| Titel: | Pain as a metaphor for illness. Part II: Family caregivers' management of pain. | | Kategori: | Massage, Onkologi | | Författare: | Ferrell BR, Cohen MZ, Rhiner M, Rozek A. | | Källa: | Oncol Nurs Forum | | År: | 1991 | | Sidor: | 1315-21 | | Sammanfattning: | | Changes in the healthcare system have made the patient's home the primary siteof cancer care. Family members, already burdened with the psychological impactof having a loved one with cancer, take on caregiving roles to meet the multipleand complex needs of the patient. Part I of this two-part article focused onfamily caregivers' descriptions of the patients' pain and the impact of thispain on caregivers. A model of the Caregiver Experience of Pain is providedalong with implications for future inquiry and clinical practice. Themesidentified in caregiver roles in medication administration included decidingwhat to give, deciding when to give, night duty, reminding/encouraging, keepingrecords, fear of addiction, and doing everything. Caregiver roles in nondruginterventions included positioning/mobility, massage, use of ointments/lotions,cold, heat, being there through touch, avoiding touch, and talk and otherdistractions. Caregiver perceptions of what doctors or nurses could do betterincluded themes of being there, explain, be honest/listen, addiction concern,and giving medication. Caregiver questions included areas of future,understanding why, death, concern about medications, and fear about what to doat home. The study results offer important suggestions for oncology nurses insupporting family caregivers in the management of the patient in pain. |
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