Care for Dying Patients With Primary Malignant Brain Tumor-Respecting Dignity-

• WATANABE Kunihiko

  Division of Neurosurgery, Tochigi Cancer Center

• MACLEOD Rod

  Department of General Practice (Palliative Care), University of Otago, Dunedin School of Medicine

書誌事項

タイトル別名

• —Respecting Dignity—

抄録

Patients with primary malignant brain tumor experience deterioration of multi-focal neurological deficits such as hemiparesis, aphasia, visual field defects, dysphagia, and disturbance of recent memory at the advanced stage of disease. With these advancing neurological deficits, many patients will inevitably prepare for death and may experience psychological and spiritual distress. Active listening is an important skill to explore the fears of patients with a terminal illness but in the advanced stage of a primary brain tumor, patients usually have great difficulty with verbal expression. Even if patients do not suffer from complete expressive aphasia, they often have difficulty verbalizing their thoughts and feelings. Sadly, disturbance of vocal expression is a common accompaniment of this pathology. Unless the pathophysiology is understood, an observer may fail to comprehend the patient's non-verbal communication. Seeking to understand these issues is a prerequisite of the preservation of dignity and provision of ethical care for such patients.<br>

収録刊行物

• Neurologia medico-chirurgica

  Neurologia medico-chirurgica 45 (12), 657-659, 2005

  一般社団法人 日本脳神経外科学会

キーワード

• brain tumor
• dignity
• holistic care
• palliative care
• spiritual care

詳細情報

• CRID: 1390001205049541120
• NII論文ID: 110002556738
• NII書誌ID: AN00358613
• DOI: 10.2176/nmc.45.657
• ISSN: 13498029
• ISSN: 04708105
• PubMed: 16377957
• Web Site: http://www.jstage.jst.go.jp/article/nmc/45/12/45_12_657/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2006309984
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可