end of life and life after death - issues to be addressed

el final de la vida y la vida después de la muerte - cuestiones a abordar

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ID: 143609
2012
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Abstract
Being an Oncologist, I have seen many patients suffering from cancer. It pains a lot looking at them fighting the battle of life, though knowing that they would lose miserably and surrender meekly as majority of the patients report to the hospital at an advanced stage of disease and only palliative care may be the option. There is an urgent need to create - Cancer Awareness in the villages and also about the end of life care in all terminally ill patients. 20 patients in the terminal phase were questioned regarding end of life care. The common questions they asked are, why has God punished me like this? Why me on earth? Should I die so early? Why should I leave my near and dear ones and go far away, from the point of no return? Do I ever see them again? With deep sorrow and sigh, they suffer till the last breath, having the feeling of insecurity as what would happen to their dear ones. In the terminal phase, the patients wishes must be respected and their needs must be fulfilled. The health care professionals should plan an appropriate care for each patient. Most of them feel that the best place to be in end of life is the home. Research has shown that Hospice care may improve the quality of life of a patient who is dying and of the patient′s family. Communication about end of life care and decision making during the final moments of a person′s life are very important. The patients suffering are mainly due to the physical, psychological, social and spiritual issues. Death of a terminally ill patient should never be a sudden loss. All healthcare professionals, Social workers and Non-Governmental Organisations must install the life after death of the person, who has struggled for every breath and assure that he/she shall rest in peace and shall smile seeing their near and dear ones living with dignity and pride in the society. Ultimately, the patient must have dignity in dying.
Como oncólogo, he atendido a numerosos pacientes que padecen cáncer. Causa un profundo pesar verlos librar la batalla por la vida, aun a sabiendas de que perderán irremediablemente y sucumbirán con resignación, dado que la mayoría de ellos acude al hospital en estadios avanzados de la enfermedad y los cuidados paliativos constituyen la única opción. Existe una necesidad urgente de concienciar sobre el cáncer en las comunidades rurales, así como respecto a los cuidados al final de la vida en todos los pacientes con enfermedades terminales. Se entrevistó a 20 pacientes en fase terminal acerca de los cuidados en la etapa final de la vida. Las preguntas que formulaban con mayor frecuencia eran: ¿por qué me ha castigado Dios de esta manera?, ¿por qué a mí en este mundo?, ¿debo morir tan pronto?, ¿por qué debo dejar a mis seres queridos y marcharme lejos, hacia un punto de no retorno?, ¿volveré a verlos alguna vez? Con profundo pesar y congoja, sufren hasta el último aliento, embargados por la incertidumbre respecto a lo que sucederá con sus seres queridos. En la fase terminal, deben respetarse los deseos de los pacientes y satisfacerse sus necesidades. Los profesionales de la salud deben planificar una atención adecuada para cada paciente. La mayoría de ellos considera que el mejor lugar para el final de la vida es el hogar. Las investigaciones han demostrado que los cuidados de hospicio pueden mejorar la calidad de vida del paciente agonizante y de su familia. La comunicación sobre los cuidados al final de la vida y la toma de decisiones durante los últimos momentos de la existencia de una persona son de suma importancia. El sufrimiento de los pacientes obedece principalmente a factores físicos, psicológicos, sociales y espirituales. El fallecimiento de un paciente en fase terminal nunca debería constituir una pérdida repentina. Todos los profesionales de la salud, trabajadores sociales y organizaciones no gubernamentales deben velar por la trascendencia tras la muerte de aquella persona que ha luchado por cada aliento, y asegurar que descanse en paz con la certeza de ver a sus seres queridos vivir con dignidad y orgullo en la sociedad. En última instancia, el paciente debe gozar de dignidad en el morir.
Reference Key
sridhar2012indianend Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Poojar Sridhar;Pramod Kallur Parameshwar Renuka;Ravikiran Bonanthaya
Journal Öneri
Year 2012
DOI
10.4103/0973-1075.105695
URL
http://www.jpalliativecare.com/article.asp?issn=0973-1075;year=2012;volume=18;issue=3;spage=226;epage=229;aulast=Sridhar
Keywords
Cancer Education environment quality of life perception depression india psychological adolescents research primary care rural social pain management bereavement palliative care sexual activity challenges nurses chronic pain old age speech intelligibility perspectives ostomy social determinants hospice home-based palliative care supportive care nerve blocks benzydamine hydrochloride cancer-related fatigue nasalance physical

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