Table 2/"TRUTH TELLING"IN HOME HOSPICE CARE Incurable State Remaining Days Who? Y/N Time Who? Time Who? exceptional N B 67890 YYYYYY BBBA AAAAAAAA mDDDDD 12 N ABABBBBBABB B NYYNN YYYNYYYYYNNYYNN Dr N: no Y: yes B: before initiation of home hospice care D: daughter H: husband W: wife Table 3/ PATIENTS ATTITUDE TOWARDS DEATH death","I shall be in the same gra Living Actively shall meet my family again"were considered Judgement In Days Remaining For The Future indicative of belief in an afterlife The efficacy of death education was evaluated 14 8 based on how the final care was performed, and Exceptional case whether or not the patients or families consented to an autopsy. Assessment of final care included review of persons who attended the death whether or not a doctor was present, and other "Truth-telling"was analyzed based on three conditions. Regarding the autopsy, who consented points: disease diagnosis, its incurable state, and to the autopsy and stage of illness were analyzed the predicted life expectancy. In one case, this nalysis was not performed because the patient RESULTS was mentally handicapped The results of death education were judged Truth-telling for each case by studying the process of death Ten patients were told the name of their illness, acceptance in the patient and family during cancer, before home hospice care began Five pa home hospice care, and by analyzing how the tients( Patients 2, 5, 12, 15, and 16)were not in- death was accepted. Whether or not the de- formed Of the 10 patients who were informed ceased accepted his/her death was judged ac- seven were told by the doctor in charge and the cording to two criteria remaining three were told by a family member (Table 2). Eleven patients were told that their con- how the patient had spent his/her last days dition was incurable. Eight of these were told be whether or not the deceased believed in an fore initiation of home hospice care, four by the the three cases told after the initiation of home hos The first was assessed based on the way the pice care, two were told by a doctor and one by a patient had arranged social matters, if they had family member. In 10 cases, the time remaining to made arrangements for a funeral service or them was discussed with the patients. Except in grave, and if they had expressed gratitude to the one case, this information was provided by the bereaved.Whether or not the deceased believed author after the initiation of home hospice care in and dreamed of an afterlife was judged by There were many problems associated with what he/ she said before death. For example, " I Patient 2. The patient was a 36-year old man shall always be with my family even after my with stomach cancer. He was not correctly in Reproduced with permission of the copyright owner. Further reproduction prohibited without permissionReproduced with permission of the copyright owner. Further reproduction prohibited without permission