The family perspective

David Kissane, Carolyn Enid Lethborg

Research output: Chapter in Book/Report/Conference proceedingChapter (Report)Otherpeer-review


In considering cancer as an illness that affects not only the patient but their entire family, this chapter offers a model of family-centred care to encourage an understanding of the impact of illness on the family, the family in the caregiver role, and the needs of family-based caregivers. From a clinical perspective, the authors offer a guide for assessing these families for interventions, including the use of open communication and information provision, the recognition of past patterns of relating, the encouragement of acceptance of support, discussions with the family as a whole, and support during unpreventable emotional suffering that families experience. Specific interventions described include preventive and supportive interventions, interventions that challenge dysfunction, and interventions with the family when a patient is dying. Family-centred care is challenging as a paradigm but a useful harness to improved quality of life, one that warrants the effort involved to ease the suffering of all.
Original languageEnglish
Title of host publicationOxford Textbook of Palliative Medicine
EditorsNathan I Cherny, Marie T Fallon, Stein Kaasa, Russell K Portenoy, David C Currow
Place of PublicationNew York NY USA
PublisherOxford University Press
Number of pages9
ISBN (Print)9780199656097
Publication statusPublished - 2015

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