“Pain talk” in hospice and palliative care team meetings: An ethnography

Arber, Anne

doi:10.1016/j.ijnurstu.2006.04.002

Cited by 33 publications

(41 citation statements)

References 30 publications

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“…This finding is not surprising given that nurses dominate information sharing in IDT meetings [29,30]. The nurse's background in physical medical care, in addition to the role of case manager, sustains a large speaking role in the IDT meeting.…”

Section: Discussionmentioning

confidence: 94%

Barriers to Pain Management: Caregiver Perceptions and Pain Talk by Hospice Interdisciplinary Teams

Oliver

Wittenberg-Lyles

Demiris

et al. 2008

Journal of Pain and Symptom Management

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As patients are cared for in their home by family caregivers, several challenges arise in effective pain and symptom management. Despite hospice's reputation as the gold standard for terminal care, there is still a need to improve pain management practices including challenges that caregivers face, related to pain assessment, reluctance and fear of administering medication, noncompliance with pain medicine regimens, and hesitance to report pain. The hospice philosophy of care promotes service for both patients and their family by an interdisciplinary team, and total pain management is a goal of this care. The aim of this control phase of a larger National Cancer Institute-funded mixed methods study was to understand the current practice of hospice assessment and collaboration on informal caregiver issues related to pain management. This study of 30 hospice caregiver/patient dyads from one rural hospice found that 87% of caregivers indicated concern with at least one question on the Caregiver Pain Medicine Questionnaire (CPMQ). Interdisciplinary team discussions for 23 of the dyads were recorded over nine months for a total of 86 sessions. Although caregiver concerns were identified with the CPMQ by the research team, there was only one discussion of caregiver pain related concerns during the hospice team meeting. This despite the finding that 38% of the time involved in a patient discussion is spent on pain related talk. These findings indicate an opportunity for improvement by hospice teams through focusing on caregiver assessment and intervention.

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Section: Discussionmentioning

confidence: 94%

Barriers to Pain Management: Caregiver Perceptions and Pain Talk by Hospice Interdisciplinary Teams

Oliver

Wittenberg-Lyles

Demiris

et al. 2008

Journal of Pain and Symptom Management

View full text Add to dashboard Cite

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“…It is known that nurses are reluctant to criticise the care of others in open meetings. 30 Doctors, by virtue of their professional culture, may expect to make decisions and be in charge. 31 The judgemental attitudes that affected whether and when referrals were made and professionals worked together, appeared to be held privately or within disciplines, rather than being openly acknowledged.…”

Section: Respect Towards Othersmentioning

confidence: 99%

Judgements about fellow professionals and the management of patients receiving palliative care in primary care: a qualitative study

Walshe¹,

Todd²,

Caress³

et al. 2008

Br J Gen Pract

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“…Many studies discuss the complexities associated with team work such as "turf battles," "jockeying for position" (Leathard, 1994), managing threats to professional status (Cohen, 2003), building reputation (Arber, 2007), representations of the patient (Crepeau, 2000), and judgements made about credibility (Smith 1978). However, in an interview study with staff caring for older people a common language suggesting collegiality was identified by Sheehan, Robertson, and Ormond (2007) in this data extract:…”

Section: Literature Reviewmentioning

confidence: 92%

Team Meetings in Specialist Palliative Care: Asking Questions as a Strategy Within Interprofessional Interaction

Arber

2008

Qual Health Res

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In this article, I explore what happens when specialist palliative care staff meet together to discuss patients under their care. Many studies (e.g., Atkinson) have discussed how health care practitioners in various settings use rhetorical strategies when presenting cases in situations such as ward rounds and team meetings. Strategies for arguing and persuading are central to medical practice in the interprofessional context. The context of specialist palliative care is an interesting place for research, as there is a history of patient-centred holistic approaches to care, within a multidisciplinary context, that is interdisciplinary in its focus, structure, and practice (e.g. Saunders). This article examines the rhetorical accomplishment of teamwork in specialist palliative care settings.

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“Pain talk” in hospice and palliative care team meetings: An ethnography

Cited by 33 publications

References 30 publications

Barriers to Pain Management: Caregiver Perceptions and Pain Talk by Hospice Interdisciplinary Teams

Barriers to Pain Management: Caregiver Perceptions and Pain Talk by Hospice Interdisciplinary Teams

Judgements about fellow professionals and the management of patients receiving palliative care in primary care: a qualitative study

Team Meetings in Specialist Palliative Care: Asking Questions as a Strategy Within Interprofessional Interaction

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