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Accession number;02A0298027
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| Title;Expressions of Awareness and Anxiety about Death in Children with Cancer at the End of Life. |
| Author;
FUJII YUJI
(Hamamatsu Univ. Sch. of Med.)
WATANABE CHIEKO
(Hamamatsu Univ. Sch. of Med.)
OKADA SHUICHI
(Hamamatsu Univ. Sch. of Med.)
YAMADA SAYURI
(Hamamatsu Univ. Sch. of Med.)
HONGO TERUAKI
(Hamamatsu Univ. Sch. of Med.)
OZEKI TAKEHIKO
(Hamamatsu Univ. Sch. of Med.)
INOUE NORIKO
(Kyoritsukikukawasogobyoin Shonika)
YAJIMA SHUHEI
(Kenseibuhamamatsuiryose Shonika)
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Journal Title;Journal of the Japan Pediatric Society
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Journal Code:F0896A
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ISSN:0001-6543
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VOL.106;NO.3;PAGE.394-400(2002)
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| Figure&Table&Reference;TBL.3, REF.18 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Some children with cancer are aware of the poor prognosis of their own illness and are anxious about their own death. In Japan, however, one knows little about the conditions in which these children express these fears and the frequency of these episodes. In the six-year period between 1994 and 1999, 24 children less than 18 years of age were treated for cancer and died at Hamamatsu University Hospital.We retrospectively analyzed the circumstances and symptoms at the end of life by reviewing their medical records. Eight children (33.3%) including a five-year-old girl, verbally expressed anxiety about their own death. The frequency of these verbal expressions was not significantly related to the following factors: number of patients who received truth-telling; attendance at the final-stage conference; length of treatment; circumstances of the child's terminal care; age; cause and place of death; and presence of dyspnea and pain. We recommend that the parents and medical staff of children with terminal cancer be knowledgeable about how to communicate with the dying child, both verbally and nonverbally, to be able to relieve the anxiety of the child. (author abst.) |
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