Waldrop Deborah P, Kusmaul Nancy
School of Social Work, University at Buffalo, New York, USA.
J Gerontol Soc Work. 2011 Nov;54(8):768-87. doi: 10.1080/01634372.2011.596918.
Guided by concepts from the living-dying interval ( Pattison, 1977 ) this study sought to explore family members' experiences with a dying nursing home resident. In-depth interviews were conducted with 31 caregivers of residents who had died. Interviews were audiotaped and transcribed. Themes that illuminated families' experiences on the living-dying interval were: an acute medical crisis (trigger events, accumulation of stressors, level of care crisis); the living-dying phase (advance care planning, hospitalization, end-stage decisions); and the terminal phase (beginning of the end, awareness of dying). The results illustrate critical periods for social work intervention with families of dying nursing home residents.
以濒死间隔期的概念为指导（帕蒂森，1977年），本研究旨在探索家庭成员与临终养老院居民相处的经历。对31名已故居民的照料者进行了深入访谈。访谈进行了录音和转录。揭示家庭在濒死间隔期经历的主题有：急性医疗危机（触发事件、压力源的积累、护理危机程度）；濒死阶段（预先护理计划、住院治疗、终末期决策）；以及临终阶段（结束的开始、对死亡的认知）。研究结果阐明了针对临终养老院居民家庭进行社会工作干预的关键时期。
