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Updated: Jun 28, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Dying in the psychiatric ward.

Adiel Doron¹, Shlomo Mendlovic

¹Lev-Hasharon Mental Health Center, Netanya, Israel. adoron@lev-hasharon.co.il

The Israel Journal of Psychiatry and Related Sciences

|November 6, 2008

Summary

Caring for dying oncology patients in psychiatric wards presents unique challenges for staff and peers. This study explores the ethical dilemmas of treating terminally ill cancer patients in psychiatric settings.

Area of Science:

Psychiatry
Oncology
Palliative Care

Background:

Psychiatric staff less frequently encounter patient death compared to general hospital staff.
Chronic psychiatric patients often lack family support, complicating end-of-life care.
Terminally ill oncology patients in psychiatric units pose unique challenges for multidisciplinary teams and fellow patients.

Observation:

The study details the progression of two psychiatric inpatients with advanced cancer.
These patients experienced slow physical deterioration while residing in a psychiatric ward.

Findings:

Continued treatment of terminal oncology patients in psychiatric wards raises ethical questions.
Dilemmas arise when psychiatric status no longer justifies inpatient psychiatric care for cancer patients.

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Last Updated: Jun 28, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Implications:

Highlights the need for specialized protocols for managing terminally ill oncology patients in psychiatric settings.
Suggests re-evaluation of care models for dual-diagnosis patients requiring palliative and psychiatric support.
Emphasizes the importance of addressing the complex psychosocial and medical needs of vulnerable psychiatric patients with terminal illnesses.