Dealing with family conflicts in decision-making in end-of-life care of advanced cancer patients

• Verfasst von: Laryionava, Katsiaryna [VerfasserIn]
• Verfasst von: Winkler, Eva C. [VerfasserIn]
• Titel: Dealing with family conflicts in decision-making in end-of-life care of advanced cancer patients
• Verf.angabe: Katsiaryna Laryionava, Eva Caroline Winkler
• E-Jahr: 2021
• Jahr: 27 August 2021
• Umfang: 6 S.
• Fussnoten: Gesehen am 19.10.2021
• Titel Quelle: Enthalten in: Current oncology reports
• Ort Quelle: Philadelphia, Pa. : Current Science, Inc., 1999
• Jahr Quelle: 2021
• Band/Heft Quelle: 23(2021), 11, Artikel-ID 124, Seite 1-6
• ISSN Quelle: 1534-6269
• DOI: doi:10.1007/s11912-021-01122-x
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1774477750

Abstract

Purpose of Review: The family plays a significant role in end-of-life care and decision-making with advanced cancer patients. This non-systematic review aims to summarize the family role and possible emerging conflicts and problems related to family involvement in decisions with advanced cancer patients. Recent Findings: Four important domains were identified: (1) discordance between patients and caregivers’ understanding of prognosis and goals of care; (2) internal family conflicts; (3) cultural differences regarding the role of the family in end-of life decision-making; (4) the burden on caregivers through caring for cancer patients. Summary: Based on the findings, we formulated some implications to consider for clinical practice. We suggest to involve the family in decision-making, to ascertain patients’ wish for family involvement and if necessary, taking a mediator role between patients and their caregivers; to be aware of “invisible” family influence on patients’ decisions; to assess systematically family burden and needs; to provide timely information, psychological support interventions and palliative care.