Mary SOCI332

Order Description
Please read below forum and write a respond:

The first study that I chose shows that correlation of terminally ill patients and the wish to die. A qualitative research method combined with phenomenological and hermeneutic approaches were utilized to complete this study. Utilizing this approach give subjective open vews and refrains from judging the patients view. The interviews lasted between 30 and 90 minutes with pt meeting criteria of incurable cancer in a palliative state. Patients cognition needed to be good so interviews could be completed, physician needed to agree to their enrollment to the study and consented to participation in the study. Depression screen were given and those with severe depression were omitted from the study. 32/34 patients agreed to participate with 2 stating it was too much of a burden to speak, while 2 were excluded due to not being compatible with the criteria (Ohnsorge, Gudat, Rehmann-Sutter, 2014).

The finding show that 23/30 have had thought of wishing to die. Those who states a clear wish to live (N=5) and those who experienced feeling of acceptance (N=2) have not been included. Those who gave explanations for wishing to die due to reasons of pain, fear and isolation (Ohnsorge, Gudat, Rehmann-Sutter, 2014).

While more research is needed to grasp the context and meaning that patients feel and the reason for wishing to die family and caregivers can have an influence on the wish. This research question for this study would be “What is the main reason for wishing to die?” The finding was that for those who wish to die, understanding those wishes and reasons is the cause identified by this research. While qualitative studies are still scarce, there is growing numbers of research being completed on the topic of wishing to die (Ohnsorge, Gudat, Rehmann-Sutter, 2014) .

Reference

Ohnsorge, K., Gudat, H., & Rehmann-Sutter, C. (2014). What a wish to die can mean: Reasons, meanings and functions of wishes to die, reported from 30 qualitative case studies of terminally ill cancer patients in palliative care. BMC Palliative Care, 13, 38. doi:http://dx.doi.org/10.1186/1472-684X-13-38

The second study that I chose shows the correlation between suicide and terminally ill cancer patients. The test utilized for the participants was a structured interview to assess patents idea of suicide and the interest in euthanasia to measure the outcomes of suicide with terminal illness. The patients who participated in the study must be older than 18, aware of cancer diagnosis but illness is absent at present time. Patients would then complete questionnaires and interviews. The patient could have no mental impairment at time of interview or completion of questionnaires. Mental status according to the Mini Mental State was required to be 24 or above (Akechi, et al, 2004).

The findings were that the mean age was 54 years with the range in age from 38-89 years old. Mean of 13 was the score for the Hospital Anxiety and Depression scale. The mean years of education was 13. The mean for males was 6 while the mean for those who were married was 11. Them mean for those who mad major depression was 4, however the mean for those who had a history of major depression was 1. The mean for those with an absence of religious beliefs was 11. Financial, pain, the future of their physical condition, having to rely on others or being a burden to other and a dignity loss were all concerns with the means ranging from 4.9-2.1 (Akechi, et al, 2004).

The research question would be “is there predicting factory that change the thought of suicide?” at the beginning of the survey compared to the follow-up. The correlation to the study would be that culture does affect the attitudes of euthanasia. Between western cultures and Japanese cultures those who were from the Western culture were more likely to support euthanasia for those where are terminally ill, but more reluctant to accept suicide than those from the Japanese culture when terminally ill (Akechi, et al, 2004).

Reference

Akechi, T., Okuyama, T., Sugawara, Y., Nakano, T., Shima, Y., & Uchitomi, Y. (2004). Suicidality in terminally ill japanese patients with cancer. Cancer, 100(1), 183-191. doi:10.1002/cncr.11890