Death from cancer at home: the carers' perspective.

Abstract

Objectives-To collect information from principal carers ofpeople who had died at home with cancer; to identify areas ofsupport which need improvement.Design-Semistructured interviews with carers two to four months after the death.Setting

Symptom management of cancer patients

“…Kanser hastalarının orta veya kuvvetli düzeyde ağrı deneyimledikleri bulunmuştur. [8][9] Akut ağrı ani doku hasarının açığa çıkardığı prostoglandin, serotonin, histamin, bradikinin ve P maddesi nedeniyle olurken [10] ; kronik ağrı KT bağlı periferal nöropati; RT bağlı brakial plexopati, RT ve cerrahi tedaviye bağlı pelvik ağrı nedeniyle oluşabilir. [11] Kronik ağrı varlığı, ayaktan takip edilen kanser hastalarının ortalama %50'sinde, metastatik kanser hastalarının ise %80-90'ında görülmektedir.…”

“…[8][9][10][11] Bu nedenden dolayı sağlık personeli; [11] • Hasta ve ailesi ile güven ilişkisi kurmalı,…”

Associations between home death and GP involvement in palliative cancer care

“…5 However, studies indicate that GP involvement is associated with facilitating home death. [6][7][8][9] Furthermore, despite earlier studies identifying considerable dissatisfaction with symptom control in a primary care setting, 3,10 satisfaction with GPs was still rated high 3 and relatives valued the involvement of GPs. 11,12 All in all, it suggests that good palliative care amounts to more than simply a certain degree of symptom control.…”

Auditing palliative care in one general practice over eight years

“…There is evidence of room for improvement in the quality of care that patients and their families receive (2,(4)(5)(6)(7). For example, GPs in West Cumbria, England, reported that 14% of patients had uncontrolled pain (2), and 19% of GPs questioned in another survey considered that at least 20% of patients have unsatisfactorily controlled pain ( 13).…”

“…The challenge for educators is therefore "to stimulate and motivate colleagues to practise patient centred medicine in this difficult and demanding field" (7). Audit is a valuable method of education (8).…”