4/17/2023 0 Comments Hasten deathMore than 64% of the patients were from different regions. We analysed a cross-sectional study of 201 patients with advanced illness from all over Spain admitted for palliative care in two different hospitals in Navarra between January 2018 and November 2018. The aim of this study is to identify the predictive factors for WTD and HDI in a Spanish population. There has been no research on why some patients with WTD present with HDI, while others do not. 6 8 12 Moreover, as WTD does not always include HDI, it could be hypothesised that HDI is associated with specific factors. 10Īlthough WTD should be understood within the sociocultural context of the individual experiencing it, 11 there has been little research on the topic in Spain. 10 A superficial understanding of the phenomenon risks medicalising the situation rather than developing appropriate goals of care or taking preventive measures. Health professionals often shy away from exploring and discussing WTD with patients. Research has associated the experience of WTD with different factors, 4 namely physical (ie, pain, dyspnoea, tiredness), 2 3 psychoemotional (ie, depression, anxiety), 2 6–9 existential spiritual (ie, existential suffering, perceived loss of dignity) 2 8 and social (ie, feeling that one is a burden). 2 Thus, this study follows a recent terminological analysis of the issue, referring to the global phenomenon that includes both sporadic or persistent experiences of WTD and explicitly noting when patients expressed HDI, both as real plans and as passing thoughts. 5 However, it is common knowledge that all WTD experiences do not include hastening death intention (HDI), although these are embedded in WTD. ![]() 1 4 A terminological consensus process concluded that the phenomenon should be called ‘wish to hasten death’. ![]() The scientific literature has described different experiences of WTD, 4 referring to them with varying terminologies such as ‘desire to die’ or ‘wish to hasten death’, with no differentiation or consideration of the term’s nuances. 1–3 Between 11% and 55% of patients have sporadic WTD, 1–3 while 3%–20% have more persistent thoughts. The wish to die (WTD) is common in patients with advanced illness.
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