title: Family caregivers of palliative cancer patients at home: the puzzle of pain management.
abstract: The purpose of this grounded theory study was to understand the processes used by family caregivers to manage the pain of cancer patients at home. A total of 24 family caregivers participated. They were recruited using purposeful then theoretical sampling. The data sources were taped, transcribed (semi-structured) interviews and field notes. Data analysis was based on Strauss and Corbin's (1998) requirements for open, axial, and selective coding. The result was an explanatory model titled "the puzzle of pain management," which includes four main processes: "drawing on past experiences"; "strategizing a game plan"; "striving to respond to pain"; and "gauging the best fit," a decision-making process that joins the puzzle pieces. Understanding how family caregivers assemble their puzzle pieces can help health care professionals make decisions related to the care plans they create for pain control and help them to recognize the importance of providing information as part of resolving the puzzle of pain management.
authors: McGill University Health Center, Psychosocial Oncology, Montreal General Hospital, 1650 Cedar Avenue, Montreal, Quebec, Canada H3G 1A4. anita.mehta@muhc.mcgill.ca
authors: Anita
authors: A
authors: Mehta
authors: S Robin
authors: SR
authors: Cohen
authors: Franco A
authors: FA
authors: Carnevale
authors: Hélène
authors: H
authors: Ezer
authors: Francine
authors: F
authors: Ducharme
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009369:Neoplasms / Q000628:therapy*; D010146:Pain / Q000517:prevention & control*; D010166:Palliative Care; D010347:Patient Care Planning; D017064:Process Assessment, Health Care; D011368:Professional-Family Relations; D011792:Quebec; D012944:Social Support