Bereavement - whose responsibility?

1993 ◽  
Vol 7 (4_suppl) ◽  
pp. 73-76 ◽  
Author(s):  
David Oliver ◽  
Nan McMurray

Bereavement care begins during the terminal phase of motor neurone disease as the family prepare for the death. Due to the long-term nature of the illness there is a need to allow the expression of painful feelings and to ensure that the family is adequately supported. The responsibility for care in bereavement lies not only with the family but with the health care professions, bereavement support groups and the whole community.

2003 ◽  
Vol 19 (1) ◽  
pp. 36-42 ◽  
Author(s):  
Sky Dawson ◽  
Linda J. Kristjanson

Progress in medical technology and treatment has resulted in more people with neurodegenerative conditions surviving for longer periods of time. This increased lifespan means that these individuals have a longer period of dependency on others, with a heightened need to maintain quality of life for both the individual and the family. Our paper reports on the findings of a study involving in-depth interviews with 16 carers to determine their perceived needs during the final stage of caring for someone with muscular dystrophy (MD) or motor neurone disease. Results suggest that the palliative care model has much to offer individuals with degenerative neuromuscular conditions and their families, but it is not yet recognized as an important part of care for young people with MD. Three major themes emerged in the analysis: reactions and responses, health system crossing points, reaching forward.


2016 ◽  
Vol 12 (6) ◽  
pp. 268-276
Author(s):  
Mary R O'Brien ◽  
Andrew J Kirkcaldy ◽  
Katherine Knighting ◽  
Brenda Roe ◽  
Barbara A Jack

1993 ◽  
Vol 7 (4_suppl) ◽  
pp. 11-13
Author(s):  
Susan Carroll-Thomas

Ethical issues in health care are typically perceived as arising from extreme situations which do not usually confront the average clinician. However, knowingly or otherwise, clinicians working with motor neurone disease deal daily with ethical issues in the form of value judgements, the application of choice limiting principles and the language of clinician-patient interaction.


1996 ◽  
Vol 24 (2) ◽  
pp. 285-303 ◽  
Author(s):  
Greig M. Stewart ◽  
Barry C. Gregory

Support groups are established psychosocial treatment modalties in which clients address issues resulting from particular problems or diagnoses. In the past decade, the support group format has been widely adopted by community health clinics for persons diagnosed with the acquired immunodeficiency syndrome (AIDS). As mainstream health systems assist more people with AlDS, initial expertise developed from the gay and lesbian health care response to the human immunodeficiency virus (HIR believed to be the cause of AlDS) provides valuable information for all health care practitioners. This discussion of a long-term (5-year) AIDS support group examines 6 content themes: marginity,making choices, coping with the emotional roller coaster, premature confrontation of life issues, living with a chronic illness versus dying with a terminal disease, and death and dying. The authors inform their observations through examining the support group literature for persons living with HIV and other chronic or terminal illnesses.


1974 ◽  
Vol 5 (3) ◽  
pp. 231-244 ◽  
Author(s):  
Charles J. Karcher ◽  
Leonard L. Linden

Changes in the structure and function of the modern American family have created a need for alternative means of caring for the elderly who cannot be accommodated in the nuclear family. The “sick role” and the nursing home provide a socially acceptable means of caring for the elderly while removing them from the family setting. Using data from national morbidity surveys, it is demonstrated that a large proportion of the elderly already in nursing homes do not need this type of long-term health care. This is placing strains upon the total health care system.


1993 ◽  
Vol 7 (4_suppl) ◽  
pp. 21-30 ◽  
Author(s):  
Louise Earll ◽  
Marie Johnston ◽  
Elspeth Mitchell

Medicine and environmental changes have had tremendous success in controlling the infectious diseases that were the major causes of death in the last century. However, the consequential extension of life has been accompanied by an increase in the number of persons living with and dying of chronic illness.1 Despite these changes and their implications, the means by which people cope with such illnesses has only recently begun to receive the attention the subject warrants. 2,3 Such diseases have a high prevalence in the population and self-detection and self-management are critical to the treatment and control of chronic disease and disability.4 This paper examines how people cope with motor neurone disease and sets this in the context of earlier research on psychological aspects of chronic disease and current theoretical approaches to coping with long-term ill health.


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