Although research on complementary and alternative medicine (CAM) therapies is still limited, systematic reviews have revealed sufficient evidence to conclude that CAM can be effective for certain conditions. In this article we discuss clinicians' responsibilities to inform parents/patients about CAM alternatives and use the example of acupuncture for chemotherapy-induced nausea and vomiting. Chemotherapy-induced nausea and vomiting remain significant adverse effects of cancer therapy, and some patients cannot find relief with standard therapies.
A cross-sectional survey was administered to family members of patients who died at 1 of the 5 Catholic institutions comprising Mercy Health Partners, a health care system in Ohio, to determine their opinions about patient and family participation in decisions about end-of-life care. Among 165 respondents, 118 (86%) of 138 agreed that the family was encouraged to join in decisions and 133 (91%) of 146 that their family member's health care choices were followed.
OBJECTIVE: To investigate the course and impact of family optimism in the post-acute stage of acquired brain injury. METHODS: At Time 1, 30 family relatives of in-patients in rehabilitation units and 30 relatives of patients recently discharged from such units completed questionnaires relating to their emotional health, engagement in the rehabilitation process and expectations about the future consequences and controllability of the injury.
This article reviews the current state of research in attachment theory. It also examines the relations between attachment, child care and development, and the significance of attachment to adult functioning and well-being. It seems likely that humans need close emotional relationships or bonds with others. This need applies particularly to infants, who look to parents or other care givers for love and security.
Journal of Child Health Care: For Professionals Working with Children in the Hospital and Community
This article reports one aspect of a phenomenological study that described the lived experience of mothering a child hospitalized with acute illness or injury. The significance for mothers that nurses do the 'little things' emerged in considering the implications of this study's findings for nurses in practice. Seven mothers whose child had been hospitalized in the 12 months prior to the first interview agreed to share their stories. The resulting data were analysed and interpreted using van Manen's interpretation of phenomenology.
Fifty-four thousand children die each year despite the advances in care for children with acute and chronic illnesses. Demands for improved palliative and end-of-life care for children exist. Good death is a concept frequently used in the adult hospice movement. However, how can the death of a child be good? Analysis of good death can assist pediatric nurses to understand the concept and provide a framework for nurses in the clinical and research arenas to work together to develop and provide evidence-based, developmentally appropriate care for dying children and their families.
International Journal of Rehabilitation Research. Internationale Zeitschrift Fur Rehabilitationsforschung. Revue Internationale De Recherches De Readaptation
This study problematizes a unique therapeutic relationship in rehabilitation and how the interaction reflects the integration of rehabilitation ideology with local cultures. The data drew from a larger ethnographic study of a rehabilitation unit in Taiwan. Participants included 21 patient-caregiver pairs and their rehabilitation professionals. They participated in in-depth interviews and participant observation. A tough-love pedagogy emerged as a unique therapeutic relationship in the unit.
Journal of Nursing Scholarship: An Official Publication of Sigma Theta Tau International Honor Society of Nursing
PURPOSE: To describe the lived experience of nurses surrounding the death of their patients. DESIGN: A qualitative phenomenologic approach was used for the interview and analysis framework. Methods to ensure trustworthiness and rigor were incorporated into the design. METHODS: Using semistructured interviews and phenomenologic concepts, the investigators interviewed 11 registered nurses where data was analyzed using methods of Heideggerian hermeneutical analysis and van Manen's progression of reflection, description, writing, and rewriting.
This personal account describes the pas de deux performed for four years by a couple living with Alzheimer's. ThÈrËse, a former nurse, is suffering from the disease. Her husband, RenÈ is also a former caregiver who has taken on the mantle of his wife's carer to accompany ThÈrËse on her one-way journey to an unknown land. A journey scattered with obstacles during which the need for assistance, support and love is highlighted.
How might clinicians best try to retain the trust of patients and family members after clinicians oppose giving a treatment? If clinicians can maintain the trust of patients and families in these situations, this may soften what may be the greatest possible loss--the death of a loved one. I discuss what clinicians seeking to retain trust should not do--namely impose their values and reason wrongly--and introduce strategies that clinicians may use to reduce both. I present five principles that clinicians can follow to try to retain trust, with examples that illustrate each.