Features of gender and grief reported in the experiences of family care-givers six months after a family member’s death from ovarian cancer. (#534)
Aims:
This paper reports the grief experience of male and female family care-givers
of women diagnosed with ovarian cancer, six months after the death. Findings
are drawn from a study seeking to identify predictors of poorer health outcomes
in palliative care family care-givers and to identify those most at risk. Methods: Thirty-two bereaved care-givers
participating in the Australian Ovarian Cancer Study–Quality of Life (AOCS-QOL)
completed the Inventory of Complicated Grief (ICG) and qualitative telephone
interview at 6 months post bereavement, reaching data saturation. The interview
explored the concept of ‘a good death’, exploring on the whole end of life
period, the death itself and current grief and coping. Data were analysed using
the constant comparison method based on Grounded Theory. Results: Caregiver ICG scores indicate a trend towards high levels
of caregiver grief, particularly in male partners, although the sample was too small
for formal statistical testing. Overall, the bereaved caregivers’ experience of
grief indicated persistence of grief reactions, shock and distress, as well as
acceptance for some. Qualitatively, grief was related to meanings attached to
the death experience, including preparation for the death and the circumstances
of surrounding the death event. Participants’ responses indicated a perceived need
to conform to expected grief patterns and anxieties about grief persisting in
the future. Male partners in particular commonly talked of their emotional
loneliness, their own physical health deterioration, as well as the use of
strategies such as contemplating re-partnering, travelling and ‘keeping busy’
to counteract their grief, with varying reported success. Counselling was not
widely accessed and was on the whole not felt as needed. Conclusion: Given the intensity of grief related issues reported at
six months post-bereavement, there is a need to further assess carers’ grief
longitudinally and explore, sometimes pejoratively viewed, coping strategies
such as re-partnering.