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https://www.readbyqxmd.com/read/28105542/hospice-in-heart-failure-why-when-and-what-then
#1
Jeffrey L Spiess
Hospice is a model of care for patients nearing the end of their lives that emphasizes symptom management, quality of life (QOL), and support of the patient and caregiving family through the death of the patient and the family's bereavement. It is associated with high patient and caregiver satisfaction and appears to not shorten lifespan for appropriately referred patients. Patients with advanced heart failure are being referred to hospice care more often than in the past, but the majority of deaths occur without this benefit...
January 20, 2017: Heart Failure Reviews
https://www.readbyqxmd.com/read/28104599/telephone-follow-up-calls-for-older-patients-after-hospital-discharge
#2
Ebony Lewis, Sarah Samperi, Christopher Boyd-Skinner
Population ageing poses many challenges. Recurrent readmission to hospital by frail older people places a strain on health systems and the individual. Registered nurses with experience in emergency department, ICU and aged care conducted telephone follow-up calls to patients or bereaved family members after an acute hospital admission. During follow-up calls, many patients reported feelings of loneliness and social isolation post-discharge. It was also found that patients may not be aware of support services available in the community...
January 18, 2017: Age and Ageing
https://www.readbyqxmd.com/read/28103713/divorce-and-the-onset-of-alcohol-use-disorder-a-swedish-population-based-longitudinal-cohort-and-co-relative-study
#3
Kenneth S Kendler, Sara Larsson Lönn, Jessica Salvatore, Jan Sundquist, Kristina Sundquist
OBJECTIVE: The purpose of this study was to clarify the magnitude and nature of the relationship between divorce and risk for alcohol use disorder (AUD). METHOD: In a population-based Swedish sample of married individuals (N=942,366), the authors examined the association between divorce or widowhood and risk for first registration for AUD. AUD was assessed using medical, criminal, and pharmacy registries. RESULTS: Divorce was strongly associated with risk for first AUD onset in both men (hazard ratio=5...
January 20, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28103522/perceived-emotional-social-support-in-bereaved-spouses-mediates-the-relationship-between-anxiety-and-depression
#4
Nicholas C Jacobson, Kayla A Lord, Michelle G Newman
BACKGROUND: Prior research has shown that anxiety symptoms predict later depression symptoms following bereavement. Nevertheless, no research has investigated mechanisms of the temporal relationship between anxiety and later depressive symptoms or examined the impact of depressive symptoms on later anxiety symptoms following bereavement. METHODS: The current study examined perceived emotional social support as a possible mediator between anxiety and depressive symptoms in a bereaved sample of older adults (N =250)...
January 5, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28099046/death-notification-someone-needs-to-call-the-family
#5
Rachel Ombres, Lauren Montemorano, Daniel Becker
BACKGROUND: The death notification process can affect family grief and bereavement. It can also affect the well-being of involved physicians. There is no standardized process for making death notification phone calls. We assumed that residents are likely to be unprepared before and troubled after. OBJECTIVE: We investigated current death notification practices to develop an evidence-based template for standardizing this process. DESIGN: We used results of a literature review and open-ended interviews with faculty, residents, and widows to develop a survey regarding resident training and experience in death notification by phone...
January 18, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28096171/how-well-do-we-currently-care-for-our-dying-patients-in-acute-hospitals-the-views-of-the-bereaved-relatives
#6
Catriona Rachel Mayland, Helen Mulholland, Maureen Gambles, John Ellershaw, Kevin Stewart
BACKGROUND: The National Care of the Dying Audit-Hospitals (NCDAH) is used as a method to evaluate care for dying patients in England. An additional component to the 2013/2014 audit was the Local Survey of Bereaved Relatives Views using the 'Care Of the Dying Evaluation' (CODE) questionnaire. AIM: Within the context of the NCDAH audit, to evaluate quality of care provided to dying patients and their families in acute hospitals from the perspective of bereaved relatives...
January 17, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28093387/dying-at-home-of-cancer-whose-needs-are-being-met-the-experience-of-family-carers-and-healthcare-professionals-a-multiperspective-qualitative-study
#7
Jackie Pottle, Julia Hiscock, Richard D Neal, Marlise Poolman
OBJECTIVES: Supporting patients to die in the place of their choosing is an important aspect of end of life care. Our study set out to answer the question: 'How does the home environment influence perceptions of quality of death, and the experience of caring for the dying at home, for family carers and healthcare professionals (HCPs)? METHODS: A qualitative approach, using multiperspective interviews with bereaved family carers (n=15) and a nominated HCP (n=13) ensured depth of insight gained into supporting a home death...
January 16, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28086836/an-internet-based-self-help-intervention-for-older-adults-after-marital-bereavement-separation-or-divorce-study-protocol-for-a-randomized-controlled-trial
#8
Jeannette Brodbeck, Thomas Berger, Hans Joerg Znoj
BACKGROUND: Marital bereavement and separation or divorce are among the most stressful critical life events in later life. These events require a dissolution of social and emotional ties, adjustments in daily routine and changes in identity and perspectives for the future. After a normative grief or distress reaction, most individuals cope well with the loss. However, some develop a prolonged grief reaction. Internet-based self-help interventions have proved beneficial for a broad range of disorders, including complicated grief...
January 13, 2017: Trials
https://www.readbyqxmd.com/read/28072917/a-provider-based-survey-to-assess-bereavement-care-knowledge-attitudes-and-practices-in-pediatric-oncologists
#9
Jasmin Jensen, Cindy Weng, Holly L Spraker-Perlman
BACKGROUND: Bereavement support is a core tenet of palliative care that may prove difficult for clinicians as it is time-consuming, emotionally charged, and not emphasized in pediatrics training. This project is intended to describe the opinions, knowledge, and practice of bereavement care among pediatric oncologists to identify gaps in clinical care. PROCEDURES: An internet-based survey instrument was pilot tested, refined, and distributed to pediatric oncologists in the United States...
January 10, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28071989/parental-bereavement-looking-beyond-grief
#10
Nancy Dias, Sharron Docherty, Debra Brandon
Bereaved parents have higher morbidity and mortality rates when compared to non-bereaved parents. While parental grief is well studied, the complexities of challenges bereaved parents face are not understood. This study describes parental bereavement challenges during the first 6 months following the death of their child. The complex parental bereavement challenges are characterized by the absence of the child, their emotional response, and the changed relationships with family and friends. The Adaptive Leadership Framework is a useful framework to identify and classify challenges...
January 10, 2017: Death Studies
https://www.readbyqxmd.com/read/28068872/-i-thought-they-should-know%C3%A2-that-daddy-is-not-completely-gone
#11
Edith Steffen, Adrian Coyle
This study aimed to explore the experiences, responses, and conceptualizations of sense of presence experiences in bereavement in terms of family meaning-making. A case study framework was chosen, using group and individual interviews and ethnographically derived observations in a father-bereaved family in the south of England. Interview data were analyzed by applying both phenomenological and social constructionist perspectives to the same data set. It was observed that there was a division between the mother, who had derived much personal benefit from sense of presence experiences, and the children, who dismissed the experiences as incompatible with their own worldviews and how they made sense of their father's death...
January 1, 2017: Omega
https://www.readbyqxmd.com/read/28065197/aligning-guidelines-and-medical-practice-literature-review-on-pediatric-palliative-care-guidelines
#12
Eva De Clercq, Michael Rost, Nadia Pacurari, Bernice S Elger, Tenzin Wangmo
OBJECTIVE: Palliative care for children is becoming an important subspecialty of healthcare. Although concurrent administration of curative and palliative care is recommended, timely referral to pediatric palliative care (PPC) services remains problematic. This literature review aims to identify barriers and recommendations for proper implementation of palliative care for children through the looking glass of PPC guidelines. METHOD: To identify studies on PPC guidelines, five databases were searched systematically between 1960 and 2015: Scopus, PubMed, PsycINFO, the Web of Science, and CINAHL...
January 9, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28060580/towards-a-model-of-loss-navigation-in-adolescence
#13
Martin Lytje
Researchers today consider childhood bereavement one of the most traumatic experiences that can befall a child. Nevertheless, most models of bereavement currently limit themselves to dealing with adult grief and primarily explores the internal processes associated with recovery. Based on a study which conducted focus groups with 39 Danish adolescents (aged 9-17), this article presents The Model of Loss Navigation in Adolescence. Centered on the three factors: Being Different, Being in Control and Being in Grief, the model highlight the social conventions children have to navigate and how these influences both their day-to-day lives and their road to recovery...
January 6, 2017: Death Studies
https://www.readbyqxmd.com/read/28056861/-not-just-a-normal-mum-a-qualitative-investigation-of-a-support-service-for-women-who-are-pregnant-subsequent-to-perinatal-loss
#14
Pamela Meredith, Trish Wilson, Grace Branjerdporn, Jenny Strong, Laura Desha
BACKGROUND: Following previous perinatal loss, women in a subsequent pregnancy may experience heightened emotions, such as anxiety and fear, with a range of longer-term implications. To support these women, the Mater Mothers' Bereavement Support Service in Brisbane, Australia, developed a Pregnancy After Loss Clinic (PALC) as a specialised hospital-based service. The present study investigated the experiences of mothers with previous perinatal loss in relation to: (a) their subsequent pregnancy-to-birth journey, and (b) the PALC service...
January 5, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28056642/-end-of-life-could-be-on-any-ward-really-a-qualitative-study-of-hospital-volunteers-end-of-life-care-training-needs-and-learning-preferences
#15
Lisa Jane Brighton, Jonathan Koffman, Vicky Robinson, Shaheen A Khan, Rob George, Rachel Burman, Lucy Ellen Selman
BACKGROUND: Over half of all deaths in Europe occur in hospital, a location associated with many complaints. Initiatives to improve inpatient end-of-life care are therefore a priority. In England, over 78,000 volunteers provide a potentially cost-effective resource to hospitals. Many work with people who are dying and their families, yet little is known about their training in end-of-life care. AIMS: To explore hospital volunteers' end-of-life care training needs and learning preferences, and the acceptability of training evaluation methods...
January 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28056623/cacciatore-j-defrain-j-eds-2015-the-world-of-bereavement-cultural-perspectives-on-death-in-families-cacciatore-j-defrain-j-eds-2015-the-world-of-bereavement-cultural-perspectives-on-death-in-families-new-york-ny-springer-298-pp-129-00-hardback-isbn-978-3-319
#16
https://www.readbyqxmd.com/read/28054349/-we-hardly-ever-talk-about-it-emotional-responsive-attunement-in-couples-after-a-child-s-death
#17
An Hooghe, Paul C Rosenblatt, Peter Rober
Within Western cultural traditions, the idea that parents should talk about the death of their child with each other is deeply rooted. However, across bereaved parent couples there are wide variations in communication about their grief with each other. In this study, we explored the experiences of bereaved couples related to the process of talking and not talking. We used a thematic coding approach to analyze 20 interviews with 26 bereaved parents (11 interviewed as couples, four as individuals). Four main meanings emerged out of our analysis: not talking because of the inadequacy and pointlessness of words in grief, not talking as a way to regulate emotions in daily life, not talking as an expression of a personal, intimate process, and not talking because the partner has the same loss but a different grief process...
January 5, 2017: Family Process
https://www.readbyqxmd.com/read/28051926/the-process-of-change-in-complicated-grief-group-therapy-for-bereaved-dementia-caregivers-an-evaluation-using-the-meaning-of-loss-codebook
#18
Katherine P Supiano, Lara Burns Haynes, Vicki Pond
Caring for a person with dementia is challenging and has adverse health and mental health effects that, for 9-25% of caregivers persist into bereavement in the form of complicated grief (CG). For those bereaved dementia caregivers unable to satisfactorily process grief, specialized Complicated Grief Group Therapy (CGGT) can restore a healthy grief process. We investigated the progression of therapeutic change in CGGT participants (N = 16 in three treatment groups), using an adapted version of Meaning of Loss Codebook (MLC; Gillies et al...
January 4, 2017: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/28042919/trajectories-of-depressive-symptoms-for-bereaved-family-members-of-chronically-ill-patients-a-systematic-review
#19
REVIEW
Su Ching Kuo, Jia Ling Sun, Siew Tzuh Tang
AIMS/OBJECTIVES: To synthesise concepts of distinct depressive-symptom trajectories in published studies by establishing a measurable standard and estimate the prevalence of recategorised trajectories for bereaved families of chronically ill patients. BACKGROUND: Grieving is a dynamic/individualised process. In studies treating depressive-symptom trajectories as heterogeneous, different criteria were used to identify distinct trajectories, resulting in inconsistent findings...
January 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28042073/predictors-of-complicated-grief-and-depression-in-bereaved-caregivers-a-nationwide-prospective-cohort-study
#20
Mette Kjaergaard Nielsen, Mette Asbjoern Neergaard, Anders Bonde Jensen, Peter Vedsted, Flemming Bro, Mai-Britt Guldin
CONTEXT: Complicated grief and depressive symptoms in bereaved caregivers have been associated with female gender, spousal relation and pre-loss psychological distress, but population-based, prospective studies are scarce. OBJECTIVES: We aimed to investigate whether severe pre-loss grief and depressive symptoms, caregiver burden, preparedness for death, communication about dying and socio-economic factors predicted complicated grief and post-loss depressive symptoms...
December 29, 2016: Journal of Pain and Symptom Management
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