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The question of terminal prognosis disclosure represents a controversial problem and is largely determined by the philosophy of healthcare: Western medical philosophy favors open disclosure, while in Eastern medicine physicians would rather concealing information on terminal diagnosis from a patient or reveal it only partially…
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Download file to see previous pages Pery and Wein (2008) advocating the full disclosure of terminal diagnosis indicate that "good death" occurs when the subjective (patient) and the objective (society, family) appear to blend seamlessly - before, during, and afterward (p.400). Simultaneously, Chochinov et al (2000) concludes that what patients are told, how they are told t and the manner in which they are able to integrate and cope with such information remains an important issue for clinicians attending to patients facing imminent death (p.505). Finally, Field and Copp (1999) emphasize that full disclosure approach to communication of terminal diagnosis is mandatory and results in positive outcomes for patients, their families and medical personnel. More specifically, Field and Copp (1999) indicate the following outcomes: (1) better information and communication from medical personnel, including nurses, (2) patient's participation in decisions about care, (3) psychological support from family members, (4) palliative care, (5) self-esteem, (6) autonomy and decreased anxiety, (7) preparation for death and acceptance. Because there is emerging empirical evidence on improvements of patients' quality of life occurring after terminal diagnosis is communicated to them, a need for change in practice is mandatory.
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