While complementary and alternative medicine (CAM) can improve quality of life at end of life, little research exists on hospice residents’ interest in using and sharing CAM experiences with a partner/friend/other family member. A pilot study conducted in British Columbia, Canada explored the extent of hospice residents’ interest and openness to CAM use. A convenience sample of 48 hospice residents from 9 hospice sites completed questionnaire-based interviews. The majority of participants were Caucasian women over 60 years old. 81 percent expressed interest in receiving CAM; 79 percent used CAM prior to entering the hospice setting. 50 percent of those interested in using CAM felt their partner/friend/other family member would also be interested in receiving CAM, and half of that 50 percent reported personal interest in sharing the experience. Reasons reported for CAM interest were to enhance well-being, relaxation, and for pain relief. Further research could explore how resi-dent-caregiver dyads may benefit from shared CAM experiences over the illness trajectory.
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References
1.
FerrisF.D., MountB.M., BowenK.A model to guide hospice palliative care: based on national principles and norms of practice. Bacon J, editor.Ottawa: Canadian Hospice Palliative Care Association; 2002.
2.
ByockI.Dying well: the prospect for growth at the end of life.New York: Riverhead Books; 1997.
3.
HiraiK., MiyashitaM., MoritaT.Good death in Japanese cancer care: a qualitative study.J Pain Symptom Manag2006; 31(2): 140–147.
4.
KuhlD.What dying people want: practical wisdom for the end of life.New York: Public Affairs; 2002.
5.
MikulincerM., FlorianV., HirschbergerG.The existential function of close relationships: introducing death into the science of love.Pers Soc Psychol Rev2003; 7(1): 20–40.
6.
Prince-PaulM.Understanding the meaning of social well-being at the end of life.Oncol Nurs Forum2008; 35(3): 365–371.
7.
DemmerC.A survey of complementary therapy services provided by hospices.J Palliat Med2004; 7(4): 510–516.
8.
KozakL.E., KayesL., McCartyR.Use of complementary and alternative medicine (CAM) by Washington state hospices.Am J Hosp Palliat Med2009; 25(6): 463–468.
9.
LewithG.T., BroomfieldJ., PrescottP.Complementary cancer care in Southampton: a survey of staff and residents.Complement Ther Med2002; 10(2): 100–106.
10.
OneschukD., BalneavesL., VerhoefM.The status of complementary therapy services in Canadian palliative care settings.Support Cancer Care2007; 15(8): 939–947.
11.
National Center for Complementary and Alternative Medicine.What is complementary and alternative medicine?Bethesda (ML): National Institutes of Health; 2009.
12.
HemmingL., MaherD.Complementary therapies in palliative care: a summary of current evidence.Br J Community Nurs2005; 10(10): 448–452.
13.
SparberA., WoottonJ.C., BauerL.Use of complementary medicine by adult residents participating in HIV/AIDS clinical trials.J Complement Altern Med2000; 6(5): 415–422.
14.
PanC.X., MorrisonS., NessJ.Complementary and alternative medicine in the management of pain, dyspnea, and nausea and vomiting near the end of life.J Pain Symptom Manag2000; 20(5): 374–387.
15.
LaffertyW.E., DowneyL., McCartyR.L.Evaluating CAM treatment at the end of life: a review of clinical trials for massage and meditation.Complement Ther Med2006; 14(2): 100–112.
16.
LewisC.R., VediaA., ReuerB.Integrating complementary and alternative medicine (CAM) into standard hospice and palliative care.Am J Hosp Palliat Care2003; 20(3): 221–228.
17.
HinkkaH., KosunenE., LammiU.K.Attitudes to terminal residents’ unorthodox therapy: Finnish doctors’ responses to a case scenario.Support Care Cancer2004; 12(2): 132–136.
18.
PattersonR.E., NeuhouserM.L., HeddersonM.M.Types of alternative medicine used by residents with breast, colon, or prostate cancer: predictors, motives, and costs.J Altern Complement Med2002; 8(4): 477–485.
19.
GrahnG., DanielsonM.Coping with the cancer experience. II. Evaluating an education and support programme for cancer residents and their significant others.Eur J Cancer Care1996; 5(3): 182–187.
20.
NelsonJ.P.Being in tune with life: complementary therapy use and well-being in residential hospice residents.J Holist Nurs2006; 24(3): 152–161.
21.
JohnsonJ.L., NorbyP.A.We can weekend: a program for cancer families.Cancer Nurs1981 Feb; 4(1): 23–28.
22.
HilliardR.E.The use of music therapy in meeting the multidimensional needs of hospice residents and families.J Palliat Care2001; 17(3): 161–166.
23.
MagillL.The spiritual meaning of pre-loss music therapy to bereaved caregivers of advanced cancer residents.Palliat Support Care2009; 7(1): 97–108.
24.
Statistics Canada Health Statistics Division.Use of alternative health care. Health Reports vol. 16, no. 2. Catalogue no. 82-003-XIE.Ottawa: Author; 2005. pp. 39–42.
25.
TrinkausM., BurmanD., BarmalN.Spirituality and use of complementary therapies for cure in advanced care.Psychooncology2011. Forthcoming.
26.
ManskyP.J., WallerstedtD.B.Complementary medicine in palliative care and cancer symptom management.Cancer J2006; 12(5): 425–431.
27.
RunningA., Shreffler-GrantJ., AndrewsW.A survey of hospices use of complementary therapy.J Hosp Palliat Nurs2008; 10(5): 304–312.
28.
DemmerC.A survey of complementary therapy services provided by hospices.J Palliat Med2004; 7(4): 510–516.
29.
DemmerC., SauerJ.Assessing complementary therapy services in a hospice program.Am J Hosp Palliat Care2002; 19(5): 306–314.
30.
MacDonaldG.Massage as a respite intervention for primary caregivers.Am J Hosp Palliat Med1998; 15(1): 43–47.
31.
KornL., LogsdonR.G., PolissarN.L.A randomized trial of a CAM therapy for stress reduction in American Indian and Alaskan native family caregivers.Gerontologist2009; 49(3): 368–377.
32.
PensonJ.Complementary therapies: making a difference in palliative care.Complement Ther Nurs Midwifery1998; 4: 77–81.
33.
OhlenJ., BalneavesL.G., BottorfJ.The influence of significant others in complementary and alternative medicine decisions by cancer patients.Soc Sci Med2006; 63: 1625–1636.
34.
GardnerD.S.Cancer in a dyadic context: older couples’ negotiation of ambiguity and search for meaning at end of life.J of Soc Work in End-of-Life Palliat Care2008; 4(2): 135–159.
