Jo S, Brazil K, Lohfeld L, Willison K. Caregiving at the end of life: perspectives from spousal caregivers and care recipients. Palliat Support Care. 2007;5(1):11-1727 | |
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Finding 1 | Effectiveness of their caregiver in providing care for them (U) |
Illustration | “When I first took sick, I couldn’t do nothing for myself … My wife cleansed me, did everything for me.”(p.13) |
Finding 2 | Concerned about how the work of caregiving was having a negative toll on their spouses (U) |
Illustration | “I worry that she’s working too hard. She looks after me like a baby and it’s just a little too much for her.”(p.13) |
Finding 3 | All care recipients acknowledged how helpful and supportive formal services have been (U) |
Illustration | “I’m so grateful that there are those things in the community that can support us at home.”(p.14) |
Finding 4 | Continuous care by the same individual (s) was acknowledged by care recipients to be a positive aspect of formal supports (U) |
Illustration | “I didn’t have to go from one person to another.”(p.14) |
Finding 5 | Service workers were not aware of what other service workers had done (U) |
Illustration | “Nobody knows what anybody’s doing and you don’t work as a team”(p.14) |
Finding 6 | The service that they had received was not well coordinated and continuous (U) |
Illustration | “They [nurses] write it down but the report in the end doesn’t go to the hospital, and from the hospital the reports doesn’t go to the VON [community nursing agency].”(p.15) |
Finding 7 | Communication with their health care providers was important (U) |
Illustration | “He [the doctor] tells you like it is. He doesn’t sugar coat it and that’s good because you know exactly where you stand.”(p.14) |
Finding 8 | Lack of communication between the care recipients and health providers was … a major problem (U) |
Illustration | “The doctors don’t listen to you. They are more interested in making your body well and it doesn’t matter how sick you feel.”(p.15) |
Finding 9 | The nurses were insensitive (U) |
Illustration | “They told me that I was a cancer patient and I said well the doctor didn’t tell me that … It was, to tell you the truth, quite upsetting.”(p.15) |
Finding 10 | Difficulties in dealing with the high costs of medical equipment (U) |
Illustration | “The cost of being sick is enough to make you sick, it’s the cost of getting well [that] is almost prohibitive.”(p.14) |
Finding 11 | Caregiving experience had brought them closer to their spouses (U) |
Illustration | “We’ve shared a lot of experience just in the last 3 months in this house. I think we’ve come to understand that I’m dying.”(p.14) |
Finding 12 | Communication … an important constituent of the caregiver–care recipient relationship (U) |
Illustration | “We both agreed that we were going to try and see if it worked out. And it has, there’s nothing that we regret having done.”(p.14) |
Finding 13 | Informal supports had a positive influence on their lives (U) |
Illustration | “The people do want to help. They do want to come out and, for my benefit not for theirs.”(p.15) |
Finding 14 | Recognized the importance of informal supports for their caregivers (U) |
Illustration | “She [… neighbour] would tell him things that happened to her and different feelings she had which I think was good for my husband sharing with her.”(p.15) |
Finding 15 | They had friends, family, and neighbours that they could call upon, even if they did not require it (U) |
Illustration | “If I told him that I needed him [… son] he would be here in 5 minutes.”(p.15) |
Finding 16 | Negative perspectives regarding the presence of informal supports during the caregiving experience (U) |
Illustration | “But as you get older you become more lonely … You haven’t as many friends because they’re gone.”(p.15) |
Finding 17 | Frustration over lack of face-to-face support from her children (U) |
Illustration | “They supported me in one way—okay, they phoned—but they never came … I felt that was the hardest part.”(p.15) |
Finding 18 | Too much support (U) |
Illustration | “I had about 29 [visitors] in one day and they had to cut the visitors off because it wasn’t doing me any good.”(p.15) |
U, unequivocal.