Skip to main content

Table 3 Relationship between symptom intensity and unbearability in the domains of loss of function, personal aspects, environment, nature and prognosis of disease (n = 60)

From: Symptoms, unbearability and the nature of suffering in terminal cancer patients dying at home: a prospective primary care study

 

Symptom present %*(n)

Symptom high intensity %* (n)

High intensity and unbearable %*(n)

Percentage unbearable when high intensity %

symptom low intensity %*(n)

Low intensity and unbearable %*(n)

Percentage unbearable when low intensity %

Symptom unbearable %*(n)

Domain II: Loss of function

        

Impaired routine daily activities

83 (50)

58 (35)

48 (29)

83

25 (15)

7 (4)

27

55 (33)

Impaired leisure activities

82 (49)

60 (36)

48 (29)

81

22 (13)

2 (1)

8

50 (30)

Help needed with housekeeping

71 (42)

54 (32)

39 (23)

72

17 (10)

3 (2)

20

42 (25)

Help needed with self-care

60 (36)

27 (16)

15 (9)

56

33 (20)

7 (4)

20

22 (13)

Bedridden

56 (33)

32 (19)

24 (14)

74

24 (14)

8 (5)

36

32 (19)

Impaired working capacity

17 (10)

17 (10)

12 (7)

70

0 (0)

0 (0)

0

12 (7)

Impaired sexual functioning

14 (8)

12 (7)

5 (3)

43

2 (1)

0 (0)

0

5 (3)

Domain III: Personal aspects

        

Feeling dependent on others

80 (48)

50 (30)

37 (22)

73

30 (18)

8 (5)

28

45 (27)

Not able to do things you consider important

63 (36)

26 (15)

23 (13)

87

37 (21)

19 (11)

52

42 (24)

Trouble accepting the present situation

60 (36)

30 (18)

25 (15)

83

30 (18)

8 (5)

28

33 (20)

Feeling a nuisance to others

38 (23)

5 (3)

3 (2)

67

33 (20)

10 (6)

30

13 (8)

Negative thoughts or worrying

32 (19)

12 (7)

8 (5)

71

20 (12)

7 (4)

33

15 (9)

Loss of control over your own life

30 (18)

22 (13)

20 (12)

92

8 (5)

7 (4)

80

27 (16)

Feeling not any longer being the same person

28 (17)

8 (5)

8 (5)

100

20 (12)

2 (1)

8

10 (6)

Hopelessness

28 (17)

7 (4)

7 (4)

100

21 (13)

6 (4)

31

13 (8)

Experienced little happiness with family/friends

22 (13)

5 (3)

0 (0)

0

17 (10)

8 (5)

50

8 (5)

Feelings of worthlessness

22 (13)

10 (6)

8 (5)

83

12 (7)

2 (1)

14

10 (6)

Feeling lonely (intrapersonal)

20 (12)

5 (3)

3 (2)

67

15 (9)

7 (4)

44

10 (6)

Feeling of no longer being important to others

18 (11)

5 (3)

5 (3)

100

13 (8)

3 (2)

25

8 (5)

Feeling tired of life

17 (10)

5 (3)

5 (3)

100

12 (7)

4 (2)

29

9 (5)

Not satisfied with own self

12 (7)

5 (3)

5 (3)

100

7 (4)

2 (1)

25

7 (4)

Feelings of guilt

12 (7)

2 (1)

2 (1)

100

10 (6)

3 (2)

33

5 (3)

Experienced little success in life

10 (6)

2 (1)

0 (0)

0

8 (5)

2 (1)

20

2 (1)

Lived a life with little purpose

8 (5)

0 (0)

0 (0)

0

8 (5)

2 (2)

40

3 (2)

Domain IV: Environment

        

Relatives consider your suffering too severe

33 (19)

10 (6)

9 (5)

83

23 (13)

7 (4)

31

16 (9)

Practical loneliness (no one present for you)

15 (9)

8 (5)

8 (5)

100

7 (4)

4 (2)

50

12 (7)

Insufficient availability of care

12 (7)

2 (1)

0 (0)

0

10 (6)

8 (5)

83

8 (5)

Unsatisfactory social contacts

8 (5)

2 (1)

2 (1)

100

6 (4)

1 (1)

25

3 (2)

Insufficient support (family, relatives)

5 (3)

0 (0)

0 (0)

0

5 (3)

2 (1)

33

2 (1)

Shame

2 (1)

0 (0)

0 (0)

0

2 (1)

2 (1)

100

2 (1)

Domain V: Nature and prognosis of disease

        

Fear of future suffering

40 (24)

15 (9)

14 (8)

89

25 (15)

3 (2)

13

17 (10)

Fear of future failing strength to bear suffering

25 (15)

8 (5)

8 (5)

100

17 (10)

2 (1)

10

10 (6)

  1. Rounded percentages and absolute numbers; 0 to 3 missing observations per symptom. Impaired working capacity applied for 10 persons.
  2. Scoring: 1-not at all; 2-slightly; 3-moderately; 4-seriously; 5-very seriously, hardly can be worse.
  3. Symptom present: intensity scores 2–5.
  4. Low intensity: scores 1–3; High intensity: scores 4–5; Bearable suffering: scores 1–3; Unbearable suffering: scores 4–5.
  5. *: percentage of interviewed patients.
  6. n: number of patients.