Journal of Palliative Care & Medicine
Open Access

Abstract

During the year 2015 and the first quarter of 2016, more than 20 mortality events has been reported in the palliative medicine department in King Fahad Specialist Hospital Dammam in shared rooms, with the attendance of the other patients and in some occasions their relatives or companions, most of the patients who had this bad experience are palliative or oncology patients with poor prognosis as well, unfortunately this hard situation affected them negatively in a way that there was clear deterioration in their mental health and also physical health. In most of the cases the need of psychological reassessment by the psychologist and psychiatric management was mandatory, also the need for escalation of pain medications, anxiolytics and hypnotics are indicated. Other patients left the hospital against medical advice in spite of their bad general condition and need for hospitalization. Due to hospital bed crises, the palliative patients could not be accommodated in single bed rooms in most of the times, we, as palliative physicians with the assistance of the case manager, can only select the actively dying cases with the signs of approaching death to be in our limited single rooms, but it does not work in most of the times and the unexpected rapid deterioration and death is always there. The exaggerated or abnormal grief reactions of some family members added to the bad experiences the patients and consequently got to their psychological sufferings.

Biography

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