Masterson Melissa P, Hurley Karen E, Zaider Talia, Kissane David W
Department of Psychiatry & Behavioral Sciences,Memorial Sloan-Kettering Cancer Center,New York,New York.
Faculty of Medicine,Nursing and Health Sciences,School of Psychology and Psychiatry,Monash University,Clayton,Victoria,Canada.
Palliat Support Care. 2015 Oct;13(5):1459-67. doi: 10.1017/S1478951515000231. Epub 2015 Feb 11.
Caregiving partners constitute a unique group, who provide both physical and emotional care for patients. There has been extensive research conducted on caregivers during either the caregiving or bereavement phase; however, these phases are often treated as separate entities rather than as part of a continuum.
In this paper, utilizing relevant literature and clinical observations, we map the emotional journey and lived experience of caregivers moving from disease progression, to the end of life, to the dying process itself, and then through life after the death of a partner. Along this journey, we identify the links between pre-death caregiving and bereavement.
Our illustration raises awareness regarding the unmet needs experienced by caregiving partners across the continuum and provides an alternative framework through which clinicians can view this course.
of Results We bolster arguments for improved palliative care services and early interventions with distressed caregiving partners by emphasizing continuity of care both before and after a patient's death.
照护伙伴构成了一个独特的群体,他们为患者提供身体和情感上的照料。针对照护者在照护阶段或丧亲阶段已经开展了广泛的研究;然而,这些阶段往往被视为相互独立的实体,而非连续过程的一部分。
在本文中,我们利用相关文献和临床观察,描绘了照护者从疾病进展到生命终结、再到死亡过程本身,然后到伴侣去世后的生活这一情感历程和实际经历。在这个过程中,我们确定了临终前照护与丧亲之间的联系。
我们的阐述提高了人们对整个连续过程中照护伙伴未被满足的需求的认识,并提供了一个可供临床医生看待这个过程的替代框架。
我们通过强调患者死亡前后照护的连续性,支持了改善姑息治疗服务以及对痛苦的照护伙伴进行早期干预的观点。