Exploring the Concept of Good Death among the Terminally Ill Patients

Abstract

Transition in disease epidemiology has led to a significant increase in non-communicable diseases worldwide. This had led to an increase in patients with a terminal illness that requires quality EOL care. Providing excellent care for a dying patient is something all patients deserve. Recent studies have suggested that good death is the primary endpoint of end-of-life (EOL) care. The aim of the study was to assess the concept of good death amongst terminally ill patients. A descriptive research design was adopted for the study. The study was conducted in a hospice in Chennai. A total of 120 terminally ill patients were selected purposively. An open-ended question was used to assess the concept of good death. Frequency and percentage for each of the responses were calculated. Three-fourth (75%) of the patients considered 'death without pain' as a good death. Following this, death during sleep (21.66%), death in the presence of a loved one (17.5%) completion of responsibilities (10%), death without suffering (9.16%), sudden death (5%) and death while being independent (4.16%) were termed as a good death. Quality EOL care is synonymous with holistic compassionate EOL care. Study findings conclude that nurses may be utilised in a more formalised and systematic way to deal with the psychosocial existential issues during EOL care and thus enhancing good death in patients.