• Elaine Wittenberg-Lyles, George Demiris, Debra Parker Oliver, and Stephanie Burt.
• Department of Communication Studies, University of North Texas, Denton, Texas 76203-5268, USA. lyles@unt.edu
• J Pain Symptom Manage. 2011 Feb 1; 41 (2): 383393383-93.

ContextFor many hospice caregivers, the constancy and difficulty of caregiving impact their physical quality of life and cause depression, psychological distress, guilt, loneliness, and restrictions on social activities.ObjectivesDeviating from traditional unidimensional research on hospice caregivers, this study explored the transactional nature of reciprocal suffering by examining caregiver concerns through four dimensions: physical, psychological, social, and spiritual.MethodsResearchers analyzed audiotapes of intervention discussions between hospice caregivers and research social workers.ResultsResults indicated that, of the 125 pain talk utterances, most referenced psychological concern (49%), followed by physical (28%), social (22%), and spiritual (2%) concerns. Reflections on concerns revealed a global perspective of caregiving, which highlighted the patient's needs juxtaposed to the caregiver's recognized limitations.ConclusionBy examining the reciprocal nature of suffering for caregivers, this study reinforced the need for assessing caregivers in hospice care, with specific emphasis on the importance of providing caregiver education on pain management.Copyright © 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

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