Balancing: A Basic Process in End-of-Life Cancer Care
Identifieur interne : 000A95 ( Main/Exploration ); précédent : 000A94; suivant : 000A96Balancing: A Basic Process in End-of-Life Cancer Care
Auteurs : Hans Thulesius [Suède] ; Anders H Kansson ; Kerstin Petersson [Suède]Source :
- Qualitative Health Research [ 1049-7323 ] ; 2003-12.
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Abstract
In this grounded theory study, the authors interviewed caregivers andpatients in end-of-life cancer care and found Balancing to be a fundamentalprocess explaining the problem-solving strategies of most participants and offering a comprehensive perspective on both health care in general and end-of-life cancer care in particular. Balancing stages wereWeighing— sensing needs and wishes signaled by patients, gauging them against caregiverresources in diagnosing and care planning; Shifting—breaking bad news, changing care places, and treatments; and Compensating—controlling symptoms, educating and team-working, prioritizing and “stretching” time, innovating care methods, improvising, and maintaining the homeostasis of hope. The Balancing outcome is characterized by Compromising, or “Walking a fine line,” at best an optimized situation, at worst a deceit.
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DOI: 10.1177/1049732303258369
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Balancing stages wereWeighing— sensing needs and wishes signaled by patients, gauging them against caregiverresources in diagnosing and care planning; Shifting—breaking bad news, changing care places, and treatments; and Compensating—controlling symptoms, educating and team-working, prioritizing and “stretching” time, innovating care methods, improvising, and maintaining the homeostasis of hope. 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