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    Responding to desire to die statements from patients with advanced disease: recommendations for health professionals

    Access Status
    Fulltext not available
    Authors
    Hudson, P.
    Schofield, P.
    Kelly, B.
    Hudson, R.
    Street, A.
    O'Connor, M.
    Kristjanson, Linda
    Ashby, M.
    Aranda, S.
    Date
    2006
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Hudson, Peter L. and Schofield, Penelope and Kelly, Brian and Hudson, Rosalie and Street, Annette and O'Connor, Margaret and Kristjanson, Linda J. and Ashby, Michael and Aranda, Sanchia. 2006. Responding to desire to die statements from patients with advanced disease: Recommendations for health professionals. Palliative Medicine. 20 (7): pp. 703-710.
    Source Title
    Palliative Medicine
    DOI
    10.1177/0269216306071814
    ISSN
    02692163
    Faculty
    School of Nursing and Midwifery
    Faculty of Health Sciences
    Western Australian Centre for Cancer and Palliative Care (WACCP)
    School
    WA Centre for Cancer and Palliative Care (WACCPC)
    Remarks

    The link to the journal’s home page is: http://www.sagepub.com/journalsProdDesc.nav?prodId=Journal201823

    The final, definitive version of this paper has been published in Palliative Medicine, Volume 20, No. 7, October 2006, by SAGE Publications Ltd, All rights reserved. Copyright © 2006 by SAGE Publications

    URI
    http://hdl.handle.net/20.500.11937/7225
    Collection
    • Curtin Research Publications
    Abstract

    Responding to desire to die statements from patients with advanced disease: recommendations for health professionsals.It is not uncommon for patients with advanced incurable disease to express a desire to hasten their death. Health professionals may struggle to determine whether a 'desire to die' statement (DTDS) is about a request for hastened death, a sign of psychosocial distress, or merely a passing comment that is not intended to be heard literally as a death wish. Given the lack of guidelines to assist health professionals with this issue, we have prepared multidisciplinary recommendations for responding to DTDS, underpinned by key principles of therapeutic communication and a systematic review of empirical literature. Where the relevant literature was lacking, the recommendations were drafted by the authors (clinicians and/or academics from the following disciplines: nursing, medicine, psychiatry, psychology, sociology, aged care and theology), based on their expert opinion. Multiple drafts of the recommendations were circulated to the authors for refinement until consensus was reached. Strategies for advancing the evidence base for the maturation of guidelines in this area are offered.

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