Atención a la familia

Preferences of Caregivers and Patients Regarding Opioid Analgesic Use in Terminal Care

“…These findings suggest that terminal patients are often kept in ignorance of their condition and prognosis, regardless of their wishes. This so‐called “conspiracy of silence” may be attributable to an overprotective attitude or the fear of negative consequences, with sociodemographic, cultural, communication, and emotional factors playing important roles [29–31]. However, the benefits obtained by terminal patients from knowledge of their condition are well documented, including an end to uncertainty, a greater possibility of making their own decisions, and the chance to put their affairs in order, communicate openly, and take their leave of loved ones [29].…”

“…Specific proposals arising from this study include the following: The degree to which patients and caregivers wish to know their health status should be evaluated, talking carefully with them to determine their fears, feelings, and preferences. This requires a relationship of communication and trust and the avoidance of misunderstandings [7–9,30,31,33,55,56]. Accurate and reliable information should be given on opioid treatment (regardless of their knowledge of the prognosis), detecting and refuting any false beliefs or misunderstandings that may affect adherence to the treatment, its effectiveness, and patient safety [7,34]. Terminal patients should be encouraged to participate in decision making, preserving some feeling of control over their own lives and ensuring that the patients' own values are taken into account, given that physicians can hold inaccurate views of their patients' preferences [5–7,9,34,53,55–59]. …”

“…The degree to which patients and caregivers wish to know their health status should be evaluated, talking carefully with them to determine their fears, feelings, and preferences. This requires a relationship of communication and trust and the avoidance of misunderstandings [7–9,30,31,33,55,56].…”

Multifactorial Study on the Impact of Educational Level, Employment Status, and the Need for Extraordinary Care on the Economic Impact of Cancer Patients

“…Cancer is the second leading cause of death in the world [1], the first cause of death in men and the second in women [2,3]. The disease poses a major challenge to society as a whole due to its high incidence, mortality, and prevalence [4][5][6][7].…”