The enhancement of patient control isfrequently cited in nursing literature as an important area of nursing intervention. In this article, the concept of control, from the perspective of the patient with cancer pain, the primary family caregiver, and the home-care nurse, is discussed. Lewis identifiedfive types of control: processual control, contingency control cognitive control, behavioral control, and existential control. Lewis's typology of control was used as an organizing analytical framework, in this study, for interpreting the interview responses of each member of the triad. Similarities and differences in the perspectives of each member are discussed and examples of interventions that may be used to increase control in the management of pain are presented.
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References
1.
Berkman, K. L. , & Austin, J. K. (1993). Causal attribution, perceived control, and adjustment in patients with lung cancer. Oncology Nursing Forum, 20(1), 23-30.
2.
Chapman, C. R. (1979). Psychologic and behavioral aspects of cancer pain. In J. J. Bonica & V. Ventafridda (Eds.), Advances in pain research and therapy, Vol. 2. New York: Raven.
3.
Ferrell, B. R. , Taylor, E. J., Grant, M., Fowler, M., & Corbisiero, R. M. (1993). Pain management at home. Struggle, comfort, and mission. Cancer Nursing, 16(3), 169-178.
4.
Ferrell, B. R. , Taylor, E. J., Sattler, G. R., Fowler, M., & Cheyney, B. L. (1993). Searching for the meaning of pain: Cancer patients', caregivers', and nurses' perspectives. Cancer Practice, 1(3), 185-194.
5.
Ferrell, B. R , Wisdom, C., & Wenzl, C. (1989). Quality of life as an outcome variable in the management of cancer pain. Cancer, 63, 2321-2327.
6.
Helmreich, R. (1972). Stress, self-esteem and attitudes. In B. King & E. McGinnies (Eds.), Attitudes, conflict, and social change. New York: Academic Press.
7.
Hill, H. F. , Saeger, L. C., & Chapman, C. R. (1986, August). Patient controlled analgesia after bone marrow transplantation for cancer. Postgraduate Medicine, pp. 33-40.
8.
Lewis, F. M. (1982). Experienced personal control and quality of life in late-stage cancer patients. Nursing Research, 31(2), 113-119.
9.
Lewis, F. M. (1987). The concept of control: A typology and health-related variables. Advances in Health Education and Promotion, 2, 277-309.
10.
Lewis, F. M. (1989). Attributions of control, experienced meaning, and psychosocial well-being in patients with advanced cancer. Journal of Psychosocial Oncology, 7(1/2), 105-119.
11.
Lewis, F. M. , Haberman, M. R., & Wallhagen, M. I. (1987). How adults with late-stage cancer experience personal control. Journal of Psychosocial Oncology, 4(4), 27-41.
12.
Lowery, B. , & Jacobsen, B. (1985). Attributional analysis of chronic illness outcomes. Nursing Research, 34, 82-88.
13.
Padilla, G. V. , Ferrell, B., Grant, M. M., & Rhiner, M. (1989). Defining the content domain of quality of life for cancer patients with pain. Cancer Nursing, 13(2), 108-115.
14.
Taylor, E. J. , Ferrell, B. R., Grant, M., & Cheyney, L. (1993). Managing cancer pain at home: The decisions and conflicts of patients caregivers, and their nurses. Oncology Nursing Forum, 20(6), 919-927.
15.
Thompson, S. C. (1981). Will it hurt less if I can control it? A complex answer to a simple question. Psychological Bulletin, 90(1), 89-101.
16.
Turk, D. C. , & Fernandez, E. (1990). On the putative uniqueness of cancer pain: Do psychological principles apply?Behavioral Research Therapy, 28(1), 1-13.
17.
Vallerand, A. H. (in press). The development and psychometric testing of an instrument to measure functional status in women with chronic pain. Dissertation Abstracts International.
18.
Ferrell, B. R. , Wisdom, C., & Wenzl, C. (1989). Quality of life as an outcome variable in the management of cancer pain. Cancer, 63, 2321-2327.
19.
Padilla, G. V. , Ferrell, B., Grant, M. M., & Rhiner, M. (1989). Defining the content domain of quality of life for cancer patients with pain. Cancer Nursing, 13(2), 108-115.
20.
Vallerand, A. H. (1995). The development and psychometric testing of an instrument to measure the functional status of women with chronic nonmalignant pain. Unpublished doctoral dissertation, University of Pennsylvania, Philadelphia.
