jueves, 23 de mayo de 2013

PALLIATIVE CARE

END-OF-LIFE CARE.
The conspiracy of silence is an implicit or explicit agreement, by family, friends or professionals to alter the information given to the patient in order to conceal the diagnosis, prognosis or severity of the situation.
If the family asks us not to say anything to the ill (be participants in the conspiracy of silence):
  • We do not say anything to the patient whenever he does not make a direct question
  • Otherwise, he will be informed with care and detail required by the situation and until what the patient decides to want to listen.

I have reviewed studies in which it is said that in Spain around 50-70% of patients with cancer want to receive their diagnosis. And regarding the family between 61-73% prefer not to unveil their diagnosis to family members.
In Spain, unlike anglo / north patients, people prefer less detailed information about prognosis or other disease-related aspect. Regarding the Spanish patients´ family they wish to know all the information related to the patient.
The study says that health professionals should assess the needs of information individually and continuously over the time.
Do you think is better the patient not to know what is happening?
I believe that as health professionals we are between a rock and a hard place in this situation, because our duty is to tell the patient the truth about his process within the limits of nursing.
I also believe that everyone has the right to know what is happening. And in cases like these, which are patients who have cancer and that the prognosis is bad.
If the patient decides to know it, I think noone is who to decide for him.
 If he finds out that he certainly will die in a short time he may do things he would like to do before going to another world.
I think if a patient asked me and his family had told me not to say anything about the disease I would give a little explanation at this moment but then I would talk to the family. I would make them see that the patient is the one who is going to die and he must be the one who decides what he wants in his life.

2 comentarios:

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    Hello everyone out there, i am here to give my testimony about a herbalist called dr imoloa. i was infected with herpes simplex virus 2 in 2013, i went to many hospitals for cure but there was no solution, so i was thinking on how i can get a solution out so that my body can be okay. one day i was in the pool side browsing and thinking of where i can get a solution. i go through many website were i saw so many testimonies about dr imoloa on how he cured them. i did not believe but i decided to give him a try, i contacted him and he prepared the herpes for me which i received through DHL courier service. i took it for two weeks after then he instructed me to go for check up, after the test i was confirmed herpes negative. am so free and happy. so, if you have problem or you are infected with any disease kindly contact him on email drimolaherbalmademedicine@gmail.com. or / whatssapp --+2347081986098.
    This testimony serve as an expression of my gratitude. he also have
    herbal cure for, LUPUS DISEASE, JOINT PAIN, POLIO DISEASE, PARKINSON'S DISEASE, ALZHEIMER'S DISEASE, CYSTIC FIBROSIS, SCHIZOPHRENIA, CORNEAL ULCER, EPILEPSY, FETAL ALCOHOL SPECTRUM, LICHEN PLANUS, COLD SORE, SHINGLES, CANCER, HEPATITIS A, B. DIABETES 1/2, HIV/AIDS, CHRONIC PANCERATIC, CHLAMYDIA, ZIKA VIRUS, EMPHYSEMA, LOW SPERM COUNT, ENZYMA, COUGH, ULCER, ARTHRITIS, LEUKAEMIA, LYME DISEASE, ASTHMA, IMPOTENCE, BARENESS/INFERTILITY, WEAK ERECTION, PENIS ENLARGEMENT. AND SO ON.

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