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ISSN 2007-6053 (Print)
Órgano oficial de difusión de los Hospitales Regionales de Alta Especialidad (HRAE)

2013, Number S1

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Evid Med Invest Salud 2013; 6 (S1)

Preferences for a place for the end of life of patients with cancer and palliative care at the Hospital Regional de Alta Especialidad Bajío, Mexico

Borrego GOD, Valadez SMV, Ríos RMAA, Ramírez SJY, Barajas MH

Language: Spanish
References: 21
Page: 20-26
PDF size: 337.34 Kb.


ABSTRACT

Modern medicine, despite the high technology and its power to anticipate the arrival of death, has a strong component of ignorance to decisions of the chronically ill. One of the informed decisions that the chronic patient deserves to make is on the place to end his life. The health care community acknowledges and accepts that the chronic patients die at home. Considering this as the niche where the patient receives the best quality care just when he needs it, from the affects which gave him life. This is one of the best expressions of respect for patient autonomy. This study attempts to assess compliance to the exercise of this decision in cancer patients. We evaluated records in the palliative care unit from a year of installation as a multidisciplinary team. 89 patients, low income and education, were identified with age average 50.9 ± 16.8 years with cancer in palliative care. No sex differences and predominance breast cancer, hepatopancreatobiliares and colon and rectum. Of these 26 (30%) have died in the period. 19 (73%) chose to die at home, no sex differences. The distance of home from the hospital showed no significant influence. Although there was a tendency to die at home as age progressed. Cancer is one of the main causes of death in the institutions of tertiary care. The risk of death is inherent in our human condition. The choice of home for the end of life is the best option for the exercise of autonomy by the binomial doctor – patient. Far from the economic benefits it might mean, this practice implies attention to the affections and essential human needs right when the patient demands his attention as a human.


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