![]() ![]() The cited studies illustrate that deterrents to such communication include fear of stirring up emotional distress, attempts at mutual protection by patients, family members and health professionals, and the quest to keep hope alive through engaging in positive conversations. Studies show that communication becomes increasingly difficult in terminal cancer, which inevitably entails conversations around dying and death. Methodologically, these results demonstrate the possibility of simultaneous elucidation of individual experiences, interactive co-constructions and the socio-cultural contexts of experiences and meaning making processes in IPA research.Įnd-of-life communication is a well-researched phenomenon amongst terminally ill patients, often in liaison with healthcare professionals. ![]() Socio cultural contexts how to#This prompts further engagement with the question of how to equip family caregivers in resource-limited contexts for end of life care. Conclusionsįindings are relevant in informing palliative psychosocial interventions and specifically the concerns and decisions of cancer patients and their families. Findings (a) illustrate the role of family dynamics in influencing the nature of end-of-life conversations and decisions (b) demonstrate the transitional nature of family caregiver roles, and (c) underscore the paradox of the critical role played by family members in palliative care versus their ill preparedness in dealing with end-of-life issues. Two end-of-life themes, advance directives as preparedness for death, and initiating death talk were examined. Four mini focus group interviews with a total of 13 participants were conducted. MethodĪn interpretative phenomenological analysis approach was utilized to explore pertinent end-of-life communication themes. This article examined the content and contexts of family end-of-life conversations and decisions based on the retrospective accounts of a sample of bereaved women family cancer caregivers in Nairobi, Kenya. In resource-limited areas, the context of end-of-life communication is usually home-based palliative care comprising mostly women in the family who play critical roles as informal caregivers. End-of-life communication becomes increasingly difficult in terminal cancer, which inevitably entails conversations around dying and death. ![]()
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