quotes from terminally ill patients ncbinlmnihgov

Temel JS, Greer JA, Muzikansky A, Gallagher ER, Admane S, Jackson VA, Dahlin CM, Blinderman CD, Jacobsen J, Pirl WF. The benefits of a hospital-based inpatient palliative care consultation service: preliminary outcome data. O'Mahony S, Blank AE, Zallman L, Selwyn PA. Communication with patients and their families on the effect of AH may help them better prepared for the end-of-life experience.Īrtificial hydration Cancer Palliative care Quality of dying Survival. 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.ĪH did not prolong survival nor significantly improve dehydration symptoms of terminally ill cancer patients but it may influence the quality of dying. Logistic regression analysis was used to assess the predictors of a good death. 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. The quality of dying was measured by the Good Death Scale (GDS). 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. This study explored the relationship between AH and survival, symptoms and quality of dying among terminally ill cancer patients.Ī pilot prospective, observational study was conducted in the palliative care units of three tertiary hospitals in Taiwan between October 2016 and December 2017. Nonetheless, little is known about the effect of artificial hydration (AH) alone on patients' survival, symptoms or quality of dying. More research is required to investigate the types of motivations for WTD statements, also among non-cancer patients.Īetiology Cancer Desire to die Ethics Meaning Oncology Palliative care Wish to die Wish to hasten death.Artificial nutrition and hydration do not prolong survival or improve clinical symptoms of terminally ill cancer patients. Better understanding is crucial to support patients and their relatives in end-of-life care and decision making. The distinction between reasons, meanings and functions allows for a more detailed understanding of the motivation for the WTD statements of cancer patients in palliative care situations. Nine typical 'meanings' were identified in the study, including 'to let death put an end to severe suffering', 'to move on to another reality', and - more frequently- 'to spare others from the burden of oneself'. Functions describe the effects of the WTD on patients themselves or on others, conscious or unconscious, that might be part of the motivation for a WTD. Meanings are larger narratives that reflect personal values and moral understandings and cannot be reduced to reasons. Meanings describe the broader explanatory frameworks, which explain what this wish means to a patient. These reasons can be ordered along the bio-psycho-socio-spiritual model. Reasons are the factors that patients understand as causing them to have or accounting for having a WTD. Motivations can further be differentiated into (1) reasons, (2) meanings and (3) functions. This article analyses the motivations of WTD statements. THREE DIMENSIONS WERE FOUND TO BE CRUCIAL FOR UNDERSTANDING AND ANALYSING WTD STATEMENTS: intentions, motivations and social interactions. Thirty terminally ill cancer patients, their caregivers and relatives from a hospice, a palliative care ward in the oncology department of a general hospital, and an ambulatory palliative care service 116 semi-structured qualitative interviews analysed using a complementary grounded theory and interpretive phenomenological analysis approach. The objective of this study is to explore the different possible motivations and explanations of patients who express or experience a WTD. Despite research efforts over recent decades to deepen our understanding of why some terminally ill patients express a wish to die (WTD), there is broad consensus that we need more detailed knowledge about the factors that might influence such a wish.

Quotes from terminally ill patients ncbinlmnihgov