

Page 74
Journal of Palliative Care & Medicine | ISSN: 2165-7386 | Volume 8
August 27-28, 2018 | Boston, USA
4
th
International Conference on
Palliative Care, Medicine and Hospice Nursing
End of life care and family issues and their concerned at palliative care at bhaktapur cancer hospital
Chadani Vaidya
and
Roshan Prajapati
Bhaktapur Cancer Hospital, Nepal
Objective:
The objective of the study was to find out the family issues and their concerns about the end of life care planning at
palliative care unit admitted the patient.
Method:
A respective study was carried out among the family members of advanced-stage cancer patients who were admitted to the
palliative care unit from 1st Jan to Dec 31st, 2017. 70 family counselling forms which include patient’s demography, final diagnosis
with stage, and patients knowledge about their own disease, present patients palliative performance status, relevant family issues from
nearest family members and planning of end of life care.
Result:
The study revealed the majority of patients were male. 70% have PPS <50%(80%) lies between 50 to 88 years with stage IV
disease (80%). Most of them CA lung 80, Ca Stomach 30, Ca breast 36 Ca gallbladder 24, Ca head and neck 24, Ca ovary 16, Ca colon
24, Ca pancreas18, sarcoma 24. 60% of family members prefer home for final hours of life and 60% want no active treatment and allow
natural death. 62% patients did not know their disease as cancer due to family barriers, 70% of the family member thought to know
their malignancy with increase their anxiety and hasten death.
Conclusion:
Majority of the patients 62% did not know their disease due to the familial barrier, 2/3 of the families had many issues
which need to be addressed financially, socially as well as emotionally, most of them want to take back to own home at last hour of
life. As there are no good facilities to take care at the periphery, home hospices are the special need for patients care and bereavements.
chadaniv@hotmail.comJ Palliat Care Med 2018, Volume 8
DOI: 10.4172/2165-7386-C3-021