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Family Caregivers' Heavy and Overloaded Burden in Advanced Chronic Obstructive Pulmonary Disease

Journal article
Authors Susann Strang
M. Osmanovic
C. Hallberg
P. Strang
Published in Journal of Palliative Medicine
Volume 21
Issue 12
Pages 1768-1772
ISSN 1096-6218
Publication year 2018
Published at Institute of Health and Care Sciences
Pages 1768-1772
Language en
Links dx.doi.org/10.1089/jpm.2018.0010
Keywords COPD, family caregiver, palliative, spouse, palliative care, of-life, experiences, symptoms, spouses, Health Care Sciences & Services
Subject categories Health Sciences

Abstract

Background: Due to severe symptoms and poor prognosis in advanced cases, chronic obstructive pulmonary disease (COPD) is today seen as a palliative diagnosis. The everyday lives of patients as well as their relatives are restricted and affected by significant psychosocial problems. Objective: To obtain detailed knowledge about people's experiences, for example, transitions in relationships, responsibility, and possible changes in communication, caused by the illness. Design: This is a qualitative interview study using both focus group interviews and individual interviews. Setting/Subjects: In total, 35 family members with personal experience of living with a person with severe COPD were interviewed. Measurements: The semistructured interviews were audio-recorded, transcribed verbatim, and analyzed with a qualitative content analysis. Results: Three themes emerged: (1) A restricted everyday life. The family caregivers felt confined to their own home, they had to be constantly attentive, and their lives became increasingly restricted. (2) A changed relationship. There was a shift in responsibility and their mutual communication. The family caregivers' own needs were neglected and the relationship was affected. (3) Joy through adaption. Still, caregivers strived for normality and, through gradual adaption, they could still experience joy. Conclusions: Being a family caregiver is a burdensome and complex situation. Besides providing practical help, the family caregiver needs to support the ill person. Roles and communication patterns are changed. Healthcare staff must identify the needs of the family caregivers. A family caregiver who feels acknowledged and confident can support their severely ill family member.

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