Engelsk titel: When the terminally ill cancer patient dies at home - the nurses` experiences
Läs online
Författare:
Anvik VH
Språk: Nor
Antal referenser: 13
Dokumenttyp:
Artikel
UI-nummer: 99105746
Sammanfattning
The subject of this study was to
describe how home-based care to
terminally ill cancer patients was
established in a rural setting. A
central question was what kind of
qualifications among the caregivers
was available and how the
service was organized. The study
was performed as interviewes of
twelve nurses.
The results show that the nurses
mostly are working alone in a difficult
and challenging field. The
care is not organized as a multidisiplinary
teamwork. The nurses
can call for the GP doctor when
it is needed, which mainly is for
ordination of painmedications. In
the nurses opinion, the doctors
found little interest in the patients.
Their knowledge about pain
and controll of symptoms is very
often poor. Very often, it is the
nurses who diagnose the patients
pain or other symptoms and suggest
the medication. Additionally,
more emphasis are needed on
education related to pain management
and the use of available
guidelines on management of
pain related to cancer. The conclusion
emphasises two factors:
Satisfactory terminal home care
can be achieved, but it presupposes
effective support and symptom
control. The second factor is
that the terminal home care
should be organised in teams.