The Relationship between Some Beliefs Held by Physicians and their Life-Prolonging Decisions

1974 ◽  
Vol 5 (3) ◽  
pp. 223-232 ◽  
Author(s):  
Lesley Degner
Keyword(s):  
Terminally Ill ◽  
Great Majority ◽  
Guttman Scale ◽  
Withdrawing Treatment ◽  
Terminally Ill Patients ◽  
Withdrawal Of Treatment ◽  
The Relationship

A Guttman scale was developed to elicit physicians' tendencies in regard to life-prolonging decisions. The great majority (79.4%) of the 92 physicians in the sample favored withdrawing treatment from terminally ill patients in at least two out of three imaginary situations. A comparison of the sample's life-prolonging decisions by their beliefs in God and afterlife yielded no significant differences. Comparison of the sample's life-prolonging decisions by their beliefs about death indicated that physicians who favored withdrawal of treatment from terminally ill patients viewed death more as a negative than as a neutral or positive phenomenon.

The Impact of Loneliness on the Relationship between Depression and Pain of Hong Kong Chinese Terminally Ill Patients

2014 ◽  
Vol 17 (5) ◽  
pp. 527-532 ◽  
Author(s):  
Wallace Chi Ho Chan ◽  
Chi Wai Kwan ◽  
Iris Chi ◽  
Alice Ming Lin Chong
Keyword(s):  
Hong Kong ◽  
Terminally Ill ◽  
Hong Kong Chinese ◽  
Terminally Ill Patients ◽  
The Impact ◽  
The Relationship

Investigation of Optimal Time for Starting Betamethasone Using Fatigue Scores and Prognostic Nutritional Index in Terminally Ill Patients With Cancer-Related Fatigue

2016 ◽  
Vol 34 (5) ◽  
pp. 449-455 ◽  
Author(s):  
Nanako Koyama ◽  
Chikako Matsumura ◽  
Hiroaki Morii ◽  
Chiaki Hasegawa ◽  
Daiki Hira ◽  
...  
Keyword(s):  
Survival Time ◽  
Terminally Ill ◽  
Prognostic Nutritional Index ◽  
Optimal Time ◽  
Clinical Validity ◽  
Patients With Cancer ◽  
Terminally Ill Patients ◽  
Cancer Related Fatigue ◽  
Nutritional Index ◽  
The Relationship

Background: Corticosteroids are frequently used to treat cancer-related fatigue (CRF), but it is yet to be established as standard care, and few reports have defined the appropriate time to start treatment. Objectives: We investigated the optimal time for starting betamethasone and evaluated the clinical validity of using the prognostic nutritional index (PNI) for this purpose. Methods: Data were retrospectively collected for patients with terminal cancer receiving betamethasone for palliative care. Fatigue strength was evaluated by the daily occurrence of fatigue, using proportion of adequate fatigue, AF(%), defined as the average of the daily score for all treatment days, AF(%)all, the initial 5 days, AF(%)initi5, or the last 5 days, AF(%)last5. We examined (1) the relationship between survival time and adequate fatigue for CRF and (2) the correlation between survival time and PNI (based on serum albumin and lymphocytes). Results: Data from 24 patients were included. The AF(%)all was approximately 50% at 42 days before death and gradually decreased as the survival time shortened ( R2 =.41, P <.001). There was a clear positive correlation between AF(%)all and AF(%)initi5 ( R2 =.84, P <.001). At 42 days before death, PNI was approximately 30 and significantly correlated with the survival time ( R2 = .873, P <.001). Conclusion: The adequate fatigue appears to be dependent on survival time, and PNI might be useful for identifying patients that will benefit from betamethasone use. It is hoped that these results will contribute to individualized pharmacotherapy of terminally ill patients with CRF.

scholarly journals Hubungan Coping Style dan Anticipatory Grief pada Orangtua Anak yang Didiagnosis Kanker

Humaniora ◽  
2013 ◽  
Vol 4 (1) ◽  
pp. 241
Author(s):  
Putri Lenggo Geni ◽  
Qisthi Rahmania
Keyword(s):  
Coping Style ◽  
Coping Styles ◽  
Terminally Ill ◽  
Well Being ◽  
Stressful Events ◽  
Anticipatory Grief ◽  
Terminally Ill Patients ◽  
Study Results ◽  
The Relationship

Everyone copes with stressful events in his/her life differently. Three strategies in dealing with stress include problem-focused coping, emotion-focused coping, and religious-focused coping. Death of loved ones has been considered one of the major sources of stress in individuals and poses threat to their well being and adjustment if one’s failed to cope with the grief. Interestingly, previous studies show that families and caregivers of terminally ill patients suffered bereavement prior to the actual death, a phenomenon labeled anticipatory grief. Article presents a study with the purpose to investigate the relationship between different coping styles and anticipatory grief in parents of children diagnosed with cancer. Fifty-five parents, ranging from 20 to 60-year-old, participated in this study. Results revealed that coping style, particularly emotion-focused coping, significantly predict anticipatory grief in parents of children diagnosed with cancer. However, both problem-focused coping and religious-focused coping did not predict parental anticipatory grief in this study.  

scholarly journals 臨終關懷——放棄治療的觀念

2000 ◽  
Vol 3 (1) ◽  
pp. 141-148
Author(s):  
Xianwu MEN
Keyword(s):  
Quality Of Life ◽  
Medical Treatment ◽  
Medical Practice ◽  
Terminally Ill ◽  
Withdrawing Treatment ◽  
Terminally Ill Patients ◽  
Real Issue ◽  
Digital Commons ◽  
Difficult Issue

LANGUAGE NOTE | Document text in Chinese; abstract also in English.當治療有一定效果，卻終止了治療，這種行為對疾病、對病人能夠產生實質性作用，這時才會顯示“放棄治療”的存在意義。如果治療本身存在與否對疾病、對病人並無影響，那麼這種“放棄治療”就是毫無意義的。在臨終關懷中放棄治療的問題是個複雜的問題。當病人處於不可逆轉的臨終狀態時，一般概念下的“治療”對其已毫無意義。所以作者認為，在臨終關懷中不是什麼“放棄治療”的問題，而是應該放棄“治療”這個概念，用“關懷”（care）取代“治療”、“治癒”（cure）的問題。在臨將關懷這門學科中，充分意識到對臨終病人進行治療的無意義性，可以使我們不必徒勞無益地為臨終病人進行所謂“治療”，不必為強調治療而侵犯臨終病人的尊嚴與人格；可以使我們從生命質量論和公益論的角度認識摒棄“治療”的意義，從而有利於臨終關懷學、醫學倫理學和生命倫理學的發展。Medical treatment is rarely useless in an absolute sense. It is often beneficial and harmful to an extent. This is why withdrawing treatment is a difficult issue. If treatment is entirely futile, then there would not be a painful debate regarding weather treatment should be stopped. This paper explores the complicated issues of withdrawing treatment in the care of terminally ill patients.This paper argues for a shift of concept regarding terminally ill patients. For terminally ill patients, 'cure' or 'medical treatment' in its general medical sense is actually no longer possible in medical practice. Therefore, the real issue involved here is not whether we should give up treatment. It is rather whether we should give up the concept of cure. This paper contends that, for terminally ill patients, since the concept of cure traditionally used is not meaningful to the patients, it should be replaced by the concept of care. In caring the terminally ill patients, the quality of life and the interest of public should be taken into account. We should not violate the patient's dignity or hurt the patient's character by offering aggressove.DOWNLOAD HISTORY | This article has been downloaded 26 times in Digital Commons before migrating into this platform.

Terminally Ill Patients and Desire for Death

1986 ◽  
Author(s):  
J. H. Brown ◽  
P. Henteleff ◽  
S. Barakat ◽  
C. J. Rowe
Keyword(s):  
Terminally Ill ◽  
Terminally Ill Patients ◽  
Desire For Death
Sign in / Sign up

Export Citation Format

Share Document