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If you had a family member with terminal cancer in your family, would you choose to stick with it or give up?
Some time ago, a reader sent a private message expressing the dilemma she is now encountering:
Five years ago, my mother had an ovarian cancer test and had radical ovarian cancer resection. But in the next few years, there were two relapses, a total of 15 chemotherapy treatments, and the recent examination found that it recurred again.
The doctor suggested that we could try the method of radiation therapy, but what kind of effect it would have, we could not pack a ticket, and it may only barely survive.
Over the years, all the family's savings had been spent to treat my mother's illness, and my father and I were in debt. The younger brother was very angry, and was admitted to a book this year, but in order to earn money to treat his mother's illness, he decided to give up college and go to Guangdong with his uncle to find a job.
Although I knew that I should not have thought of it this way, I asked myself if I had done my best and our lives had been forced to a dead end.
I want to ask, if the mother agrees not to be treated again, should I respect her choice?
If it were you, how would you choose?
< h1 class = "pgc-h-arrow-right" >, whether the cancer is advanced and whether treatment is still necessary</h1>
For cancer patients and their families, the most afraid of hearing the word "advanced", in most people's cognition, "advanced cancer" is equivalent to being sentenced to death.
Because the cancer is advanced, it may mean that the cancer cells have spread and metastasized, and even if the treatment continues, it will only survive, the family will have to spend more money, and the patient will suffer more pain...
Realistically, whether it is still necessary to treat advanced cancer depends on 3 aspects:
The first aspect is whether there is money or not.
Poverty not only limits our imagination, it can also limit our lives.
Wealthy cancer patients have a better choice of hospitals, more specialized doctors and more advanced treatments, and have a better chance of survival.
As for poor cancer patients, even if the expected treatment effect is very good, they may have to give up in the face of astronomical medical expenses, let alone terminal cancer.
The second aspect is whether it can be cured.
Some advanced cancers, even if they are invested more, may return to the sky.
But there are also some advanced cancers that still have the possibility of cure, such as lymphoma, testicular cancer and so on. Moreover, the current medical level is gradually improving, and new drugs are constantly being developed.
Such as common breast cancer, lung cancer and other high-incidence cancers, even in advanced stages, as long as comprehensive treatment may achieve long-term tumor survival.
The third aspect is the patient's attitude towards death.
Different people have different attitudes towards death: some patients will see openly, have a more calm mentality, do not want to be tortured by treatment again, and will choose to give up treatment, calmly walk through the last days of life, and leave with dignity.
Some patients believe that life cannot be repeated, only once again, as long as there is still a glimmer of hope, they must try to live.
They will go around seeking medical treatments, trying various treatments, and although they may eventually extend their lives, they will also be exhausted.
<h1 class="pgc-h-arrow-right" >2. What does the patient experience before dying? </h1>
Life has a beginning and nature has an end, and every day people are born and people die.
If patients with advanced cancer can leave peacefully, it is undoubtedly a happy ending.
The reality, however, is that in the final days, most cancer patients will be overtreated or undertreated, even to the last moment of departure, and will not be relieved.
Dying does not refer to a brief few minutes or hours before death.
The patient's end-of-life period can generally be as short as 24 hours, but it can also be as long as 10-14 days.
The patient will have a series of signs before dying, if the family can find out in time, they can help the patient as much as possible, alleviate the pain, and let him calmly and quietly walk to the end.
Before the patient's death, there are usually 4 major signs:
1. Fever
Systemic fever is abnormal, but there are many causes of fever: for example, functional fever, bacterial or viral infections.
2. Pain
A common sign of pain before dying is pain, especially in patients with advanced cancer.
Tumors infiltrate and destroy normal cellular tissues, thereby compressing adjacent nerve roots, obstructing the return of blood, infiltrating the bone and periosteum, causing severe pain in the patient.
3. Dying throat ringing
Before the patient dies, the throat will make a throat sound, as if he wants to speak but cannot speak.
This is because the physical strength gradually fails, the secretions accumulate in the larynx or trachea, can not be removed, the air flow through the secretions during breathing, the vocal cords vibrate, and the throat sounds.
4. Fluid accumulation in the cavity
For malignant tumors such as lung cancer, breast cancer, ovarian cancer and malignant lymphoma, the important complication is intraluminal fluid effusion.
Mainly occurs in the chest and abdomen, peritoneal cavity, pericardial cavity and other parts, a large amount of fluid in the cavity will compress the lungs, reduce the volume of the lungs, resulting in dyspnea and lung infection.
<h1 class= "pgc-h-arrow-right" >3, what should we do when our family members are seriously ill and want to give up treatment? </h1>
When the patient reaches the advanced stage of cancer, a series of surgical treatments are ineffective, and the body is unable to further treat, and can only barely survive.
If the family wants to give up treatment, is it a sign of filial piety or no humanitarianism?
In fact, the traditional concepts in our country have a deep impact, most people lack death education, and many people are not willing to give up treatment when their families cannot be treated.
On the one hand, they are afraid of being accused of immorality, and on the other hand, they are also afraid of death.
Therefore, we must promote and adhere to the end-of-life care for patients.
The so-called hospice care refers to the medical care that alleviates the symptoms of the patient's disease, delays the development of the disease, and ensures the quality of life of the patient as much as possible in the weeks or even months before the patient's death.
It is important to understand that hospice care is not about giving up treatment, and giving up treatment is not filial piety.
The purpose of hospice care is to alleviate the physical and mental suffering of patients who have no sense of continuing treatment, so that they can have a quality of life and leave with dignity for the rest of their lives.
At the same time, hospice care is also conducive to allowing families to adapt to the fact that their relatives have left as soon as possible, reducing the pain and pressure caused by the death of their relatives.
It takes courage to live, and it takes courage to face death calmly.
Death is the end of everyone, for patients with terminal cancer who have lost their therapeutic significance, we should perhaps have a calm attitude and let them live with dignity and dignity in the last days of their lives.
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