End-of-life care strives to honor terminally ill patients' preferences regarding the way of dying. Scholars defined one domain quality dying and death as at place one's choice. Despite efforts over more than two decades 40 studies investigate influencing factors associated with for patients cancer, there is a notable lack empirical data examining reasons why cancer choose specific setting their preferred death. An exploratory descriptive study was conducted explore death, identify selecting...

To assess the association between aggressiveness of end-of-life (EOL) care and patient demographics, disease characteristics, primary physician's specialty, hospital availability health resources at regional levels in Taiwan for a cohort 210,976 cancer decedents 2001 to 2006.This retrospective study examined administrative data. Aggressiveness EOL was by composite measure adapted from Earle et al. Scores range 0 6, with higher scores indicating more aggressive care.The mean score 2.04 (mean)...

Abstract Purpose Whether prognostic awareness benefits terminally ill cancer patients' psychological–existential well‐being and quality of life (QOL) is unclear because lack well‐controlled longitudinal studies. This study longitudinally evaluated the associations accurate acceptance with psychological distress, existential suffering, QOL while comprehensively controlling for confounders in Taiwanese last year life. Patients methods A convenience sample 325 patients was followed until death....

Background: A significant minority of bereaved caregivers experience prolonged grief. However, few longitudinal studies have examined grief, especially in an Asian context. Aim: We explored changes and factors predicting grief terminally ill Taiwanese cancer patients. Design: Observational, prospective, longitudinal. Prolonged symptoms were measured with the PG-13 at 6, 13, 18, 24 months postloss. Setting/participants: convenience sample 493 (83.3% participation rate) patients was recruited...

A prospective cohort study was conducted to explore the extent of congruence and identify determinants between preferred actual place death terminally ill cancer patients. total 180 patients were enrolled (87% response rate) 127 died during one-year period. Nearly 90% subjects die at home. One-third achieved their preference for death. The kappa value (kappa = 0.11, 95% confidence interval 0.05-0.17) indicated poor slight agreement Important included rehospitalisation receiving hospice home...

Background. Over the last 40 years, studies have shown cultural differences in attitudes toward truth telling at end-of-life. Nevertheless, argument that cancer patients from an Asian culture different preferences about information disclosure necessitate significantly modifying practices has not been validated by direct investigation patients' points of view. Methods. Six hundred seventeen dyads patient-designated family caregivers across 21 hospitals throughout Taiwan were surveyed and...

The main goal of end-of-life care is to achieve the best quality life (QOL) for patients. purpose this study was investigate impact (1) patients' awareness their prognosis, (2) extent patient-family caregiver congruence on preferences options, and (3) perceived caregiving burden family caregivers when they provide dying relative, QOL terminally ill cancer patients in Taiwan.A total 1108 dyads from 24 hospitals throughout Taiwan were one-time surveyed. Predictors identified by multiple...

Abstract Objective Few studies have investigated the impact of providing end‐of‐life care on family caregivers' depressive symptoms over time, especially until patient's death. The purpose this study was to identify course and predictors in caregivers terminally ill cancer patients they died. Methods For prospective, longitudinal 193 caregivers, data were collected using Center for Epidemiological Studies Depression Scale, Symptom Distress Medical Outcomes Study Social Support Survey,...

Abstract Objective Adequate knowledge of prognosis is a prerequisite for planning appropriate end‐of‐life (EOL) care. However, questions remain about whether the association between prognostic understanding and EOL‐care intensity reflects terminally ill cancer patients' preferences EOL This study investigated associations accurate preferences, identified correlates understanding. Methods A cross‐sectional survey 2452 patients from 23 hospitals throughout Taiwan. Results Nearly half...

The effect of caring for a dying cancer patient on caregiving burden has been explored primarily in Western-based studies with small samples or that did not follow up until the patient's death, but yet investigated Taiwan.The study's goals were (1) to identify trajectory family caregivers (FCs) terminally ill patients Taiwan, and (2) investigate determinants large sample longitudinal follow-ups, death.A prospective, study was conducted among 193 FCs. identified by generalized estimation...

Objectives: To examine associations between family surrogates’ bereavement outcomes and four previously determined quality of dying death (QODD) latent classes (high, moderate, poor-to-uncertain, worst). Design: Prospective, longitudinal, observational study. Setting: Medical ICUs at two academically affiliated medical centers in Taiwan. Patients/Participants: Three hundred nine surrogates responsible for decision-making critically ill patients high risk (Acute Physiology Chronic Health...

OBJECTIVES: Scarce research explores factors of concurrent psychologic distress (prolonged grief disorder [PGD], posttraumatic stress [PTSD], and depression). This study models surrogates’ longitudinal, heterogenous grief-related reactions multidimensional risk drawing from the integrative framework predictors for bereavement outcomes (intrapersonal, interpersonal, bereavement-related, death-circumstance factors), emphasizing clinical modifiability. DESIGN: Prospective cohort study. SETTING:...

Family caregivers in East Asian countries are known to have a strong sense of filial piety and traditional caregiving ideology. They generally presumed be protected from psychological distress arising caregiving. However, there is scant information regarding the impact on Chinese/Taiwanese families. The purpose this study was aimed at identifying those family Taiwanese terminally ill cancer patients who risk experiencing depressive following three categories predisposing factors: 1)...

Purpose Patterns of aggressive end-of-life (EOL) care have not been extensively explored in a pediatric cancer population, especially outside Western countries. The purpose this population-based study was to examine trends EOL Taiwan. Methods Retrospective cohort that used administrative data among 1,208 decedents from 2001 through 2006. Results Taiwanese patients who died 2006 received care. majority these their last month life continued receive chemotherapy (52.5%), intensive (57.0%),...

Background: Honoring patients’ treatment preferences is a key component of high-quality end-of-life care. Connecting clinical practices to requires effective communication. However, few cancer patients reported discussing end-of-life-care with their physicians. Aim: To identify correlates physician–patient discussions and investigate associations patient preferences. Design: A cross-sectional survey from April 2011 through November 2012. Setting/participants: convenience sample 2467 (89.3%...