A study of the significance of death conferences in the palliative care unit : through the experience of coping with the death of a liver cancer patient who died of necrotizing fasciitis resulted from bedsore
10.2512/jspm.7.568
- VernacularTitle:緩和ケア病棟でのデスカンファレンスの意義の検討─肝がん患者を褥瘡に起因する壊死性筋膜炎で亡くした経験を通して
- Author:
Koji Amano
;
Mika Baba
;
Takashi Sugiura
;
Muneyoshi Kawasaki
;
Shinichiro Nakajima
;
Hiroshi Wakayama
;
Akiko Watakabe
;
Hiromi Kunimoto
;
Miwako Uemori
- Publication Type:Journal Article
- Keywords:
palliative care;
death conference;
burn out
- From:Palliative Care Research
2012;7(2):568-574
- CountryJapan
- Language:Japanese
-
Abstract:
When patients hospitalized in a palliative care unit die, particularly when their deaths were not peaceful ones, we, as health professionals, feel distressed, senses of helplessness and defeat, and even regret. However, busy daily clinical practice usually does not allow us to express these feelings. After going through such an experience repeatedly, your self-efficacy may be reduced and you could feel burned out. In this study, through the experience of coping with the death of a liver cancer patient who died of necrotizing fasciitis resulted from bedsore, a death conference was organized for us, health professionals who had been directly concerned with the patient, to discuss questions, conflicts, and dilemmas that arose when we provided care and express feelings that had been repressed. And other participants in the conference, who had not been directly concerned with the patient, gave their affirmative views. The conferences served to: (1) promote mutual understanding, trustful relationships, and teamwork among us, (2) increase our awareness of palliative care, and (3) allow us to cope with stress and prevent us from feeling burned out. These effects are considered to help implement improved health care. In the former part of the conference remarks were divided into three categories, (1) regret, (2) questions, conflicts, and dilemmas, and (3) senses of helplessness and defeat, and in the latter part affirmative views were mainly stated.
