THE DECISION-MAKING OF ADMISSION TO PALLIATIVE CARE UNIT IN TERMINAL CANCER PATITIENTS
| Project/Area Number |
15592306
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Clinical nursing
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| Research Institution | Shizuoka Junior College, University of shizuoka |
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Principal Investigator |
TSUKAMOTO Yasuko Shizuoka Junior College, University of shizuoka, Department of Nursing, Proffessor, 教授 (60310554)
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| Co-Investigator(Kenkyū-buntansha) |
OKU Shoko Fukuoka Prefectual University, Department of Nursing, Associate Professor, 看護学部, 助教授 (40284921)
馬場 志乃 静岡県立大学短期大学部, 助手 (20369549)
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| Project Period (FY) |
2003 – 2005
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| Project Status |
Completed (Fiscal Year 2005)
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| Budget Amount *help |
¥1,900,000 (Direct Cost: ¥1,900,000)
Fiscal Year 2005: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2004: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2003: ¥900,000 (Direct Cost: ¥900,000)
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| Keywords | terminal stage / medical treatment / palliative care / decision-making / gear change |
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| Research Abstract |
This study made apparent the process of "gear change," a transfer of a terminal cancer patient from a general ward to a palliative care unit, and its primary factors. Questionnaire survey and interview survey were conducted on subjects who were patients hospitalized in the palliative care unit. Questionnaires were collected from 28 patients, and interview surveys were performed on 18 patients.
The following are the study results.
1. The admission process to the palliative care unit included: the patient was informed of the disease name by a physician, received several treatments and struggled with the disease, suffered the side-effects of the treatments, experienced the aggravation of disease such as recurrence and metastasis, received explanations of palliative care from the physician without any notification of prognosis, was informed by the physician that there were no other treatments, sensed one's own condition of the disease, and was admitted to the unit as told to do by the physician.
2. The primary factors of "gear change," which is the process of a patient being switched from a general ward to a palliative care unit, were strong pain, recommendation from a physician, unavailability of a caregiver, patient preference of not wanting to burden family members, selection of a place for the last moments of the patient's life, refusal of treatment, unavailability of an alternative treatment, financial reasons, and experiences of family members or relatives struggling with the disease.
3. The decision of admission to the palliative care unit tended to strongly center on the family rather than the patient.
4. It can be said that the role of nurses is necessary in developing abilities in patients which would strengthen decision-making ability by the patient.
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Report
(4 results)
Research Products
(4 results)
