title: Concerns of family caregivers of patients with cancer facing palliative surgery for advanced malignancies.
abstract: OBJECTIVE
  To describe the concerns of family caregivers of patients undergoing palliative surgeries for advanced malignancies.
  
  
  METHODS
  Descriptive study with repeated measures.
  
  
  METHODS
  A National Cancer Institute-designated Comprehensive Cancer Center in the western United States.
  
  
  METHODS
  Family caregivers (N = 45) of patients with cancer.
  
  
  METHODS
  Family caregivers were assessed prior to planned palliative surgery and at two weeks and six weeks postsurgery. Quantitative assessment of caregiver quality of life (QOL) occurred at each interval. A subset of nine caregivers also participated in a structured interview presurgery and at two weeks postsurgery.
  
  
  METHODS
  Caregiver concerns, QOL, decision making.
  
  
  RESULTS
  Family caregivers have important QOL concerns and needs for support before and after surgery for advanced disease. Psychological issues were most pronounced, and common concerns included uncertainty, fears regarding the future, and loss. Family caregivers have concerns about surgical risks and care after surgery and voiced recognition of the declining status of patients.
  
  
  CONCLUSIONS
  Surgery is an important component of palliative care and profoundly impacts family caregivers of patients with cancer. The needs of family caregivers are multiple and complex, requiring ongoing assessment to provide interventions that help them cope and ultimately improve their QOL. This important topic requires further research and clinical attention.
  
  
  CONCLUSIONS
  Findings suggest that family caregivers experience their own trajectory during the course of their loved ones' cancer, with surgery being a part of the course. This includes their profound emotions that may swing like a pendulum from one minute to the next. Nurses need to assess family caregivers in addition to patients to provide support and resources that will help increase caregivers' QOL.
authors: Department of Palliative Care, Lombardi Cancer Center, Georgetown University Medical Center, Washington, DC, USA. tbornema@earthlink.net
authors: Tami
authors: T
authors: Borneman
authors: David Z J
authors: DZ
authors: Chu
authors: Lawrence
authors: L
authors: Wagman
authors: Betty
authors: B
authors: Ferrell
authors: Gloria
authors: G
authors: Juarez
authors: Laurence E
authors: LE
authors: McCahill
authors: Gwen
authors: G
authors: Uman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000451:nursing / Q000473:pathology / Q000601:surgery*; D010166:Palliative Care; D010361:Patients / Q000523:psychology; D011788:Quality of Life