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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
The Korean Journal of Hospice and Palliative Care
Journal Basic Information
Journal DOI :
Korean Society for Hospice and Palliative Care
Editor in Chief :
Volume & Issues
Volume 11, Issue 4 - Dec 2008
Volume 11, Issue 3 - Sep 2008
Volume 11, Issue 2 - Jul 2008
Volume 11, Issue 1 - Mar 2008
Selecting the target year
Moral Reflexion in Hospice - Centring on Advance Medical Directive -
Hong, Young-Seon ; Lee, Dong-Ik ;
The Korean Journal of Hospice and Palliative Care, volume 11, issue 2, 2008, Pages 73~77
Comparison of Education Programs for Hospice Volunteer Workers
Huh, Jung-Sik ; Kim, Hyeon-Ju ;
The Korean Journal of Hospice and Palliative Care, volume 11, issue 2, 2008, Pages 78~81
Purpose: The end of one's life can be one of the most important times in human life. However, physicians, nurses and volunteer workers are not sufficiently trained to understand the end-life care with competence and confidence. The purpose of this study was to compare various education programs currently carried out for volunteer workers. Methods: Nine curricula of hospice and palliative cares for volunteer workers at hospital and palliative care settings. Results: The mean time duration of theory education at nine institutes was 21.56 hours (range; 14-30). The common curricula of hospice and palliative cares for volunteer workers included 'Understanding of hospice and palliative care', 'Understanding of life and death', and 'Understanding of psychologic problem of end-of-life'. The education method comprised lectures, off-line 8 institutes and on-line 1 instiutute. Conclusion: It is necessary to develop the standard curriculum as well as regularly updated education program for volunteer workers.
CD Program Development Applied Logotherapy to Improve Quality of Life of Older School-age Children with Terminal Cancer
Kang, Kyung-Ah ; Kim, Shin-Jeong ; Song, Mi-Kyung ;
The Korean Journal of Hospice and Palliative Care, volume 11, issue 2, 2008, Pages 82~90
Purpose: The purpose of this study was to develop a CD program of applied logotherapy to improve the quality of life of older school-age children with terminal cancer. Methods: Keller's ARCS (Attention, Relevance, Confidence, Satisfaction) theory and a model for developing learning materials (Dick and Cray) were applied to develop this program which comprised four distinct phases: planning, developing, applying, and evaluation stages. Results: This program was entitled 'Finding treasures in my mind' and consisted of 5 sessions, and its educational contents were made up as follows: "Treasure One" is 'learning three natures of the human mind', "Treasure Two" is 'learning creative value as first method to find meaning of life', "Treasure Three" is 'learning experiential value as second method to find meaning of life', "Treasure Four" is 'learning attitudinal value as third method to find meaning of life', and "Treasure Five" is 'Becoming the master of my life'. The sub-menu was made up of 'Beginning', 'What is it?', 'Travelling'. 'Laughing Song', and 'End'. Conclusion: This CD program is an applied logotherapy with flash animation technique as an emotional and spiritual intervention program for easier and more scientific application in pediatric oncology and hospice area.
Comparison of Effects of Perceived Stress and Coping Patterns on Depression between Cancer Patients and Healthy Adults
Hur, Hea-Kung ; Song, Hee-Young ;
The Korean Journal of Hospice and Palliative Care, volume 11, issue 2, 2008, Pages 91~98
Purpose: This study was undertaken to compare perceived stress and coping patterns, and their effects on depression between cancer patients and healthy adults. Methods: A descriptive design was used with 278 subjects, consisting of 139 cancer patients and 139 health adults, living in an urban area. All participants completed the following prerequisites; Stress Visual Analog Scale, Ways of Coping Checklist (W.C.C.L), Depression Index (CES-D), and Demography and Disease Data Questionnaire. Results: Perceived stress and depression were significantly higher, while wishful thinking was lower among cancer patients than healthy adults, after adjusting for education and family income which were not homogeneous between the groups. Among cancer patients, 20.2% of depression was mainly due to seeking support (10.7%), perceived stress and education, while 30.7% of depression in healthy adults was due to perceived stress, problem solving, and seeking support. Conclusion: These findings suggest that interventions to manage depression in cancer patients should include strategies to best foster positive coping patterns and reduce perceived stress.
Clinical Change of Terminally Ill Cancer Patients at the End-of-life Time
Koh, Su-Jin ; Lee, Kyung-Shik ; Hong, Yeong-Seon ; Yoo, Yang-Sook ; Park, Hyea-Ja ;
The Korean Journal of Hospice and Palliative Care, volume 11, issue 2, 2008, Pages 99~105
Purpose: In terminally ill cancer patients, accurate prediction of survival is necessary for clinical and ethical reasons, especially in helping to avoid harm, discomfort and inappropriate therapies and in planning specific care strategies. The aim of the study was to investigate prognostic factor of dying patients. Methods: We enrolled the terminal cancer patients from Kangnam St. Mary's Hospital from 2004 until their death. We observed symptoms shown in dying patients and assess 17 common symptoms shown in terminally ill cancer patients, performance status, pain and analgesic use. Results: Average period from hospitalization to death was 11.7 days. The most important prognostic factor is performance status (KPS), average KPS at enrollment is 48% and at last 48 hours is 25%. Physical symptoms that have significant prognostic importance are poor oral intake, weakness, constipation, decreased Karnofsky performance status, bed sore, edema, jaundice, dry mouth, dyspnea. Dying patients showed markedly decreased systolic blood pressure, cyanosis, drowsiness, abnormal respiration, death rattle frequently at 48 hours before death. Conclusion: If we assess the symptoms more carefully, we can predict the more accurate prognosis. The communication about the prognostic information will influence the personal therapeutic decision and specific care planning.
Palliative Sedation for Terminal Cancer Patient
Kim, Do-Yeun ;
The Korean Journal of Hospice and Palliative Care, volume 11, issue 2, 2008, Pages 106~110
Palliative sedation has been used in patients who undergo intractable suffering at the end of life. Its implementation, however, may be complicated due to resistance of clinicians and barrier of bioethical issues. Here, we present 50-year-old man with stomach cancer and multiple bone metastasis who was treated with palliative chemotherapy and radiotherapy. He suffered from refractory pain on the whole body even after standard analgesics and multidisplinary effort to relieve. Upon shared decision for sedation, he was given midazolam until discharge. Literature reviews reveal cases similar to the present case.