Evidence map›Paper›PMID 26159294›Full record

ArticleJournal of pain and symptom management2015

Managing Medications During Home Hospice Cancer Care: The Needs of Family Caregivers.

Jennifer Tjia, Lee Ellington, Margaret F Clayton, Celeste Lemay, Maija Reblin

Open access · bronzeAbstract read
In one paragraph

Article in Journal of pain and symptom management, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Palliative Care: A Primary Care Pharmacist Perspective.Pharmacy (Basel, Switzerland) · 2022
    Article
  6. Article
  7. Decreasing Trends in Opioid Prescribing on Discharge to Hospice Care.Journal of pain and symptom management · 2021
    Article
  8. Article
  9. Article
  10. Nurses' Perspectives on Family Caregiver Medication Management Support and Deprescribing.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2019
    Article
  11. Article
  12. Pain Management Concerns From the Hospice Family Caregivers' Perspective.The American journal of hospice & palliative care · 2018
    Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Jennifer TjiaUniversity of Massachusetts Medical School, Worcester, Massachusetts, USA. Electronic address: jennifer.tjia@umassmed.edu.
Lee EllingtonUniversity of Utah, Salt Lake City, Utah, USA.
Margaret F ClaytonUniversity of Utah, Salt Lake City, Utah, USA.
Celeste LemayUniversity of Massachusetts Medical School, Worcester, Massachusetts, USA.
Maija ReblinUniversity of Utah, Salt Lake City, Utah, USA.
University of Utah · USUniversity of Massachusetts Chan Medical School · US

Funding

Symptom Care by Phone for Hospice Caregiver Support and Cancer Symptom ReliefP01CA138317 · NCI · UNIVERSITY OF UTAH · PI MOONEY, KATHLEEN H · 2010 to 2015
$7.0M
HSRD VA CDA 11-263NCI NIH HHS P01 CA138317NCI NIH HHS P01-CA138317
6 · The paper itself

Abstract

contextFamily caregivers (FCGs) are often at the frontline of symptom management for patients with advanced illness in home hospice. FCGs' cognitive, social, and technical skills in complex medication management have been well studied in the literature; however, few studies have tested existing frameworks in clinical cases in home hospice.

objectivesThis study sought to assess the applicability of caregiver medication management skills framework by Lau et al. in the context of family caregiving in home hospice to further the understanding of FCGs' essential medication management skills.

methodsThis was a secondary data analysis of 18 audio recorded home hospice visits transcribed verbatim; deductive content analysis of caregiver-nurse interactions was conducted. The target sample included FCGs of hospice patients who had cancer diagnoses in hospices located in the greater urban area of the Rocky Mountain West. Caregiver medication management skills were identified and categorized into the five domains of caregiver expertise. Exemplars of each domain were identified.

resultsAn average of four medications (SD = 3.5) was discussed at each home hospice visit. Medication knowledge skills were observed in most home hospice visits (15 of 18). Teamwork skills were observed in 11 of 18 cases, followed by organizational and personhood skills (10 of 18). Symptom management skills occurred in 12 of 18 cases. An additional two subconstructs of the personhood domain-1) advocacy for the caregiver and 2) skills in discontinuing medications-were proposed.

conclusionThese findings support framework by Lau et al. for caregiver medication management skills and expands on the existing domains proposed. Future interventions to assess FCGs' skills are recommended.

Indexed as

CaregiversFamilyMedication Therapy ManagementAgedAged, 80 and overCommunicationElectronic Health RecordsFemaleHome NursingHospice CareHumansMaleMiddle AgedNeoplasmsNursesUnited Statescaregiver skillsframeworkHospicemedication managementsymptom management

Identifiers

PMID26159294
PMCPMC4649436
OpenAlexW2140822665

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.