Abstract

Purpose The burden of cancer mortality is disproportionately borne by low-income women, but what is known about the experience at end of life (EOL)—including ways to improve quality of life (QOL)—may not apply to underserved women. In order to develop an integrative approach to EOL care that is sensitive to the needs of the underserved, we developed and tested a patient-centered, relationship-based intervention to reduce suffering at EOL by enhancing meaning.

Highlights

  • The burden of cancer mortality is disproportionately borne by low-income women, but what is known about the experience at end of life (EOL)—including ways to improve quality of life (QOL)—may not apply to underserved women

  • In order to develop an integrative approach to EOL care that is sensitive to the needs of the underserved, we developed and tested a patient-centered, relationship-based intervention to reduce suffering at EOL by enhancing meaning

  • We studied women’s experiences of EOL and tested the feasibility of a narrative QOL intervention known as an “ethical will”—an enduring document that expresses an individual’s values, beliefs, life lessons, hopes, love, and forgiveness as a written legacy

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Summary

Open Access

An integrative approach to improving quality of life for underserved women with advanced cancer at the end of life. From International Research Congress on Integrative Medicine and Health 2012 Portland, Oregon, USA. Purpose The burden of cancer mortality is disproportionately borne by low-income women, but what is known about the experience at end of life (EOL)—including ways to improve quality of life (QOL)—may not apply to underserved women. In order to develop an integrative approach to EOL care that is sensitive to the needs of the underserved, we developed and tested a patient-centered, relationship-based intervention to reduce suffering at EOL by enhancing meaning

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