Studies of caregivers of older cancer patients needed

Given, Barbara; Grant, Marcia

doi:10.1016/j.jgo.2012.07.007

Cited by 4 publications

(3 citation statements)

References 27 publications

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“…Older adults with cancer are complex given their increased likeliness to experience changes in mentation or cognition, 7 altered mobility and increased risk for falls, 8 concurrent chronic diseases, 9 and polypharmacy 10 . Caregivers—defined as family members or support persons—play an important role and are often integral to older adults ability to manage the effects of cancer treatment, and the functional demands of appointments, consultation, and clinic attendance 11,12 . Given the deleterious impacts of cancer and its treatments on the function and well‐being of older adults with cancer, 4 supporting older adults (and their caregivers) as they manage the acute effects of cancer treatment is paramount 13,14 …”

Section: Introductionmentioning

confidence: 99%

Systematic review of self‐management interventions for older adults with cancer

et al. 2021

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Aim The purpose of this systematic review was to determine the effectiveness of self‐management interventions for older adults with cancer and to determine the effective components of said interventions. Methods We conducted a systematic review of self‐management interventions for older adults (65+) with cancer guided by the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis statement. We conducted an exhaustive search of the following databases: Ageline, AMED, ASSIA, CINAHL, Cochrane, Embase, Medline, PsychINFO, and Sociological Abstracts. We assessed for quality using the Cochrane Risk of Bias tool and Down & Black for quasi‐experimental studies, with data synthesized in a narrative and tabular format. Results Sixteen thousand nine hundred and eight‐five titles and abstracts were screened, subsequently 452 full‐text papers were reviewed by two independent reviewers, of which 13 full‐text papers were included in the final review. All self‐management interventions included in this review measured Quality of Life; other outcomes included mood, self‐care activity, supportive care needs, self‐advocacy, pain intensity, and analgesic intake; only one intervention measured frailty. Effective interventions were delivered by a multidisciplinary teams (n = 4), nurses (n = 3), and mental health professionals (n = 1). Self‐management core skills most commonly targeted included: problem solving; behavioural self‐monitoring and tailoring; and settings goals and action planning. Conclusions Global calls to action argue for increased emphasize on self‐management but presently, few interventions exist that explicitly target the self‐management needs of older adults with cancer. Future work should focus on explicit pathways to support older adults and their caregivers to prepare for and engage in cancer self‐management processes and behaviours.

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Section: Introductionmentioning

confidence: 99%

Systematic review of self‐management interventions for older adults with cancer

et al. 2021

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“…An increasing number of older cancer patients are receiving care at home from an informal caregiver who is likely to be an older adult and spouse (American Cancer Society, 2013; Given & Grant, 2012). The reciprocal nature of the illness experience between patient and family caregiver exists among older spouses, where there is increased mortality risk as a result of caregiving burden (van Ryn et al, 2011).…”

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confidence: 99%

“…Cancer patients and their caregivers are least satisfied with prognosis information and information about pain management (Hannon et al, 2013), yet older spousal caregivers report that the demands of caregiving activity include providing emotional support and managing patient behavioral problems (Park et al, 2013). Currently, there are no clear interventions that address the caregiving role in light of aging-related comorbidities and functional changes (Given & Grant, 2012). With little known about aging-related stressors during caregiving, a case study approach was used to describe specific caregiving issues for older spousal caregivers of cancer patients receiving hospice care.…”

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confidence: 99%

Exploring Aging-Related Stress Among Older Spousal Caregivers

Wittenberg-Lyles¹,

Demiris²,

Oliver³

et al. 2014

J Gerontol Nurs

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The goal of this study was to explore aging-related stress among older spousal caregivers providing hospice care for an older adult with cancer. Cases were selected from an ongoing randomized controlled trial that involved audiorecorded visits with caregivers over four different time points. Recordings consisted of caregivers discussing caregiving problems and ways they attempted to cope. Four caregiver cases comprising 16 audiorecordings were qualitatively analyzed for aging-related stress during caregiving. Caregiving stress primarily involved the patients’ cognitive deficits. The caregiving experience also made older caregivers aware of their own aging and physical limitations, heightened self-imposed expectations to fulfill their role as spouse, and led them to consider their own mortality. This study informs development of caregiver interventions aimed at addressing the reciprocal challenge of caregiving and aging.

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