Family caregivers for end-stage cancer patients are second order patients

How to cite this article:
Preechasiripan S, Wiwanitkit V. Family caregivers for end-stage cancer patients are second order patients. Ann Trop Med Public Health 2016;9:359


How to cite this URL:
Preechasiripan S, Wiwanitkit V. Family caregivers for end-stage cancer patients are second order patients. Ann Trop Med Public Health [serial online] 2016 [cited 2020 Aug 14];9:359. Available from:

Dear Sir,

End-stage cancerous patient becomes the public health burden in the present day. Taking care for end-stage cancer patients is a heavy burden, cause fatigue, both physical and mental. Strain and coping strain alone. [1] Coping responses according to Lazarus and Folkman method are two types (1) problem-focused coping (2) emotional-focused coping. [2] Since stress be retained for a period longer, together with stress from the highly cost of treatment, such as surgery radiation or therapy which takes longer to heal, caused family caregivers for end-stage cancer patients ill. [3] Impact directly to the quality and efficiency for taking care for end-stage cancer patients. More than that since as after the death of the patient, family caregivers for end-stage cancer patients may be grief or cannot adaption. If grief is not adaptable, it can lead to depression despair, leads to suicide. This is reasons why family caregivers for end-stage cancer patients are the second order patients who must be provided care. Hence, anyway another adaptation is an adjustment with looking on the bright side. Confidence that the situation in the care of their patients facing is reasonable, valuable, and meaningful. Is challenging and worthy of care. There are resources that can be managed. Using Dharma is the main guidelines adaptive coping, understanding of karma and retribution, understanding the Trinity, so it can understand the illness meets more realistic. [4] it encouraged to taking care for patients. It is able to adapt and to maintain good health, both physically and mentally. Karma heart to care for cancer patients. This will lead to efficient and optimized for caregivers and for end-stage cancer patients.

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Conflicts of interest

There are no conflicts of interest.



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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.190203

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