1/10. Assessment of need for a children's hospice program.Canuck Place, north america's first free-standing pediatric hospice of its kind, opened in 1995 in british columbia, canada. The province-wide program encompasses a broad spectrum of services intended to support community-based care and provide periodic, facility-based respite and palliative care to children with life-threatening, progressive illness and to their families. Loss and grief support is another integral component of the program. The concept of pediatric hospice care is founded on the premise that dying children and their families can benefit from care designed to maximize present quality of life; yet, the creation of such programs must be based on demonstrated need. One vital step in the development of the Canuck Place program was assessing the need for such a program within the province. Data from both traditional quantitative and less traditional qualitative sources were used to document and put forth an argument in support of developing a children's hospice program. The final report addressed several components that are summarized in this article for the purposes of assisting others who may wish to undertake similar projects in their own communities.- - - - - - - - - - ranking = 1keywords = hospice (Clic here for more details about this article) |
2/10. Life after death: a practical approach to grief and bereavement.This consensus paper describes the essential skills that clinicians need to help persons who are experiencing grief after the death of a loved one. Four aspects of the grieving process are reviewed: anticipatory grief, acute grief, normal grief reactions, and complicated grief. Techniques for assessment and recommendations about interventions and indications for referral are provided for each aspect.- - - - - - - - - - ranking = 6.8683986784989keywords = bereavement (Clic here for more details about this article) |
3/10. adolescent grief: "It never really hit me...until it actually happened".In the united states, more than 2 million children and adolescents (3.4%) younger than 18 years have experienced the death of a parent. When death can be anticipated, as with a terminal illness, and even when the death is sudden, as in the September 11, 2001, attacks on the World Trade Center and Pentagon, physicians and other health care professionals have an opportunity to ameliorate the impact of the loss. Developmental factors shape adolescents' reactions and responses to the death of a parent. Recent research in childhood and adolescent bereavement shows how health professionals can support the adolescent's coping strategies and prepare the family to facilitate an adolescent's mastery of adaptive tasks posed by the terminal phase of the parent's illness, the death, and its aftermath. Robert, a bereaved 14-year-old, illustrates some of these adaptive challenges.- - - - - - - - - - ranking = 1.7170996696247keywords = bereavement (Clic here for more details about this article) |
4/10. Moving on: recovering from the death of a spouse.Grieving is a complex multidimensional process in response to loss. The grief work involved in coping with a loved one's death does not end when the loved one dies. Rather, the grief work continues through a series of recovery stages. Six stages of recovery--loss, protest, searching, despair, reorganization, and reinvestment--are illustrated and discussed using a case study that highlights a wife's recovery from the death of her husband. Recognition of the stages of grief recovery after a death are significant for health care professionals so that bereavement support may be provided throughout the entire recovery process.- - - - - - - - - - ranking = 1.7170996696247keywords = bereavement (Clic here for more details about this article) |
5/10. Characteristics of the grieving process: a pilot study of 10 Korean spouses of patients who passed away from cancer.The purpose of this descriptive study was to identify the characteristics of the grieving process of Korean spouses who lost their partner to cancer. Five women and five men were recruited by convenience sampling from surviving spouses attending a follow up program at a hospice center in Seoul, korea. In-depth interviews, observation, and instruments on grief stage and grief responses were used to collect data. Interviews were tape recorded, transcribed, and analyzed line by line to discover recurrent patterns and themes. Gender differences were noted for grief responses (physical, cognitive, emotional, social and spiritual) and factors influencing grief.- - - - - - - - - - ranking = 0.14285714285714keywords = hospice (Clic here for more details about this article) |
6/10. How children cope with death.Zoe and Daniel's parents were killed in a car accident. Jessica Markwell describes their reactions to the trauma and how these two young children came to terms with their sudden and tragic bereavement.- - - - - - - - - - ranking = 1.7170996696247keywords = bereavement (Clic here for more details about this article) |
7/10. The death of a pet. How it can affect owners.The death of a family pet can be a difficult and upsetting experience. In this article, human reactions after pet death are described as a normal bereavement sequence and a case study is used to describe and explain major issues associated with a pet's death.- - - - - - - - - - ranking = 1.7170996696247keywords = bereavement (Clic here for more details about this article) |
8/10. Idiopathic Parkinson's disease and depression: a psychosomatic view.The link between idiopathic Parkinson's disease and depression is examined in the light of psychosomatic theory. A view of the condition is offered as a manifestation of chronic emotional disorder in an organic sense. Predisposition arises from bereavement and/or maternal failure in early emotional development.- - - - - - - - - - ranking = 1.7170996696247keywords = bereavement (Clic here for more details about this article) |
9/10. A comprehensive pediatric bereavement program: the patterns of your life.The death of a child is one of the most painful experiences a parent can endure. Communicating and meeting the needs of parents during this time of crisis is a challenge for nurses. Pediatric intensive care unit and emergency department nurses who may feel overwhelmed and inadequate when working with grieving families, especially with a sudden and unexpected death, are assisted by "The Patterns of Your Life: A Comprehensive Pediatric bereavement Program." The program is a blending of critical pathways (an element of managed care), educational resources, and family follow-up for 1 year. Preliminary evaluations indicate that the comprehensive bereavement program appears to have many benefits for families and health care staff alike.- - - - - - - - - - ranking = 8.5854983481236keywords = bereavement (Clic here for more details about this article) |
10/10. Hospice support for families facing multiple deaths of children.The hospice team can have significant impact in guiding families through the death of a second child by recognizing the additional dynamics inherent in such a grieving process. It is vital to recognize the unresolved grief these families may face when they have not been able to grieve the first child's death adequately. The impact this unresolved grief will have on their coping abilities, anticipatory grief, and grief work when they experience the death of another child can be overwhelming. It is important to be aware of familial changes that occur when working with families who are facing the death of a second child since the addition of other children. For example, a host of additional dynamics that the family may not be familiar with or prepared to cope with may well occur, demanding specialized grief support and follow-up as provided by Hospice.- - - - - - - - - - ranking = 0.14285714285714keywords = hospice (Clic here for more details about this article) |
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