Estimating Life Expectancy from Chinese Medicine Could Improve End-of-Life Care in Terminally Ill Cancer Patients

Ya Lan Shih, Yu Ching Hsu, Wei-Hsin Chiu, Co Shi Chantal Chao

Research output: Contribution to journalArticle

Abstract

Preparing for a good death is an important and meaningful concept in Chinese culture because people hope to know residual life to make effort for their unfinished business. However, the family of terminally ill patients with cancer may be annoyed and frustrated about unexpected bereavement if they have unresolved conflicts with the loved one, missing a chance for declaring love, untimely apologizing and saying goodbye. The study aimed to explore this difficult issue. The medical records of 121 deceased terminally ill patients with cancer at National Cheng Kung University Hospital between December 2010 and February 2012 were reviewed. The signs and awareness of dying among these patients were collected using palliative routine instruments in the hospice ward. The top 3 most prevalent dying signs were coolness and cyanosis (prevalence 98.3%, median period from the first documented dying sign to death 2 days, P =.028), mirror-like tongue (prevalence 94.2%, median period 5 days, P =.007), and earlobe crease (prevalence 93.4%, median period 4 days, P =.052). In addition, the prevalence of dying awareness was 71.1% (median period 4 days, P =.001). Furthermore, terminal agitation was identified more frequently in terminally ill patients with hepatoma and colon cancer (adjusted odds ratio = 3.240, P =.043), but turbid sclera with edema was noted more often in terminally ill patients with head and neck cancer (adjusted odds ratio = 5.698, P =.042). The results provide evidence to support clinical practice, offering knowledge and techniques to health care providers, and increasing quality of life for terminally ill patients with cancer.

Original languageEnglish
Pages (from-to)247-252
Number of pages6
JournalHolistic Nursing Practice
Volume32
Issue number5
DOIs
Publication statusPublished - 2018 Sep 1

Fingerprint

Terminally Ill
Terminal Care
Life Expectancy
Medicine
Neoplasms
Hope
Odds Ratio
Bereavement
Cyanosis
Sclera
Hospices
Love
Head and Neck Neoplasms
Tongue
Health Personnel
Colonic Neoplasms
Medical Records
Hepatocellular Carcinoma
Edema
Quality of Life

All Science Journal Classification (ASJC) codes

  • Complementary and alternative medicine
  • Advanced and Specialised Nursing

Cite this

@article{16047cf36be64270af25d368dc30389a,
title = "Estimating Life Expectancy from Chinese Medicine Could Improve End-of-Life Care in Terminally Ill Cancer Patients",
abstract = "Preparing for a good death is an important and meaningful concept in Chinese culture because people hope to know residual life to make effort for their unfinished business. However, the family of terminally ill patients with cancer may be annoyed and frustrated about unexpected bereavement if they have unresolved conflicts with the loved one, missing a chance for declaring love, untimely apologizing and saying goodbye. The study aimed to explore this difficult issue. The medical records of 121 deceased terminally ill patients with cancer at National Cheng Kung University Hospital between December 2010 and February 2012 were reviewed. The signs and awareness of dying among these patients were collected using palliative routine instruments in the hospice ward. The top 3 most prevalent dying signs were coolness and cyanosis (prevalence 98.3{\%}, median period from the first documented dying sign to death 2 days, P =.028), mirror-like tongue (prevalence 94.2{\%}, median period 5 days, P =.007), and earlobe crease (prevalence 93.4{\%}, median period 4 days, P =.052). In addition, the prevalence of dying awareness was 71.1{\%} (median period 4 days, P =.001). Furthermore, terminal agitation was identified more frequently in terminally ill patients with hepatoma and colon cancer (adjusted odds ratio = 3.240, P =.043), but turbid sclera with edema was noted more often in terminally ill patients with head and neck cancer (adjusted odds ratio = 5.698, P =.042). The results provide evidence to support clinical practice, offering knowledge and techniques to health care providers, and increasing quality of life for terminally ill patients with cancer.",
author = "Shih, {Ya Lan} and Hsu, {Yu Ching} and Wei-Hsin Chiu and Chao, {Co Shi Chantal}",
year = "2018",
month = "9",
day = "1",
doi = "10.1097/HNP.0000000000000285",
language = "English",
volume = "32",
pages = "247--252",
journal = "Holistic Nursing Practice",
issn = "0887-9311",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

Estimating Life Expectancy from Chinese Medicine Could Improve End-of-Life Care in Terminally Ill Cancer Patients. / Shih, Ya Lan; Hsu, Yu Ching; Chiu, Wei-Hsin; Chao, Co Shi Chantal.

In: Holistic Nursing Practice, Vol. 32, No. 5, 01.09.2018, p. 247-252.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Estimating Life Expectancy from Chinese Medicine Could Improve End-of-Life Care in Terminally Ill Cancer Patients

AU - Shih, Ya Lan

AU - Hsu, Yu Ching

AU - Chiu, Wei-Hsin

AU - Chao, Co Shi Chantal

PY - 2018/9/1

Y1 - 2018/9/1

N2 - Preparing for a good death is an important and meaningful concept in Chinese culture because people hope to know residual life to make effort for their unfinished business. However, the family of terminally ill patients with cancer may be annoyed and frustrated about unexpected bereavement if they have unresolved conflicts with the loved one, missing a chance for declaring love, untimely apologizing and saying goodbye. The study aimed to explore this difficult issue. The medical records of 121 deceased terminally ill patients with cancer at National Cheng Kung University Hospital between December 2010 and February 2012 were reviewed. The signs and awareness of dying among these patients were collected using palliative routine instruments in the hospice ward. The top 3 most prevalent dying signs were coolness and cyanosis (prevalence 98.3%, median period from the first documented dying sign to death 2 days, P =.028), mirror-like tongue (prevalence 94.2%, median period 5 days, P =.007), and earlobe crease (prevalence 93.4%, median period 4 days, P =.052). In addition, the prevalence of dying awareness was 71.1% (median period 4 days, P =.001). Furthermore, terminal agitation was identified more frequently in terminally ill patients with hepatoma and colon cancer (adjusted odds ratio = 3.240, P =.043), but turbid sclera with edema was noted more often in terminally ill patients with head and neck cancer (adjusted odds ratio = 5.698, P =.042). The results provide evidence to support clinical practice, offering knowledge and techniques to health care providers, and increasing quality of life for terminally ill patients with cancer.

AB - Preparing for a good death is an important and meaningful concept in Chinese culture because people hope to know residual life to make effort for their unfinished business. However, the family of terminally ill patients with cancer may be annoyed and frustrated about unexpected bereavement if they have unresolved conflicts with the loved one, missing a chance for declaring love, untimely apologizing and saying goodbye. The study aimed to explore this difficult issue. The medical records of 121 deceased terminally ill patients with cancer at National Cheng Kung University Hospital between December 2010 and February 2012 were reviewed. The signs and awareness of dying among these patients were collected using palliative routine instruments in the hospice ward. The top 3 most prevalent dying signs were coolness and cyanosis (prevalence 98.3%, median period from the first documented dying sign to death 2 days, P =.028), mirror-like tongue (prevalence 94.2%, median period 5 days, P =.007), and earlobe crease (prevalence 93.4%, median period 4 days, P =.052). In addition, the prevalence of dying awareness was 71.1% (median period 4 days, P =.001). Furthermore, terminal agitation was identified more frequently in terminally ill patients with hepatoma and colon cancer (adjusted odds ratio = 3.240, P =.043), but turbid sclera with edema was noted more often in terminally ill patients with head and neck cancer (adjusted odds ratio = 5.698, P =.042). The results provide evidence to support clinical practice, offering knowledge and techniques to health care providers, and increasing quality of life for terminally ill patients with cancer.

UR - http://www.scopus.com/inward/record.url?scp=85052636892&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85052636892&partnerID=8YFLogxK

U2 - 10.1097/HNP.0000000000000285

DO - 10.1097/HNP.0000000000000285

M3 - Article

C2 - 30113958

AN - SCOPUS:85052636892

VL - 32

SP - 247

EP - 252

JO - Holistic Nursing Practice

JF - Holistic Nursing Practice

SN - 0887-9311

IS - 5

ER -