 ◽  
Vol 10 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Ming-Hwai Lin ◽  
Shwu-Lan Moh ◽  
Yu-Cheng Kuo ◽  
Pin-Yuan Wu ◽  
Chiung-Ling Lin ◽  
...  
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Art Therapy ◽  
Palliative Care Unit ◽  
Terminal Cancer ◽  
Art Appreciation ◽  
Team Members ◽  
Hands On ◽  
Terminal Cancer Patients ◽  
Hospice Palliative Care

AbstractObjective:Even though terminal cancer patients receive help from a hospice palliative care team, they have to suffer the pressure of death with deteriorating conditions. This study aims to evaluate the effect of art therapy for these terminal cancer patients.Method:The patients involved were terminal cancer patients who were under the care of team members, which included physicians, nurses, social workers, clergy, art therapists, and volunteers in a hospice palliative care unit in Taiwan. The art therapy in our study took the form of visual fine art appreciation and hands-on painting. The effects of the art therapy were evaluated according to patients' feelings, cognitions, and behaviors.Results:There were 177 patients (105 males and 72 females; mean age: 65.4 ±15.8 years) in the study. Each patient received a mean of 2.9 ± 2.0 sessions of the art therapy and produced a mean of 1.8 ± 2.6 pieces of art. During the therapy, most patients described their feelings well, and created art works attentively. Patients expressed these feelings through image appreciation and hands-on painting, among which the landscape was the most common scene in their art. After the therapy, the mean score of patients' artistic expressions (one point to each category: perception of beauty, art appreciation, creativity, hands-on artwork, and the engagement of creating artwork regularly) was 4.0 ± 0.7, significantly higher than the score before therapy (2.2 ± 1.4, p < 0.05). During the therapy, 70% of patients felt much or very much relaxed in their emotional state and 53.1% of patients felt much or very much better physically.Significance of results:Terminal cancer patients in a hospice palliative care unit in Taiwan may benefit from art therapy through visual art appreciation and hands-on creative artwork.

scholarly journals Discussing the Effect of Medical Team Method in the Hospice Palliative Care to Terminal Cancer Patient

2018 ◽  
Vol 2 (3) ◽  
Author(s):  
Chia Hsing Wu
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Terminally Ill ◽  
Care Program ◽  
Team Work ◽  
Terminal Cancer ◽  
Medical Team ◽  
Terminally Ill Cancer Patients ◽  
The Relationship ◽  
Hospice Palliative Care

One of the main purposes of the hospice-palliative care program is to provide a hospice for the terminally ill cancer patients. Weisman assumed that a hospice should consist of five aspects which include Awareness of the end of life, Acceptance, Proprietary, Timing and Comfort. Therefore, the purpose of this research is to explore firstly the condition of the terminal cancer patients in the hospice. Secondly to Investigate the effect of Medical team work method and finally to compare the relationship between the hospice score and service result [1]. Materials Go to This study involved subjects from those from the terminally ill cancer patients who passed away in the hospice palliative care unit at medical Centre during 2012-2013. There were a total of 292 patients considered for the study. Thirty patients were excluded from the study because there was data missing from their file. The remaining 262 patients information was collected on 157males (53.8%) and 105 females (36%).

scholarly journals Factors Affecting Intention of Signing an Advanced Directives in Cancer Patients

2021 ◽  
Vol 28 (1) ◽  
pp. 121-132
Author(s):  
Eun-Ju Ha ◽  
Mee Ock Gu
Keyword(s):  
Cancer Patients ◽  
Proper Time ◽  
Family Members ◽  
Treatment Decision ◽  
University Hospital ◽  
Cancer Center ◽  
Nursing Interventions ◽  
Advanced Directives ◽  
Factors Affecting ◽  
End Stage

Purpose: The purpose of this study was to identify factors affecting intention to sign an Advanced Directives (AD) in cancer patients.Methods: A descriptive correlational study design was used. Participants were 173 adult cancer patients in outpatient and inpatient departments at the cancer center of G University Hospital located in J city. Data were collected from February 25 to August 30, 2019. Data were analyzed using x<sup>2</sup> test, independent t-test, and multivariate logistic regression with SPSS/WIN 24.0.Results: Factors influencing an intention to sign an AD in cancer patients were job status (OR 2.81, 95% CI=1.20~6.56), whether or not any acquaintances had signed an AD (OR 51.48, 95% CI=3.76~704.71), proper time to sign an AD (when diagnosed with end-stage: OR 0.28, 95% CI=0.10~0.80; when near death: OR 0.09, 95% CI=0.02~0.46; reference: when healthy), discussion with family members about signing an AD (OR 15.87, 95% CI=2.28~110.54) and attitude towards AD (OR 6.50, 95% CI=1.23~34.38).Conclusion: In order to increase the intention to sign an AD in cancer patients, the development and implementation of nursing interventions to promote a positive attitude towards AD is highly recommended. Further, encouraging discussion with family members about signing an AD is recommended, and helping cancer patients to recognize that signing an AD is appropriate at a time when it is possible to make a treatment decision rather than when the patients has been diagnosed with end stage cancer.

Death predicictive factor in terminal cancer patients

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 18627-18627
Author(s):  
S. Koh ◽  
K. Lee ◽  
Y. Hong ◽  
J. Kang ◽  
I. Woo ◽  
...  
Keyword(s):  
Prognostic Factor ◽  
Cancer Patients ◽  
Performance Status ◽  
Terminally Ill ◽  
Physical Symptoms ◽  
Terminal Cancer ◽  
Terminally Ill Cancer Patients ◽  
Dying Patients ◽  
Cold Extremity ◽  
Specific Care

18627 Background: One of the most important role of a end-of-life care is to control physical symptoms of patients and help them to face comfortable end. In terminally ill cancer patients, accurate prediction of survival is necessary for clinical and ethical reasons, especially in helping to avoid harm, discomfort and inappropriate therapies and in planning specific care strategies. The aim of the study was to investigate prognostic factor of death for the patients with terminal cancer. Methods: We enrolled 121 patients with the terminal cancer of Kangnam St. Mary’s Hospital from September 2004 until their death. We observed symptoms shown in dying patients and assess 17 common symptoms shown in terminally ill cancer patients, performance status, pain and analgesic use. The common symptoms were measured in a score of 0-none, 1-mild, 2-moderate, 3-severe or 4-severe by objective criteria. Results: Mean period from enrollment to death was 34.7days. The most important prognostic factor is performance status (KPS), average KPS at enrollment is 52.2% and at last 48hours is 29.8%. Physical symptoms that have significant prognostic importance are weakness, anorexia, dry mouth, dysphagia, dyspnea. VAS and analgesic use dose not impact on the prognosis. But cognitive impairment and delirium are the reliable prognostic factor. Especially weakness, dry mouth, poor oral intake, drowsiness, edema, dyspnea, ascites, icterua gradually worsened with significance. Dying patients showed markedly decreased blood pressure, cyanosis, cold extremity, death rattle, abnormal respiration frequently at 48hours before death. Conclusions: Terminally ill cancer patients have various prognostic factor and the most important factor is performance status. The death predictive symptoms such as markedly decreased pressure, cyanosis, cold extremity, death rattle, abnormal respiration appeared at last 48hours. If we assess the symptoms more carefully, we can predict the more accurate prognosis. The communication about the prognostic information will influence the personal therapeutic decision and specific care planning. No significant financial relationships to disclose.

Cancer: Denial or Suppression?

1979 ◽  
Vol 9 (3) ◽  
pp. 257-262 ◽  
Author(s):  
Daniel A. Dansak ◽  
Rosemarie Selgas Cordes
Keyword(s):  
Cancer Patients ◽  
Defense Mechanism ◽  
Death And Dying ◽  
Medical Personnel ◽  
Hospital Staff ◽  
Terminal Cancer ◽  
Staff Members ◽  
Dying Patients ◽  
Effective Care ◽  
Interpersonal Needs

Medical personnel often reach erroneous judgments on the reaction of cancer patients to death and dying. Patients with terminal cancer sometimes will say little or nothing to hospital staff members or other professionals about their fears or expectations. This silence is generally construed as indicative of the primitive defense mechanism of denial. Usually, however, such patients are not truly “denying” cancer and its consequences, but have merely decided, more or less voluntarily, to “suppress” these thoughts as a method of coping with their illness. The medical staff, through careful observation of cancer patients, and through discussions with patients' families, should be able to distinguish between denial and suppression. This distinction can be significant because it enables the staff to understand the patient's feelings correctly, and thereby to provide more effective care. The staff, and the patients themselves, are thus in a better position to orchestrate the patients' various physical, emotional and interpersonal needs and resources optimally.

scholarly journals P035 The Cost of Terminal Cancer Patients' ER Visits in the Last 2 weeks of Life

2016 ◽  
Vol 52 (6) ◽  
pp. e74
Author(s):  
Abid Ismail ◽  
Cynthia Wan ◽  
Kwadwo Kyeremanteng ◽  
Gianni D'Egidio
Keyword(s):  
Cancer Patients ◽  
Terminal Cancer ◽  
Terminal Cancer Patients ◽  
The Cost
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