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I As there is growing regard to the question of whether or not to inform a patient of the diagnosis of cancer, we composed a questionnaire relating to this current issue. II The results of the questio...nnaire are reported here in. A At present the number of hospital directly informing their patients of cancer still remains small. B There seems to be a strained relationship after divulging the illness, between the medical staff and the patient in the institutions where informing the patients is common practice. C Member of the nursing staff tende to evade patient questions concerning the illness, either by leaving the doctor to make all explanation or by changing the subject. D The number of patients who were grateful to have been told the true nature of their illness was actually greater than that number expected by the nurse participating in this study. E In the event that they should become patients with cancer, the number of nurses stating that they would rather be totally informed, was greater in the hospitals currently informing their patients of their actual conditions. Even among nurses stating that they had experienced difficulty in dealing with cancer patients, the number of preferring was still greater in hospitals currently informing their patients of cancer. III In general, it seems that most nurses don't have any personal experience with death and dying until they join to the institutional staff. Because they are not prepared for the reality of death, they are perplexed and become emotionally unable to satisfy the patient, and therefore a gap between the ill person and the staff arises. IV As the practice of "Informed concent" becomes a routine part of hospital protocol, the number of institutions opting to inform patients of their illness, will increase. Before divulging the full scope of diagnosis, the following points must be taken into consideration: A Personality of the patient in question. B Emotional state/Emotinal strength of patient. C Patient's circumstance (surroundings). D Patient's physical state. E Specific type of illness. F Specific requests made by immediate family. Only after taking these factors into deep consideration can we attempt to decide WHEN, WHERE, WHO, with and HOW, to discuss the exact nature of the patients illness. V The philosophy concerning Life and Death is quite different from country tocountry, and therefore the Japanese concepts for such matters must be applied here.show more
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