95%(37)35 out of 37 people found this document helpful
This preview shows page 9 - 12 out of 21 pages.
there were Sup interviews after their loved one’s death. Other limitations included not all the survey questions being answered by participants. This study found that >37% of caregivers were concerned about side effects of pain medications (Oliver et al., 2013). This article reflects on the importance of early education and communication regarding caregiver and patient feelings on administration early on in hospice care leading to an improved end of life experience for the patient and caregivers. Synthesis, Interpretation and Presentation of Results9
HOSPICE AND COMFORT MEDICATIONSThe appendix of this paper includes an evidence table, here you will find details of several elements including design, method, sample, data collection, data analysis, validity and reliability of the findings from the research included. After analyzing the evidenced produced from these studies, data shows that education for patients and caregivers pertaining to the use of comfort medications at the end of life should begin on admission to hospice care if not earlier to improve quality of life at and the dying experience.The literature reviewed includes six qualitative studies and one longitudinal correlation study. The six qualitative studies included face to face interviews performed by researchers with patients and caregivers, the correlational study included a self-administered survey completed byhospice patient caregivers. These studies were all performed voluntarily and ethically and completed by professional healthcare members. The compilation of this research shows the ongoing need for early and ongoing educationregarding comfort medications for patients and caregivers at the end of life. This literature proved that nurse’s, family, caregivers and patients all have fears, lack of knowledge, and are apprehensive when it comes to administering medications to dying patients. These studies suggest that hospice patients and caregivers nearing the end of life need information on disease progression, changes in physiological and physiological needs, and pros and cons of treatment options. Patients and families/caregivers lack understanding of disease progression and treatments, as well as, comfort measures which leads to misconceptions of the use of comfort medications at the end of life. “Although Hospice and palliative medicine have made significant advances in treating pain, managing it continues to be one of the most difficult challenges for caregiver. The urgency of this challenge is reflected by the fact that one third of hospice e 10
HOSPICE AND COMFORT MEDICATIONSfamilies have concerns about the amount of information they received regarding what to expect when the patient was dying, as well as, concerns about reporting pain and using analgesics to manage pain (Chi, Demiris, Pike, Washington, & Oliver, 2018).