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Balancing: a basic process in end-of-life cancer care

Thulesius, Hans LU ; Håkansson, Anders LU and Petersson, Kerstin (2003) In Qualitative Health Research 13(10). p.1353-1377
Abstract
In this grounded theory study, the authors interviewed caregivers andpatients in end-of-life cancer care and found Balancing to be a fundamentalprocess explaining the problem-solving strategies of most participants and offering a comprehensive perspective on both health care in general and end-of-life cancer care in particular. Balancing stages wereWeighing— sensing needs and wishes signaled by patients, gauging them against caregiverresources in diagnosing and care planning; Shifting—breaking bad news, changing care places, and treatments; and Compensating—controlling symptoms, educating and team-working, prioritizing and "stretching" time, innovating care methods, improvising, and maintaining the homeostasis of hope. The Balancing... (More)
In this grounded theory study, the authors interviewed caregivers andpatients in end-of-life cancer care and found Balancing to be a fundamentalprocess explaining the problem-solving strategies of most participants and offering a comprehensive perspective on both health care in general and end-of-life cancer care in particular. Balancing stages wereWeighing— sensing needs and wishes signaled by patients, gauging them against caregiverresources in diagnosing and care planning; Shifting—breaking bad news, changing care places, and treatments; and Compensating—controlling symptoms, educating and team-working, prioritizing and "stretching" time, innovating care methods, improvising, and maintaining the homeostasis of hope. The Balancing outcome is characterized by Compromising, or "Walking a fine line," at best an optimized situation, at worst a deceit. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Qualitative Health Research
volume
13
issue
10
pages
1353 - 1377
publisher
SAGE Publications
external identifiers
  • wos:000186446000003
  • pmid:14658351
  • scopus:1542780024
ISSN
1049-7323
DOI
10.1177/1049732303258369
language
English
LU publication?
yes
id
0500dd0a-5265-4dc4-b78c-810fe69b9978 (old id 606534)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14658351%20&dopt=Abstract
date added to LUP
2009-07-08 16:16:33
date last changed
2017-01-01 07:58:41
@article{0500dd0a-5265-4dc4-b78c-810fe69b9978,
  abstract     = {In this grounded theory study, the authors interviewed caregivers andpatients in end-of-life cancer care and found Balancing to be a fundamentalprocess explaining the problem-solving strategies of most participants and offering a comprehensive perspective on both health care in general and end-of-life cancer care in particular. Balancing stages wereWeighing— sensing needs and wishes signaled by patients, gauging them against caregiverresources in diagnosing and care planning; Shifting—breaking bad news, changing care places, and treatments; and Compensating—controlling symptoms, educating and team-working, prioritizing and "stretching" time, innovating care methods, improvising, and maintaining the homeostasis of hope. The Balancing outcome is characterized by Compromising, or "Walking a fine line," at best an optimized situation, at worst a deceit.},
  author       = {Thulesius, Hans and Håkansson, Anders and Petersson, Kerstin},
  issn         = {1049-7323},
  language     = {eng},
  number       = {10},
  pages        = {1353--1377},
  publisher    = {SAGE Publications},
  series       = {Qualitative Health Research},
  title        = {Balancing: a basic process in end-of-life cancer care},
  url          = {http://dx.doi.org/10.1177/1049732303258369},
  volume       = {13},
  year         = {2003},
}