Abstract:
This paper discusses difficulties faced by the terminally ill
cancer patient and the case for psychological help. The
hospice movement that started 40 years ago has made great
strides in assisting people achieve the so-called "good" death.
Communication between patients, clinicians and family
members is still cause for concern. Issues such as denial,
discussing bad news and distancing strategies by health
professionals are reviewed. The dying patient is described and
illustrated by a case example, together with how delirium and
pain can be managed. Finally, some recent evidence, about
increasing acceptance of physician-assisted suicide, is
discussed.
