Balancing: A Basic Process in End-of-Life Cancer Care

Author:

Thulesius Hans1,Håkansson Anders2,Petersson Kerstin3

Affiliation:

1. Kronoberg County Research Centre and Department of Community Medicine, Malmö, Sweden

2. Department of Community Medicine, Malmö

3. Kronoberg county Research Centre and the Faculty of Medicine, Lund University, Sweden

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.

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health

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1. Ethical challenges around thirst in end-of-life care –experiences of palliative care physicians;BMC Medical Ethics;2023-08-09

2. Pluralistic task shifting for a more timely cancer diagnosis. A grounded theory study from a primary care perspective;Scandinavian Journal of Primary Health Care;2021-10-02

3. The phenomenon of job stress and burnout syndrome in palliative care;Medycyna Pracy;2020-01-20

4. Cancer, a relational disease;International Journal of Qualitative Studies on Health and Well-being;2019-01-01

5. Exploring health navigating design: momentary contentment in a cancer context;International Journal of Qualitative Studies on Health and Well-being;2017-01

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