Case ที่ 1 เด็กชาย 12 ปี CML
v Primary caregiver?
v Perception to Dz.. The boy ?..family?
v Concept death and dying?...aware very theory
v Truth telling/ bad news? He is dying.. how to tell
v Confidentiality in this room?
v Information.. enough?
v Family expectation/needs/coping strategy
v Still high hope ..how to approach
v Projection/ uncertainty in family
v 3rd opinion…not accepted
v Doctors-nurse-patients relationship
v What’s palliation mean to you?
v Glivac? From
v Decision maker…น้ามีอิทธิพลสูง
v The boy himself…confusing…
certainty ..insecurity …
v Advance care plan/goal
setting?...ongoing chemo therapy
Case ที่ 2 เด็กชาย 13 ปี มะเร็งกระดูก Osteosarcoma
- Pain/other distress symptoms
- Total palliation care…parents well accepted
- Death issue for him.. how?...fear?
- Living with comfortably at home
- Social support in this family?
- Well accepted.. real or?
- Palliation care is the critical care
- The boy does not know exactly about his prognosis
ดังภาพ
Kesanee..updated MAy 7, 2010..10:36 pm
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