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Can we talk to dying people?
Authors: Skálová Anna | Macková Marie
Year: 2015
Type of publication: ostatní - článek ve sborníku
Name of source: EAPC 2015: 14th World Congress of the European Association for Palliative Care: Book of Abstracts
Publisher name: Hayward
Place: London
Page from-to: 103-103
Titles:
Language Name Abstract Keywords
eng Can we talk to dying people? Background: About 75% of dying people in the Czech Republic are dying in hospitals. While physical ailments can be solved by medication quite easily, there is no pill to solve patient’s questions, sadness, loneliness and fear. Perhaps this is the reason why we are afraid of talking to dying people and to their next of kin. We are not able to solve this kind of pain so easily. Aims: The main aim of this study was to identify satisfaction in the end of life of patients or their family members (if there was no possibility to speak directly with the patient) about communication with attending physician . Methods: Semi-structured qualitative interviews about embarrassments in communication in the end of life were conducted with patients or next of kin from 2010 to 2012. Interviews were recorded, transcribed and analysed using framework analysis. Results: 19 participants were recruited in total. Interviews were conducted in 11 cases with patients and in 8 cases with next of kin. Statements of patients and family members were surprisingly similar. Both groups were not properly informed about on-going death. Physicians communication was usually limited to test results and current health condition. Doctors spoke only about curative therapy, they did not offer possibility of palliation. In many cases was said, physicians showed no emotional or spiritual support. In some cases was emotional or spiritual support very poor. All patients reached a verdict that doctors were short of time to communicate with them, although for all patients communication was essential to gain confidence. Discussion: About the reason why patients were not properly informed, they did not have opportunity to prepare for death and to part with family. About the reason next of kins were not properly informed about on-going death, they were not prepared for bereavement and made a complaint. Consequently, health workers are losing credibility. dying, people, communication

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