The Measures for and Benefits of Telling the Truth at the Request of Patients with Gastroenterological Cancer.

Accession number;02A0952633
Title;The Measures for and Benefits of Telling the Truth at the Request of Patients with Gastroenterological Cancer.
Author;YAMAZAKI KEIJI(Shinsenribyoin Geka)   TAKATSUKA YUICHI(Labour Welfare Corp., Kansai Rosai Hospital, JPN)   
Journal Title;Journal of Japan Surgical Association
Journal Code:Z0103A
ISSN:1345-2843
VOL.63;NO.11;PAGE.2617-2620(2002)
Figure&Table&Reference;TBL.2, REF.13
Pub. Country;Japan
Language;Japanese
Abstract;For telling the truth at the request of patients with gastroenterological cancer, we have the basic guidelines; namely, the truth telling is made at the request of the patient based on a questionnaire survey, and we talk with the patient's family to get their understanding if their requests are different each other. For that, we tried to take the following measures since the second half of 1998. 1) To post up posters explaining informed consent in the hospital. 2) To explain the benefits of truth telling to patient's family. 3) To learn the communication skills using 'How to break bad news' and 'Dealing with patients after truth telling'. 4) To offer mental support with psychooncologist's cooperation and symptom management to patients after truth telling. In consequence, proportion of the ratio of truth telling patients at their requests was increased (64.1% in 1998, 78.7% in 1999 and 85.0% in 2000). These measures are useful for truth telling at the request of the gastroenterological cancer patient. (author abst.)