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. 2009 Oct 27;10:18. doi: 10.1186/1472-6939-10-18

Table 2.

Arguments for patient's suffering being unbearable or hopeless. (Questions phrased from the standard form of the reporting physician)

n = 1581
%
Could the suffering be considered unbearable? Please motivate.
Symptoms2 62
Pain 32
Dyspnoea 22
Fatigue 15
Nausea/vomiting 15
Incontinence/diarrhoea/constipation 6
Cachexia 6
Confusion 3
Fear 3
Other3 9
Function loss2 33
Bedridden 19
Appetite/thirst/eating- and swallowing capacity 10
Language 4
Other4 4
Other aspects2 63
Dependency 28
Deterioration/general malaise 15
Hopelessness, no treatment possible 13
Loss of autonomy/identity 4
Loss of dignity 2
Mentally exhausted 7
Other5 16

Could the suffering be considered hopeless? Please motivate.
No treatments possible 32
No curative treatments possible 28
No treatments to relieve symptoms possible 3
No curative treatments + treatments to relieve symptoms possible 11
Short life expectancy 8
Other6 9
Not clearly specified in the report 8

1. In 8 cases (4%) the nature of patient's suffering was explained, but no explicit arguments for the suffering being unbearable were given.

2. More than one aspect could be mentioned.

3. Other include: decubitus, edema, epileptic insults, itch, and cough.

4. Other include: cognitive function, sleeping problems and general physical functioning.

5. Other include: loneliness, to be a burden to relatives, losing interest, mental suffering, no quality of life.

6. Other include: no differentiation between unbearable and hopeless suffering, worsening expected.