Citation: | HUANG Bochuan. Is Dying of Cancer the Best Way to Die?[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(6): 1480-1484. DOI: 10.12290/xhyxzz.2024-0129 |
The former editor-in-chief of the British Medical Journal once claimed that "dying of cancer is the best death". As a physician, the author harbors reservations concerning the unqualified acceptance of the stated perspective. Drawing upon personal experience with the death of family members from cancer, the author asserts that a good way of death should meet the following criteria: (1) minimal physical pain during the end-of-life phase; (2) presentiments of death from both the patient and their family along with minimal psychological suffering; (3) no unfulfilled desires; (4) the opportunity to bid farewell to family in advance; (5) prior arrangement of posthumous affairs. Suffering from cancer may merely serve as an opportunity to fulfill some of these conditions, but if the needs and wishes of terminally ill patients can be inquired about in advance and efforts are made to meet and realize them, even without the occurrence of cancer, terminally ill patients can depart with dignity in the manner they desire.
[1] |
Ho A H Y, Leung P P Y, Tse D M W, et al. Dignity amidst liminality: healing within suffering among Chinese terminal cancer patients[J]. Death Stud, 2013, 37(10): 953-970. DOI: 10.1080/07481187.2012.703078
|
[2] |
Baile W F, Buckman R, Lenzi R, et al. SPIKES-a six-step protocol for delivering bad news: application to the patient with cancer[J]. Oncologist, 2000, 5(4): 302-311. DOI: 10.1634/theoncologist.5-4-302
|
[3] |
罗春梅, 罗羽, 徐霞, 等. 六步癌症告知模型的应用研究进展[J]. 中华护理杂志, 2019, 54(1): 114-118.
Luo C M, Luo Y, Xu X, et al. Training and application of Six-Step Protocol model for cancer information disclosure: a review[J]. Chin J Nurs, 2019, 54(1): 114-118.
|
[4] |
Chen W Q, Zheng R S, Baade P D, et al. Cancer statistics in China, 2015[J]. CA Cancer J Clin, 2016, 66(2): 115-132. DOI: 10.3322/caac.21338
|
[5] |
Vrinten C, Wardle J. Is cancer a good way to die? A population-based survey among middle-aged and older adults in the United Kingdom[J]. Eur J Cancer, 2016, 56: 172-178. DOI: 10.1016/j.ejca.2015.12.018
|
[6] |
田雪, 刘晓芹, 孙宏伟. 居家养老和机构养老的老年人孤独感和死亡态度对比[J]. 中国老年学杂志, 2017, 37(3): 733-734. DOI: 10.3969/j.issn.1005-9202.2017.03.093
Tian X, Liu X Q, Sun H W. Comparison of loneliness and attitudes towards death among elderly people aged at home and in institutions[J]. Chin J Gerontol, 2017, 37(3): 733-734. DOI: 10.3969/j.issn.1005-9202.2017.03.093
|
[7] |
Puchalski C, Ferrell B, Virani R, et al. Improving the quality of spiritual care as a dimension of palliative care: the report of the Consensus Conference[J]. J Palliat Med, 2009, 12(10): 885-904. DOI: 10.1089/jpm.2009.0142
|
[8] |
Balboni T A, Vanderwerker L C, Block S D, et al. Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life[J]. J Clin Oncol, 2007, 25(5): 555-560. DOI: 10.1200/JCO.2006.07.9046
|
[9] |
孙燕. 从临床肿瘤学的视角看缓和医疗[J]. 协和医学杂志, 2024, 15(1): 3-6. DOI: 10.12290/xhyxzz.2023-0521
Sun Y. Palliative care: from the perspective of clinical oncology[J]. Med J PUMCH, 2024, 15(1): 3-6. DOI: 10.12290/xhyxzz.2023-0521
|
[10] |
华长军, 彭军, 祝灵, 等. 晚期恶性肿瘤患者临终关怀期望以及对死亡态度研究[J]. 肿瘤预防与治疗, 2018, 31(5): 336-339. DOI: 10.3969/j.issn.1674-0904.2018.05.006
Hua C J, Peng J, Zhu L, et al. Investigation of hospice care and death cognition in patients with advanced malignant tumors[J]. J Cancer Control Treat, 2018, 31(5): 336-339. DOI: 10.3969/j.issn.1674-0904.2018.05.006
|
[11] |
郑家萍, 孙伟, 蒋中陶, 等. 癌症临终患者家属死亡态度调查与分析[J]. 中国医学伦理学, 2014, 27(6): 820-822.
Zheng J P, Sun W, Jiang Z T, et al. Investigation and analysis of attitudes toward death in family members of patients with terminal cancer[J]. Chin Med Ethics, 2014, 27(6): 820-822.
|
[12] |
国家儿童医学中心儿科护理联盟《危重症儿童临终关怀专家共识》制作组. 中国危重症儿童临终关怀专家共识(2022版)[J]. 中国小儿急救医学, 2022, 29(8): 600-605.
The Expert Development Consensus Group from the Committee of Pediatric Nursing of National Children's Medical Center. Expert consensus on hospice care for critically ill children in China (2022 edition)[J]. Chin Pediatr Emerg Med, 2022, 29(8): 600-605.
|
[13] |
罗峪平, 倪晓红, 王博, 等. 生前预嘱推广: 实践与建议[J]. 医学与哲学, 2020, 41(22): 1-7.
Luo Y P, Ni X H, Wang B, et al. Promotion of living will: practice and suggestions[J]. Med Philos, 2020, 41(22): 1-7.
|
[1] | DAI Xiaoyan, YAN Jing, WANG Youpei, NING Xiaohong. Changes in the Death Status of End-of-life Patients After Concept Promotion and Practice of Palliative Care[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(1): 84-88. DOI: 10.12290/xhyxzz.2023-0648 |
[2] | YU Shiying. Controversies About Palliative Care[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(1): 37-41. DOI: 10.12290/xhyxzz.2023-0537 |
[3] | ZHANG Di, BI Kejia, XU Shiting. Ethical Issues in Palliative Care[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(1): 24-31. DOI: 10.12290/xhyxzz.2023-0578 |
[4] | Krakauer Eric L.. How to Respond Responsibly to Suffering of Others? Rethinking Palliative Care for China[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(1): 7-11. DOI: 10.12290/xhyxzz.2023-0613 |
[5] | SUN Yan. Palliative Care: From the Perspective of Clinical Oncology[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(1): 3-6. DOI: 10.12290/xhyxzz.2023-0521 |
[6] | LANG Jinghe. Palliative Care: Understanding and Responsibility[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(1): 1-2. DOI: 10.12290/xhyxzz.2023-0469 |
[7] | ZHANG Di, NING Xiaohong. Ethical Arguments for Withdrawing Life-sustaining Medical Intervention[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(5): 1116-1122. DOI: 10.12290/xhyxzz.2022-0332 |
[8] | XIE Jing, LI Shu, ZHU Ling, ZHANG Shuyang. Autonomy of Patients and Informed Consent in Clinical Practice[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(1): 147-151. DOI: 10.12290/xhyxzz.2021-0007 |
[9] | LI Ji, YOU Wen, LIU Shuang, RUAN Ge-chong, XU Tian-ming, ZHANG Run-feng, ZHANG Xin-qing, QIAN Jia-ming. Clarify and Resolve Ethical Issues in the Teaching of Clinical Practice Based on the Four-topics Theory——An Example of Patients' Refusal to the Practice of Medical Students[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(2): 282-286. DOI: 10.12290/xhyxzz.20200135 |
[10] | XIE Jing, WU Dong, ZHANG Shu-yang. Public Health Ethics and Clinical Practice in the Context of Response to the Outbreak of an Infectious Disease[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(1): 141-145. DOI: 10.12290/xhyxzz.20200249 |