Dealing with family conflicts in decision-making in end-of-life care of advanced cancer patients
Purpose of Review: The family plays a significant role in end-of-life care and decision-making with advanced cancer patients. This non-systematic review aims to summarize the family role and possible emerging conflicts and problems related to family involvement in decisions with advanced cancer pati...
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| Main Authors: | , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
27 August 2021
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| In: |
Current oncology reports
Year: 2021, Volume: 23, Issue: 11, Pages: 1-6 |
| ISSN: | 1534-6269 |
| DOI: | 10.1007/s11912-021-01122-x |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s11912-021-01122-x
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| Author Notes: | Katsiaryna Laryionava, Eva Caroline Winkler |
MARC
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| 520 | |a Purpose of Review: The family plays a significant role in end-of-life care and decision-making with advanced cancer patients. This non-systematic review aims to summarize the family role and possible emerging conflicts and problems related to family involvement in decisions with advanced cancer patients. Recent Findings: Four important domains were identified: (1) discordance between patients and caregivers’ understanding of prognosis and goals of care; (2) internal family conflicts; (3) cultural differences regarding the role of the family in end-of life decision-making; (4) the burden on caregivers through caring for cancer patients. Summary: Based on the findings, we formulated some implications to consider for clinical practice. We suggest to involve the family in decision-making, to ascertain patients’ wish for family involvement and if necessary, taking a mediator role between patients and their caregivers; to be aware of “invisible” family influence on patients’ decisions; to assess systematically family burden and needs; to provide timely information, psychological support interventions and palliative care. | ||
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