8535g86工 Table 1/ CASES Duration of Home Hospice (chief caretaker 二 mother, father, sister 0548 fe, parents, 2 daughters, 2 sisters husband, son, daughter 3456789 Uterus FFMM wife, daughter wife, 2 daughters, sons-in-law, granddaughter vife, son, daughter, mother, 3 sisters 23456 daughter, grandson, granddaughte 79 Uterus on, daughter-in-law, daughter, housekeeper MMM rife, daughter, 2 grandsons Prostate ife, daughter and son-in law, son and daughter-in-lay Abbreviations: M= male, F= female Nine patients were male and seven female. the current medical care needed and how it The average age was 60.8 years(range: 20-86 could be provic ed at home years).The primary cancer sites were the nursing care of the dying(for the family only) gastrointestinal tract in four, liver in two, pan introduction to similar cases and books con creas in two, lung in two, ovary in one, uterus in home hospice care two, breast in one, prostate in one, and bone in ng phase, death eaucation was was 106.1 days(range: 20-425 days)(Table 1). given to the family members who were involved Death Education family to take care of the patient without medi- Death education in home hospice care involved cal staff involvement. The following points were truth-telling", providing the patient and family discussed with information regarding the disease, such as things to note while caring for the patient iagnosis and the fact that the disease was incur- ocess able, and the life expectancy. Death education was how to confirm the patient's death carried out at least four times in each case: during the introductory phase, the stable phase, the d ing phase, and the bereavement phase During the introductory phase, the education Death education after death was given to was provided to both patient and family. The sig the following e grief. The education included family to man nificance of their final time together at home was explained. Education covered the following areas: support for the family in preparing for the the differences in medical treatment at the hospital and in home care home visits by the doctor and nurse to care the current medical care needed and how it for the body with the fa uld be provided at home final explanation of the course of the disease including autopsy results In the stable phase, education was also given a conversation with the family to both patient and family. The goals here were to provide support for an acceptance of death Evaluation of Death Education to live with hope until death. The following To assess the effect of death education, precise docu- points were discussed mentation was used, including recorded conversa the state of the disease ons between patient, family members, and medical the estimated time of death, with any expla- staff. a record of the death conference, in which the nation necessary family discussed their memories, was also made Reproduced with permission of the copyright owner. Further reproduction prohibited without permissionReproduced with permission of the copyright owner. Further reproduction prohibited without permission