Publications by authors named "S Pairojkul"
In 2007, Thailand enacted the National Health Act, which contains the Advance Directive (Section 12). Even though the Act was enacted nearly sixteen years ago, physicians have not fully adopted it, limiting the number of patients who can benefit from the Advance Directive. Thai culture values the role of extended family in end-of-life planning, which is frequently marked by a conspiracy of silence (inability to discuss end-of-life issues), so patients may have limited opportunities to participate in decision-making and care planning.
View Article and Find Full Text PDFAccessibility and quality of hospital-based palliative care in Thailand have received scant attention. To determine the prevalence of inpatients who require in-hospital palliative care, to identify the proportion with access to specialist palliative care, and to define the factors associated with accessibility to specialist palliative care. A cross-sectional analysis of a multicenter survey.
View Article and Find Full Text PDFBackground: Understanding the perceptions regarding what constitutes a "good death" among cancer patients and their families could help healthcare teams to ensure proper palliative and supportive care.
Objectives: To demonstrate and compare the wishes cancer patients and the perceptions of their relatives regarding end-of-life care, and to identify factors associated with patients' preferences regarding place of death.
Methods: A sample of cancer patients and their relatives who attended the Srinagarind Hospital (Thailand) oncology clinic or day chemotherapy from September 2017 to August 2018 were enrolled.
Article Synopsis
- The study aims to understand the perceptions of elderly patients and their relatives regarding wishes during the end-of-life period in order to enhance palliative care practices.
- Both groups identified "receiving the full truth about their illnesses" as the most important issue, but significant differences in perceptions were noted in various aspects of care.
- Factors influencing preferences for home death included location, occupation, education, income, family size, and levels of life satisfaction among elderly patients.
Background: Few studies exist regarding the perception of medical students toward older adults' wishes during their end-of-life period. Better understanding of students' perceptions regarding this topic could help improve palliative education. The purposes of this study were to examine the perceptions of medical students regarding what constitutes a "good death" and to demonstrate the factors associated with the necessary care decisions in older patients.
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