Indian Journal of Palliative Care
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Table of Contents 
LETTER TO EDITOR
Year : 2015  |  Volume : 21  |  Issue : 1  |  Page : 121

Preference of the place of death


1 Department of Medical Science, Medical Center, Shantou, China
2 Department of Tropical Medicine, Hainan Medical University, Hainan, China

Date of Web Publication28-Jan-2015

Correspondence Address:
SimSai Tin
Department of Medical Science, Medical Center, Shantou
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1075.150205

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How to cite this article:
Tin S, Wiwanitkit V. Preference of the place of death . Indian J Palliat Care 2015;21:121

How to cite this URL:
Tin S, Wiwanitkit V. Preference of the place of death . Indian J Palliat Care [serial online] 2015 [cited 2021 May 12];21:121. Available from: https://www.jpalliativecare.com/text.asp?2015/21/1/121/150205


Sir,

The report on "Preference of the place of death" is very interesting. [1] Kulkarni et al. noted that "majority of people surveyed by us, prefer to die at home, where they are relatively more comfortable. [1]" We would like to share our ideason this topic. According to a recent Chinese report, "home" is also the most preferred place of death. [2] Gu et al. also reported that "patients who lived in rural area, with lower education level and lived with relatives, expressed more preference to die at home. [2]"Another study from Taiwan, China, also reported that the terminally ill patients preferred to "die at home. [3]" Hence, there is no doubt that "die at home" seems to be the common preference of the terminally ill patients.  Nevertheless, "dying in a favorite place" was not much of a concernfor Chinese patients, according to the perception of their health care providers. [3] Finally, it should also be noted that information on the preferred place of death might sometimes not be available from the patient, [4] but can be available from the relatives.  Chen et al. noted that "family members knew the participant's preference for place of death [3]" was the main determinant that the patient expressed for preference to die at home. For those cases, De Roo et al. suggested using information from relatives. [5] It should be the role of the palliative care provider to seek information regarding the patient's preference and to "tailor effective interventions to help patients die at their place of preference. [6]" To manage the preference of the patient, the physician in charge has to work and collaborate with the patient-family caregiver. [7] It should be noted that not all patients' relatives agree on the preferredplace of death, [7] and this is the issue for manipulation. "Caregiving burden of family caregivers" has to be well managed, and the social welfare support should be provided if required. [8]  In fact, a report from Japan noted that support from family physician is also the main factor for terminally ill patients to prefer to die at home. [6]

 
  References Top

1.
Kulkarni P, Kulkarni P, Anavkar V, Ghooi R. Preference of the place of death among people of Pune. Indian J Palliat Care 2014;20:101-6.  Back to cited text no. 1
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2.
Gu X, Cheng W, Cheng M, Liu M, Zhang Z. The preference of place of death and its predictors among terminally ill patients with cancer and their caregivers in China. Am J Hosp Palliat Care 2014 Jul 9. [Epub ahead of print]   Back to cited text no. 2
    
3.
Chen CH, Lin YC, Liu LN, Tang ST. Determinants of preference for home death among terminally ill patients with cancer in Taiwan: A cross-sectional survey study. J Nurs Res 2014;22:37-44.  Back to cited text no. 3
    
4.
Haishan H, Hongjuan L, Tieying Z, Xuemei P. Preference of Chinese general public and healthcare providers for a good death. Nurs Ethics 2014 May 30 [Epub ahead of print].  Back to cited text no. 4
    
5.
De Roo ML, Miccinesi G, Onwuteaka-Philipsen BD, Van Den Noortgate N, Van den Block L, Bonacchi A, et al. Actual and preferred place of death of home-dwelling patients in four European countries: Making sense of quality indicators. PLoS One 2014;9:e93762.  Back to cited text no. 5
    
6.
Tang ST, Chen CC, Tang WR, Liu TW. Determinants of patient-family caregiver congruence on preferredplace of death in Taiwan. J Pain Symptom Manage 2010;40:235-45.  Back to cited text no. 6
    
7.
Fukui S, Kawagoe H, Masako S, Noriko N, Hiroko N, Toshie M. Determinants of the place of death among terminally ill cancer patients under home hospice care in Japan. Palliat Med 2003;17:445-53.  Back to cited text no. 7
    
8.
Tang ST, Liu TW, Tsai CM, Wang CH, Chang GC, Liu LN. Patient awareness of prognosis, patient-family caregiver congruence on the preferredplace of death, and caregiving burden of families contribute to the quality of life for terminally ill cancer patients in Taiwan. Psychooncology 2008;17:1202-9.  Back to cited text no. 8
    




 

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