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End-of-Life Concerns and Care Preferences

Congruence among Terminally Ill Elders and Their Family Caregivers

Bibliographic Data

ID13627624
AuthorsDaniel S Gardner (0000-0002-0797-0638, New York University, corresponding author), Betty J Kramer (University of Wisconsin–Madison)
Year2010
Volume60
Issue3
Pages273-297
Publication date2010-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueOMEGA - Journal of Death and Dying (JOURNAL)
Journal identifiersISSN: 0030-2228 • E-ISSN: 1541-3764
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.2190/om.60.3.e
PMID20361726
OpenAlexW2142522194
LanguageEN
Citations received7
References cited52

This study examined the end-of-life challenges, concerns, and care preferences of terminally ill elders and their family caregivers, with a focus on areas of congruence and incongruence. Ten elders and 10 family caregivers participated in separate, semi-structured, face-to-face interviews. Data analysis included team coding and thematic analysis, guided by an a priori set of categories based on the study questions. Shared challenges and concerns included experiencing decline, managing pain and discomfort, and living with uncertainty. There was also congruence regarding end-of-life care preferences, specifically the importance of quality care, treatment with dignity and respect, and avoiding unnecessary life-sustaining treatment. Areas of incongruence included the elders' difficulties in accepting dependence, their fears of becoming a burden, and desire to be prepared for death. Family caregivers were most concerned with providing adequate care to meet the elders' physical and spiritual care needs. Open family communication was associated with greater congruence. The authors discuss implications of these findings for research and intervention

Congruence (geometry · Dignity · End-of-life care · Family caregivers · Palliative care · Qualitative research · Thematic analysis · Grief, Bereavement, and Mental Health · Medicine · Nursing · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy · Psychology · Social Psychology · Gerontology

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Unique citing works7
Citations per year0,47
Citation span2011 - 2023 (13)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 7

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