for those in healthcare. Kehl states that “family caregivers who are prepared for caregiving and for the patients death exhibit positive outcomes such as perceived competence, having informational needs met, and family satisfaction and describe higher levels of hope than those who are not prepared (2015).” There is limited research examining the challenges that family caregivers face and what their perspectives on the use of comfort medications at the end of life. Comfort based care including pain management and symptom management is key to improving and maintaining quality of life of hospice patients, whether they are actively dying or in early stages of the end of life. In adult and geriatric patients with terminal illness on hospice/palliative care service, does patient, family and healthcare staff education regarding the 3
HOSPICE AND COMFORT MEDICATIONS use of comfort medications when first admitted to hospice, compared to education at the time of transition to actively dying improve pain and other symptom management, quality of life and apprehension of family and healthcare staff during the end of life. Literature and Search Methods Keywords and subject headings used included: comfort medications, end-of-life care, hospice care, hospice patient family/caregivers, education on use of pain medications. Databases used included Southern New Hampshire University Shapiro Library, EBSCO, journal articles and google search. Inclusion criteria included articles less than five years old, peer and scholarly reviewed journal entries and had to related to end of life care and comfort medications. Exclusion criteria included articles more than five years old, not written in English, those did not include full text or reliable resources. Data Analysis and Critical Appraisal Study one The purpose of the 2018 study performed by Chi, Demiris, Pike, Washington & Oliver, was to identify challenges family caregivers of hospice patients encounter. This was a qualitative study including fifteen hospice caregivers. Caregivers were interviewed by hospice researchers with the results of the interviews showing several challenges that were faced by caregivers including: lack of medication knowledge, lack of organizational skills, lack of communication and lack of patient centered care. The results of this research can help assist caregivers with the education and support they need to ensure that patients’ pain is managed at the end of life effectively. This is a peer reviewed research article and is reliable for future researchers to refer to for assistance in studying challenges faced by hospice patient caregivers. Limitations of this study included a small sample size that included prominently older white people with higher 4
HOSPICE AND COMFORT MEDICATIONS educations. Future researchers on this topic should include a larger more diverse population. This article does not provide a great deal of support to the research of this paper as it does not relate to early education on the use of comfort medications and pain symptom management.
You've reached the end of your free preview.
Want to read all 21 pages?
- Summer '17
- Palliative medicine