- 著者
-
武藤 輝一
- 出版者
- 一般社団法人 日本農村医学会
- 雑誌
- 日本農村医学会雑誌 (ISSN:04682513)
- 巻号頁・発行日
- vol.44, no.6, pp.777-783, 1996-03-30 (Released:2011-08-11)
- 参考文献数
- 9
Truth telling to the cancer patients (TTCP) is a part of informed consent (IC). The name of IC was firstly used in a judgement of the Court of Appeal of California in 1957 and then in Helsinki Declare of the 18th Congress of World Medical Association. The core of IC is “self-determination” in every medical treatment including diagnosis and therapy. Self-determination should be respected to the utmost in TTCP.The rate of TTCP is more than 90% in USA and northern countries of Europe, but slightly higher than 20% in Japan. However, Dr. M. Sasago who is a surgeon of National Cancer Center Hospital in Tokyo has reported the high rater of TTCP (97.1%).In attitude of doctors, devices of manner in TTCP such as a stepwise truth telling are necessary in order to prevent or reduce shock of cancer patients following TTCP. In attitude of cancér patients, they are recommended to have usually their own views of life and thanatopsis or religions to be able to receive TTCP without perturbation.Patient's prepardness confronting to cancer and considerable support of doctor, nurse and family are necessary following TTCP.In conclusion, it is stressed that doctors have to endeavor to tell the truth to the cancer patients considering thinkings of patients and families as possible they can.