Ethical issues in pain management at home.

作者: Betty R. Ferrell , Grace E. Dean

DOI: 10.1177/082585979401000314

关键词:

摘要: This review of several studies from the authors' program research supports notion that experience pain, particularly in home, has a profound effect not only on patient, but family and health care providers as well. Family caregivers revealed their private grief burden when describing physical suffering they witnessed. They faced daily responsibility making decisions regarding loved one's often resulted ethical conflicts. Caregivers generally felt ill-prepared for administration pain medication. struggled to balance need medications relieve against perceived unwanted side effects fear addiction. These also demonstrate concerted effort must be made by support management role caregivers. By listening, being available, priority, reinforcing appropriate principles, professionals help sustain carrying out anguishing unrelenting task.

参考文章(13)
M. Grant, M. Rhiner, M. Z. Cohen, B. R. Ferrell, Pain as a metaphor for illness. Part I: Impact of cancer pain on family caregivers. Oncology Nursing Forum. ,vol. 18, pp. 1303- 1309 ,(1991)
B. R. Ferrell, A. Rozek, M. Z. Cohen, M. Rhiner, Pain as a metaphor for illness. Part II: Family caregivers' management of pain. Oncology Nursing Forum. ,vol. 18, pp. 1315- 1321 ,(1991)
Betty Ferrell, Marcia Grant, Geraldine Padilla, Sunil Vemuri, Michelle Rhiner, The Experience of Pain and Perceptions of Quality of Life: Validation of a Conceptual Model Hospice Journal, The. ,vol. 7, pp. 9- 24 ,(1991) , 10.1080/0742-969X.1991.11882702
Betty R. Ferrell, Maria T. Eberts, Margo McCaffery, Marcia Grant, Clinical decision making and pain Cancer Nursing. ,vol. 14, pp. 289???297- 297 ,(1991) , 10.1097/00002820-199112000-00002
Sharon L. Sims, Donna L. Boland, Cynthia A. O'Neill, Marcia Gruis Killien, Decision making in home health care. Western Journal of Nursing Research. ,vol. 14, pp. 186- 200 ,(1992) , 10.1177/019394599201400206
C. C. Boring, T. S. Squires, T. Tong, S. Montgomery, Cancer statistics, 1994. CA: A Cancer Journal for Clinicians. ,vol. 44, pp. 7- 26 ,(1994) , 10.3322/CANJCLIN.44.1.7
Rem B. Edwards, Pain and the ethics of pain management Social Science & Medicine. ,vol. 18, pp. 515- 523 ,(1984) , 10.1016/0277-9536(84)90010-8
R. G. Twycross, Ethical and clinical aspects of pain treatment in cancer patients. Acta Anaesthesiologica Scandinavica. ,vol. 26, pp. 83- 90 ,(1982) , 10.1111/J.1399-6576.1982.TB01853.X
Solomon R. Benatar, Ethics, Medicine, and Health in South Africa Hastings Center Report. ,vol. 18, pp. 3- 8 ,(1988) , 10.2307/3563244