Planning end of life for Tuberculosis paitents

Abstract

          This study aims to study the use of assessment forms for end of life plan of tuberculosis patients and
their understanding of palliative care. The study was conducted during 26 March 2019 - 2 March 2020. The sample consisted of 28 TB patients. The research instrument was the end of life plan assessment Conducted by Bangduan Hospital, Samutprakan. The data were analyzed by content analysis distribution,
frequency, percentage and average.

          The result shown that among 28 study subjects who were diagnosed with tuberculosis, 20 males (71.43%), 8 females (28.57%), with an average age of 55.32 years (SD =18.09). From the question in
the assessment, it was found that most of the sample were less happy (92.90%).The most important thing
in a patient’s life is the family (60.70%) and do not want them suffer (82.20%). Most of the subjects
thought that the existing disease is uncertain whether it can be heal or not (75.00%). If possible, they
expected to live longer for another 5 years (46.40%). And 42.90% of them were worried about the unsettling family issues. If they can stay until the end of time they want to live for fighting with the disease
and stay as long as possible, no matter how much suffering. In the future, if symptoms subside they need help from a doctor to provide medication for treating the common symptoms. The patient needs adequate care, beloved and accepted without any negative attitude such as a burden of caregivers or health care providers. The palliative care’s subjects understand that when sickness has given medicine not suffering and living without being a burden to loved ones. Want to be recognized not seen as a burden of relatives or medical personnel be able to describe symptoms and be involved in decision-making.

          This study can use information that has been shown to provide encouragement to other patients
(the issue of the sample group’s attitude to fight disease) as a guideline for decision making.