Care for Dying Patients With Primary Malignant Brain Tumor : Respecting Dignity
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概要
- 論文の詳細を見る
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.
- 日本脳神経外科学会の論文
- 2005-12-15
著者
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Watanabe Kunihiko
Division of Applied Life Sciences, Graduate School of Life and Environmental Sciences, Kyoto Prefect
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Macleod Rod
Department Of General Practice (palliative Care) University Of Otago Dunedin School Of Medicine
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Watanabe Kunihiko
Division Of Applied Life Sciences Graduate School Of Life And Environmental Sciences Kyoto Prefectur
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Watanabe Kunihiko
Division Of Neurosurgery Tochigi Cancer Center:(present Address)department Of Palliative Medicine To
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