title: At the Grave We Make Our Song: A Palliative Care Study in Rural Guatemala.
abstract: We sought to understand decision making, family involvement, and cultural factors that influence palliative care for Guatemalans.
  
  
  
  A qualitative descriptive study was conducted in Guatemala to explore palliative care experiences among seven participants.
  
  
  
  The overarching theme was Relief from Suffering, reinforced by three support systems: the family, community rezadora, and priest. The family made decisions and provided physical care. The rezadora sang prayers and prepared the home altar. The priest provided traditional sacraments.
  
  
  
  The role of the rezadora should be considered in providing palliative care to Guatemalans. Some Guatemalans are unfamiliar with or have difficulty understanding the role of the nurse in palliative and end-of-life care.
  
  
  
  We suggest training opportunities using international resources to enhance the role for Guatemalan nurses in end-of-life care. Palliative care nurses in the United States may benefit from incorporating the rezadora into strategies that extend these services to Guatemalans.
authors: 1 Mission Health, Asheville, NC, USA.
authors: Erin
authors: E
authors: Traister
authors: 2 East Carolina University, Greenville, NC, USA.
authors: Kim L
authors: KL
authors: Larson
authors: 2 East Carolina University, Greenville, NC, USA.
authors: Dell
authors: D
authors: Hagwood
mesh_terms: D003469:Culture; D003657:Decision Making; D005195:Family Relations / Q000523:psychology*; D006166:Guatemala; D006801:Humans; D010166:Palliative Care / Q000379:methods / Q000592:standards*; D036301:Qualitative Research; D012424:Rural Population; D029181:Spirituality; D013315:Stress, Psychological / Q000523:psychology / Q000628:therapy
keywords: international; palliative care; qualitative