Beth Israel Medical Center, Cancer Center, New York, New York 10003, USA.
Soc Work Health Care. 2011;50(6):411-23. doi: 10.1080/00981389.2011.579693.
This article presents a case study of one family affected by a cancer diagnosis in both the father and the daughter, who were diagnosed within the same time interval and who underwent treatment at the same time. The article examines the relationship between the caregivers and the oncology patient as well as with one another when the stress of diagnosis is compounded by multiple, simultaneous, and similar diagnoses in a highly condensed period of time. A thorough examination of the literature reveals that there are significant gaps regarding how multiple cancer diagnoses in one family affect the family dynamic, individual and collective coping styles, and caregiver burden. The diagnoses can also dramatically exacerbate economic stressors in a family. The coordination of psychosocial care from the perspectives of the adult and pediatric oncology social workers at an urban academic medical center will be discussed. The social work role, importance of collaboration, and family centered care perspective will be discussed as a method of easing the treatment experience for families in psychosocial distress.
本文通过一个家庭的案例研究，展示了一对父女同时被诊断出癌症的情况。他们在同一时间接受了治疗。本文探讨了在高度集中的时间内，由于多次、同时、类似的诊断给诊断带来的压力，护理人员与肿瘤患者以及彼此之间的关系。对文献的深入研究表明，关于一个家庭中多个癌症诊断如何影响家庭动态、个人和集体应对方式以及护理人员负担，存在着重大的空白。这些诊断也会极大地加剧家庭的经济压力。本文将从城市学术医疗中心成人和儿科肿瘤社会工作者的角度讨论心理社会关怀的协调问题。本文还将讨论社会工作者的角色、协作的重要性以及以家庭为中心的关怀观点，作为缓解处于心理社会困境中的家庭的治疗体验的一种方法。
