Mesothelioma is an abnormality of cells that have proliferation in the lungs. Lung cancer (carcinoma bronkhogenik) arising in the respiratory tract epithelium. The cause of lung cancer is most often smoked. Heavy smokers have a chance of about 10 times more likely to have Mesothelioma than non-smokers, an estimated 90% of Mesothelioma arising as a result of using tobacco (cigarettes). Tobacco smoke contains over 4,000 chemical compounds, which have been proven as a substance that causes cancer or carcinogenic (Asih, 2004).
Based on data from World Health Organization (WHO) estimated the cancer lurking around 12 million citizens of the world in 2008. By 2030 the number of cancer patients will increase to 27 million people with death rates reaching 17 million people. WHO rate, the increase in the number of smokers in developing countries into the trigger number of people with cancer. While new cases of lung cancer worldwide, more than 1.3 million cases which cause 1.1 million deaths each year. Total incidence and prevalence in the world, Asia, Australia, and Far East are at the first level with an estimated more than 670 thousand cases, with mortality rates reaching more than 580 thousand people. In Indonesia, Mesothelioma became the main cause of death for men and more than 70% of new cancer cases diagnosed at an advanced stage so that only 5% of patients who survived until after tested positive (MOH, 2006).
According Saputri (2009) the number of Mesothelioma patients treated in Dr Friendship rose 74% in the last 4 years, of 408 patients in 2004 to 709 in 2008.
Medical management of lung cancer patients covers surgery, radiation therapy, chemotherapy and immunotherapy, used separately or combined. In the case of Mesothelioma with advanced stage, patients sometimes become bored and tired with various medications given. Being right all the patients to get the best care until the end. For that lung cancer patients with advanced stage or not gradually recovered to get health care so that his suffering can be reduced. To get the psychological and moral support, the patient should also be given palliative care.
Palliative care is an integrated health care that is active and comprehensive, with an integrated multidisciplinary approach. The goal is to reduce patient suffering, prolong its life, improve quality of life, also give support to the family. Although the patient eventually died, the most important thing before dying patient is ready psychologically and spiritually, and not face the stress of her illness (Dr. Soetomo, 2009).
Life is something very valuable for people with cancer. Quality of life is one of the key and the main predictions for the increase and prolong survival in patients with cancer. Based on research at 10,000 cancer patients showed that the quality of life will determine the predictive success of people with cancer.
