Abstract
For the vast majority of the 1.6 million Americans diagnosed with cancer annually, their cancer care is delivered in outpatient settings. Living with a cancer diagnosis is a 24-hour experience, which means that family caregivers face responsibility for much of the care needed by persons diagnosed with cancer. Caregivers’ responsibilities are magnified by the many advances in cancer treatments, especially aggressive combination therapies that increase the complexity of patient needs over the trajectory of the cancer experience. The needs are equally complex, if not more so, for the people who will eventually die from their cancers. This chapter presents three model to address caregiving during the diagnostic phase of the cancer trajectory, a phase in which family dynamics set an important context for cancer caregiving throughout the other phases. A case example showcases the current status of care giving during the diagnostic phase of cancer care and highlights future directions for research and ways to implement conceptual frameworks. Such information can enhance the caregiving experience as patients and their caregivers begin to navigate the acceptable options for curative and palliative cancer care treatments.
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From How can I be dying, I feel so good? Gypsy’s escape from lung cancer (1994), by D. J. Wilkie and D. B. Lawrence, Washington State Cancer Pain Initiative News, 2(1), 1, 6–7. Copyright 1994 by D. J. Wilkie & D. B. Lawrence. Modified with permission.
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Wilkie, D.J., Farber, S.J. (2012). Diagnostic Issues: Family Dynamics and Caregiving for an Individual with Cancer. In: Talley, R., McCorkle, R., Baile, W. (eds) Cancer Caregiving in the United States. Caregiving: Research • Practice • Policy. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3154-1_2
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