Addressing cancer patient and caregiver role transitions during home hospice nursing care

Palliative & Supportive Care
Janella HudsonLee Ellington

Abstract

Many family caregivers and hospice patients experience role changes resulting from advancing illness and the need for increased caregiver responsibility. Successful navigation of conflicts that arise because of these role transitions has been linked to higher quality of patient care and improved caregiver bereavement adjustment. Nursing communication with patients and their caregivers plays an important role in facilitating these transitions. Our objective is to describe patient-caregiver-nurse communication during transitions at end of life. A secondary, qualitative analysis was conducted on transcripts. Using an iterative process of constant comparison, coders inductively categorized nurse, caregiver, and patient communication behavior into overarching themes. Participants were home hospice nurses and cancer patient/spouse caregiver dyads; participants were >45 years of age, English speaking, and cognitively able to participate. Research took place in the home during nurse visits. Nineteen unique home hospice visits were analyzed. Patient-caregiver conflict occurred in two major content themes (1) negotiating transitions in patient independence and (2) navigating caregiver/patient emotions (e.g., frustration, sadness). Nurse ...Continue Reading

References

Apr 5, 2002·Patient Education and Counseling·Debra Roter, Susan Larson
May 22, 2003·Journal of the American Geriatrics Society·Hongbin ChenRonald S Schonwetter
Jan 8, 2004·JAMA : the Journal of the American Medical Association·Joan M TenoVincent Mor
Jun 4, 2005·Current Opinion in Oncology·Anne BrédartSylvie Dolbeault
Sep 19, 2007·Journal of Family Psychology : JFP : Journal of the Division of Family Psychology of the American Psychological Association (Division 43)·Sharon L ManneGenerosa Grana
Jan 20, 2009·Patient Education and Counseling·Richard L StreetRonald M Epstein
Jul 9, 2009·Medical Care·Kelly B Haskard Zolnierek, M Robin Dimatteo
Dec 8, 2009·Journal of Cancer Survivorship : Research and Practice·Sharon ManneDavid Kissane
Feb 9, 2010·Social Science & Medicine·Amy Y ZhangLaura A Siminoff
Jun 26, 2012·Journal of Pain and Symptom Management·Amy Z Boelk, Betty J Kramer
Jun 30, 2012·Qualitative Health Research·Margarete Sandelowski, Jennifer Leeman
Aug 30, 2012·Psychology & Health·Tony Cassidy
Feb 18, 2014·Palliative & Supportive Care·Maija ReblinLee Ellington
Oct 21, 2014·JAMA Internal Medicine·Rachelle E BernackiUNKNOWN American College of Physicians High Value Care Task Force
Dec 21, 2014·Journal of Pain and Symptom Management·Harvey Max ChochinovMike Harlos
Mar 5, 2016·European Journal of Cancer Care·R Laidsaar-PowellI Juraskova
May 4, 2016·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Rebekah Laidsaar-PowellIlona Juraskova
Dec 20, 2016·Oncology Nursing Forum·Kristy ForshawJarad Martin
Dec 29, 2016·Psycho-oncology·Maija ReblinLee Ellington
Mar 4, 2017·Behavioral Sciences·Elaine WittenbergBetty Ferrell
Jun 21, 2017·Oncology Nursing Forum·Margaret F ClaytonLee Ellington
Oct 2, 2017·Patient Education and Counseling·Lee EllingtonSeth Latimer

❮ Previous
Next ❯

Citations

Jul 24, 2018·Current Opinion in Supportive and Palliative Care·Dena Schulman-GreenRuth McCorkle

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.