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Quality of life from the perspective of the palliative patientVan Rensburg, Jacoba Johanna Maria Jansen. January 2011 (has links)
Thesis (MTech degree in Nursing)--Tshwane University of Technology, 2011. / Quality of life has been well researched, especially with respect to cancer sufferers, but not necessarily from the perspective of the patient and also not in third-world, resource-poor countries. In this study quality of life was researched from the perspective of the palliative patient living in Soshanguve, a township 45 kilometres from Pretoria in South Africa. The patients were managed at the palliative care nursing community of practice in Soshanguve and suffered from cancer, HIV and AIDS, pulmonary tuberculosis, cerebrovascular incidents and chronic pain due to arthritis.
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An assessment of the integration of palliative care in the caring of cancer patients in selected oncology clinics in the eThekwini district in KwaZulu-NatalSithole, Ntombizodwa Margaret 18 January 2013 (has links)
Dissertation submitted in fulfilment of the requirements for the Degree in
Masters of Technology: Nursing, Durban University of Technology, 2012. / Palliative care research in South Africa is at an early stage and there is an increasing
need to develop a body of evidence that is relevant to South African conditions. One
of the biggest challenges that palliative care in Africa faces is the projected increase
in the number of cancer patients in the developing world by 2050, many of whom will
need palliative care. There is a concern at present about the integration of oncology
and palliative care services in South Africa and whether or not cancer patients are
able to access quality palliative care. Palliative care plays an important role in
improving quality of life for people and family members affected by life-threatening
illness. It pursues its goal by relieving pain and other distressing symptoms in cancer
patients and giving psychosocial support to patients and their families. It should
begin at diagnosis and continue throughout treatment, follow-up care, and at the end
of life in addition to the cancer treatment which is given
Aim of the study
The aim of this study was to assess the integration of palliative care in the caring of
cancer patients in the selected oncology clinics in the eThekwini district in KZN.
Methodology
A qualitative, explorative, descriptive and contextual research design was used to
guide this study. The study was participative in nature and employed a focus group
methodology. The participants in this study were professional nurses who were
working at the selected sites in the public urban oncology clinics for more than three
months. Two focus groups were conducted within one month of each other at
selected oncology sites with participation from 16 oncology nurses.
Findings
Findings indicated that most participants understood palliative care as end of life
care when a patient is beyond curative treatment and that it is often the doctor who
determines eligibility. Participants also perceived palliative care in terms of different
types of medical treatment. The findings indicated nurses only contacted hospices
when the patient was at the last stage of their illness, were often not aware of all the
hospices in the area, and acknowledged that communication between the oncology
clinics and hospices was not good. Some nurses believed that palliative care is also
provided in the oncology clinic and that it is not only the hospices that provide
palliative care. Only one oncology nurse who participated in the study mentioned that
she is trained in palliative care, but they all showed interest in becoming more
knowledgeable in this area and improving relationships between oncology clinics and
the palliative care team/hospices.
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A study into palliative care services for offenders with AIDS at Westville Prison.Moodley, Aneetha Devi. January 2006 (has links)
The study sought to determine what palliative care services were provided to offenders at Medium B correctional center, which is located at Durban Management Area. It identified the perceptions of offender-patients about the services they received. The study also identified challenges that staff and offender-volunteer caregivers faced in rendering services within a correctional context in South Africa. The sample consisted of three stakeholders, namely, offender-patients who were terminally ill with AIDS at the prison hospital, staff and offender volunteer caregivers. The methods of data collection comprised of content analysis, semi-structured interviews with offender-patients and focus group discussions with staff and offender volunteer caregivers. The study revealed that efforts were made by the Department of Correctional Services to provide services to terminally ill AIDS patients. Legislation and policy frameworks were consistently being developed by the Department to meet the needs of patients and to keep abreast with international best practices. Some services were in accordance with the theoretical framework of palliative care. However, many challenges were experienced because of the contextual constraints in which the services were being rendered. Recommendations to improve the delivery of services were made by all participants in the study. The study concludes with the recommendations by the researcher and suggestions for future research. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2006.
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Psychosocial challenges and coping mechanisms of palliative care volunteer caregivers for people living with HIV and AIDSShirinda-Mthombeni, Keit 06 1900 (has links)
South African palliative care volunteer caregivers play a crucial role in caring for people living with HIV and Aids, but frequently do not receive the support and respect that they deserve. The current study explored the psychosocial challenges and coping mechanisms of palliative care volunteer caregivers for people living with HIV and Aids. The researcher conducted in-depth interviews with 24 participants who also filled in questionnaires. The aim was to explore their experiences, their challenges, and coping mechanisms. Although these volunteer caregivers shared many positive experiences, they also faced multiple challenges in the workplace, their personal lives, financial challenges as well as psychological and emotional ones. Despite these challenges, the caregivers showed only moderate levels of stress on the stress scale. Recommendations for overcoming these challenges were provided to caregivers, organisations and the Department of Health / Psychology / M. Sc. (Psychology)
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Psychosocial challenges and coping mechanisms of palliative care volunteer caregivers for people living with HIV and AIDSShirinda-Mthombeni, Keit 06 1900 (has links)
South African palliative care volunteer caregivers play a crucial role in caring for people living with HIV and Aids, but frequently do not receive the support and respect that they deserve. The current study explored the psychosocial challenges and coping mechanisms of palliative care volunteer caregivers for people living with HIV and Aids. The researcher conducted in-depth interviews with 24 participants who also filled in questionnaires. The aim was to explore their experiences, their challenges, and coping mechanisms. Although these volunteer caregivers shared many positive experiences, they also faced multiple challenges in the workplace, their personal lives, financial challenges as well as psychological and emotional ones. Despite these challenges, the caregivers showed only moderate levels of stress on the stress scale. Recommendations for overcoming these challenges were provided to caregivers, organisations and the Department of Health / Psychology / M. Sc. (Psychology)
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The experiences of social workers in rendering palliative care services : suggestions for social workersNyamndaya, Tendayi 02 1900 (has links)
Palliative care is one of the crucial services provided by social workers to improve the quality of life of people suffering from life-threatening illnesses. It is an inter-disciplinary medical care giving approach which focuses on relieving symptoms and stress of life threatening illness. To my knowledge there is limited guidelines on how social workers
should intervene in providing palliative care services.
Therefore, this study will the explore experiences of social workers in rendering palliative care services to people faced with life-threatening illnesses. The study will follow a qualitative research approach. Purposive and snowball sampling will be employed to frame the sample of social workers who render palliative care services.
Ethical issues regarding informed consent, confidentiality/anonymity and management of information will be considered and attended to. Data will be collected through semi structured interviews and analysed in terms of Tesch eight steps. The Guba and Lincoln’s model will be employed for data verification (Lincoln and Guba in Schurink,
Fouché and de Vos 2011:419-421). / Social Work / M.A. (Social Work)
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