Objectives: Family responsibilities and social expectations often prompt conflict in caregivers' decision-making processes. Janis and Mann's (1977) conflict model describes vigilance as high-quality decision-making resulting in optimal outcomes. The purpose of our research was threefold: (1) to describe decision styles in a population of family caregivers of persons with dementia; (2) to examine the socio-economic characteristics associated with caregivers who are more likely to be vigilant decision-makers; and (3) to assess differences in caregiving experiences between vigilant and non-vigilant caregivers.
Method: Our analysis was based on 639 survey respondents recruited from a university-affiliated memory disorders clinic.
Results: Our typical caregiver was Caucasian non-Hispanic, was currently married, and had two children. Approximately half of our sample used a 'pure vigilant' decision style. Vigilance was associated with more positive and fewer negative caregiving outcomes.
Conclusion: Supporting caregivers to become vigilant decision-makers is a functionally viable intervention that could significantly improve the caregiving experience.
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http://dx.doi.org/10.1080/13607863.2017.1292206 | DOI Listing |
J Pharm Health Care Sci
December 2024
Department of Pharmacy, Iwate Medical University Hospital, 2-1-1 Idaidouri, Yahaba-Cho, Iwate, 028-3609, Japan.
Background: Immune checkpoint inhibitors (ICIs) have revolutionized cancer treatment, offering hope for various malignancies by enhancing the immune response against tumors. However, ICIs are associated with unique immune-related adverse events (irAEs), which differ significantly from conventional chemotherapy-induced toxicities. These irAEs, which affect more than 70% of patients and often escalate to severe grades, present substantial clinical management challenges and frequently necessitate emergency hospitalization.
View Article and Find Full Text PDFCureus
October 2024
Dermatology, Edward Via College of Osteopathic Medicine, Blacksburg, USA.
Expert Opin Pharmacother
November 2024
Faculty of Medicine, Transilvania University of Braşov, Brașov, Romania.
J Pain Symptom Manage
November 2024
Division of Palliative Medicine (P.W.), Department of Medicine, Washington University in St. Louis, St Louis, Missouri.
Context: Research has documented common respiratory changes at the end of life for hospice patients. Some studies have noted these symptoms as distressing and challenging for families, and as a potential reason for emergency room visits and hospice benefit revocation. However, the experiences and emotions of family members regarding these respiratory changes in the final days, particularly when they are alone in a home setting, are not well documented.
View Article and Find Full Text PDFBiol Sex Differ
October 2024
Department of Translational Medicine and Physiology, Sleep and Performance Research Center, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, USA.
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