Ruka Seyama Akemi Takei Kiyoko Kanda

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1 An Examination of the Pain Experienced by Family Members of Advanced Cancer Patients Ruka Seyama Akemi Takei Kiyoko Kanda Key Words family members, pain, cancer patients, advanced cancer Clark & Stovall, McMillan & Small, ; McMillan et al., Wright / Borneman et al., Carter, Bryant-Lukosius, DiCenso, Blythe, & Neville, Seyama & Kanda, The Jikei University School of Nursing Department of Nursing, Gunma University Graduate School of Health Sciences Vol. No.

2 IC Krippendorff / Hoskins, Given & Given,... Stage Vol. No.

3 Vol. No.

4 Vol. No.

5 Vol. No. Robinson

6 Young & Hayes / Northouse et al., Tang OL McLeod & Wright Vol. No.

7 Krippendorff,,, The present study aimed to clarify the pain experienced by family members of advanced cancer patients, and examine what sort of nursing support is necessary. Data were collected through semi-structured interviews with family members of patients with advanced lung cancer and malignant brain tumors. The data were subjected to qualitative inductive analysis using Krippendorff s method. We found that the pain of family members of advanced cancer patients consists of pain arising from recognizing the reality that the patient has intractable cancer, the pain of facing the patient s impending death, pain arising from having to continue to face a patient who is suffering from cancer they cannot fight, and pain accompanying disharmony within the family or social system. The pain of family members of advanced cancer patients comprises suffering that is difficult to deal with by cognitive coping, as it arises from an unacceptable reality and an inescapable environment. Given the above, nurses must form partnerships with family members early on and relieve their pain by listening adequately to them. Borneman, T., Chu, D.Z., Wagman, L., Ferrell, B., Juarez, G., McChahill, L.E., and Uman, G.. Concerns of family caregivers of patients with cancer facing palliative surgery for advanced malignancies. Oncol Nurs Forum,, -. Carter, N., Bryant-Lukosius, D., DiCenso, A., Blythe, J., and Neville, A.J.. The supportive care needs of family members of men with advanced prostate cancer. Can Oncol Nurs J,, -. Clark, J. and Stovall, L.. Advocacy: The cornerstone of cancer survivorship, Cancer Practice,, -. Given, B. and Given, C.W.. Patient and family caregiver reaction to new and recurrent breast cancer. J Am Med Women s Ass,, -. Hoskins, C.. Advocacy: Adjustment to breast cancer in couples. Psychol Rep,, -...,, -. Krippendorff, K.,,. Vol. No.

8 . pp.-,. McLeod DL., Wright LM.. Living the as-yet unanswered: spiritual care practices in family systems nursing, J Fam Nurs,, -. McMillan, S.C. and Small, B.J.. Using the COPE intervention for family caregivers to improve symptoms of hospice homecare patients: a clinical trial. Oncol Nurs Forum,, -. McMillan, S.C., Small, B.J., Weitzner, M., Schonwetter, R., Tittle, M., Moody, L., and Haley, W.E.. Impact of coping skills intervention with family caregivers of hospice patients with cancer: a randomized clinical trial. Cancer,, -... pp.-,.,..,, -...,, -. Northouse, L.L., Mood, D., Kershaw, T., Schafenacker, A., Mellon, S., Walker, J., Galvin, E.,and Decker, V.. uality of life of women with recurrent breast cancer and their family members. J Clin Oncol,, -. Robinson, C.A.. Our best hope is a cure. Hope in the context of advanced care planning. Palliat Support Care,, -. Seyama, R. and Kanda, K.. Suffering among the families of cancer patients; conceptual analysis. Kita Kanto Igaku,, -.,..,, -. Tang, C.T.. Concordance of quality-of-life assessments between terminal ill cancer patients and their primary family caregivers in Taiwan. Cancer Nurs,, -.,..,, -. Young, L.E. and Hayes, V.,,.. pp. -,. Wright, L.M., Watson, W.L., and Bell, J.M.,,,,.. pp.-,. Vol. No.

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