User:0psychstudent0/Distress in cancer caregiving

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Palliative care and bereavement (Edits by Apolloh01)
Palliative care is an especially demanding task for cancer caregivers than less progressive cancer because the care required for those with terminal cancer tends to be more demanding. Caregivers in this situation often report high caregiver burden lasting the entire period. Caregiver distress also tends to increase as patients progress through this phase, causing a lower caregiver quality of life. In some instances, caregivers even report higher levels of distress than the patient during this phase. Having a difficult time with caregiving increases distress caregivers face as they enter the bereavement period after the death of their loved one, whereas finding meaning in caring for their loved one may relate to better long term adjustment for caregivers. Before bereavement, loved ones often face anticipatory grief, where they mourn and prepare for the loss of their loved one. Families often react with fears of abandonment, anxiety, hopelessness and helplessness, and an intensified attachment to their loved one. Upon the death of their loved one, caregivers typically experience grief, which in a minority of cases may be complicated by a diagnosis of Major Depressive Disorder later in the grief process. '''The caregiver's relationship with the patient pre and post cancer diagnosis has been shown to impact bereavement adjustment. Depression and PTSD can be a higher concern for caregivers with unresolved tensions with their loved one, whereas stronger bonds during the palliative phase seems to be related to a healthier transition into bereavement for the caregiver.'''