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Relatives of patients with amyotrophic lateral sclerosis: Their experience of care and support

Published online by Cambridge University Press:  16 March 2015

Birgitta Jakobsson Larsson*
Affiliation:
Department of Neuroscience, Neurology, Uppsala University, Uppsala, Sweden
Camilla Fröjd
Affiliation:
Department of Surgical science, Uppsala University, Uppsala, Sweden
Karin Nordin
Affiliation:
Department of Public Health and Caring Science, Uppsala University, Uppsala, Sweden Department of Global Health and Primary Care, University of Bergen, Bergen, Norway
Ingela Nygren
Affiliation:
Department of Neuroscience, Neurology, Uppsala University, Uppsala, Sweden
*
Address correspondence and reprint requests to: Birgitta Jakobsson Larsson, Department of Neuroscience and Neurology, Uppsala University, S 751 85 Uppsala, Sweden. E-Mail: [email protected]

Abstract

Objective:

The purpose of this study was to describe relatives' experience of patient care and the support they themselves received during the course of disease progression.

Method:

A total of 15 relatives were included from two neurology clinics in Sweden: 7 wives, 4 husbands, and 4 daughters. Data were collected through qualitative interviews 6 to 12 months after the patient had died. Content analysis was performed to analyze the interviews.

Result:

The results showed that patient care was experienced as positive and as being based on the patient's needs and desires. Treatment from the staff, support and help, knowledge, availability, and continuity among the team were important reasons for the relations to feel secure. In addition, support for relatives was available, but different factors influenced its use. Most relatives did not think about their own needs but focused on the patient.

Significance of Results:

It is important that care and support for both patients and relatives be based on individual needs. The staff members responsible for providing this care and support must have knowledge and experience of the disease and its specific care. If they do not belong to an ALS (amyotrophic lateral sclerosis) team, they may require further education and support. The relatives focus on the patient's situation and do not think of their own needs. It is therefore important that health professionals be observant of the relatives and offer them help and support to better manage their situation.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2015 

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References

REFERENCES

Aoun, S.M., Connors, S.L., Priddis, L., et al. (2012). Motor neurone disease: Family carers' experiences of caring, palliative care and bereavement: An exploratory qualitative study. Palliative Medicine, 26, 842850.Google Scholar
Baxter, S.K., Baird, W.O., Thompson, S., et al. (2013). The impact on the family carer of motor neurone disease and intervention with noninvasive ventilation. Journal of Palliative Medicine, 16, 16021609.CrossRefGoogle ScholarPubMed
Bede, P., Oliver, D., Stodart, J., et al. (2011). Palliative care in amyotrophic lateral sclerosis: A review of current international guidelines and initiatives. Journal of Neurology, Neurosurgery, and Psychiatry, 82, 413418.CrossRefGoogle ScholarPubMed
Bialon, L.N. & Coke, S. (2012). A study on caregiver burden: Stressors, challenges, and possible solutions. The American Journal of Hospice & Palliative Care, 29, 210218.CrossRefGoogle Scholar
Blackhall, L.J. (2012). Amyotrophic lateral sclerosis and palliative care: Where we are, and the road ahead. Muscle & Nerve, 45, 311318.Google Scholar
Borasio, G.D., Shaw, P.J., Hardiman, O., et al. (2001). Standards of palliative care for patients with amyotrophic lateral sclerosis: Results of a European survey. Amyotrophic Lateral Sclerosis and Other Motor Neuron Disorders, 2, 159164.CrossRefGoogle ScholarPubMed
Brazil, K., Bainbridge, D. & Rodriguez, C. (2010). The stress process in palliative cancer care: A qualitative study on informal caregiving and its implication for the delivery of care. The American Journal of Hospice & Palliative Care, 27, 111116.Google Scholar
Chio, A., Gauthier, A., Calvo, A., et al. (2005). Caregiver burden and patients' perception of being a burden in ALS. Neurology, 64, 17801782.CrossRefGoogle ScholarPubMed
Gallagher, D. & Monroe, B. (2006). Psychological care. In Palliative care in amyotrophic lateral sclerosis: From diagnosis to bereavement. Oliver, D. et al. (eds.), pp. 143168. Oxford: Oxford University Press.Google Scholar
Ganzini, L., Johnston, W.S. & Silveira, M.J. (2002). The final month of life in patients with ALS. Neurology, 59, 428431.CrossRefGoogle ScholarPubMed
Graneheim, U.H. & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105112.Google Scholar
Gysels, M.H. & Higginson, I.J. (2009). Caring for a person in advanced illness and suffering from breathlessness at home: Threats and resources. Palliative & Supportive Care, 7, 153162.Google Scholar
Hecht, M.J., Graesel, E., Tigges, S., et al. (2003). Burden of care in amyotrophic lateral sclerosis. Palliative Medicine, 17, 327333.CrossRefGoogle ScholarPubMed
Kitson, A., Marshall, A., Bassett, K., et al. (2013). What are the core elements of patient-centered care? A narrative review and synthesis of the literature from health policy, medicine and nursing. Journal of Advanced Nursing, 69, 415.CrossRefGoogle ScholarPubMed
Krippendorff, K. (2004). Content analysis: An introduction to its methodology, 2nd en. Thousand Oaks, CA: Sage Publishing.Google Scholar
Krivickas, L.S., Shockley, L. & Mitsumoto, H. (1997). Home care of patients with amyotrophic lateral sclerosis (ALS). Journal of Neurological Sciences, 152, 8289.Google Scholar
McConigley, R., Kristjanson, L.J., Aoun, S.M., et al. (2014). Staying just one step ahead: Providing care for patients with motor neurone disease. BMJ Supportive & Palliative Care, 4, 3842.Google Scholar
Miller, R.G., Jackson, C.E., Kasarskis, E.J., et al. (2009). Practice parameter update: The care of the patient with amyotrophic lateral sclerosis. Multidisciplinary care, symptom management, and cognitive/behavioral impairment (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology, 73, 12271233.Google Scholar
Mitsumoto, H. & Rabkin, J. G. (2007). Palliative care for patients with amyotrophic lateral sclerosis: “Prepare for the worst and hope for the best.The Journal of the American Medical Association, 298, 207216.CrossRefGoogle ScholarPubMed
Musaro, A. (2012). Understanding ALS: New therapeutic approaches. The Federation of European Biochemical Societies Journal, 280, 43154322 Google Scholar
O'Brien, M.R., Whitehead, B., Jack, B.A., et al. (2011). From symptom onset to a diagnosis of amyotrophic lateral sclerosis/motor neuron disease (ALS/MND). Experiences of people with ALS/MND and family carers: A qualitative study. Amyotrophic Lateral Sclerosis, 12, 97104.Google Scholar
Olsson Ozanne, A., Graneheim, U.H., Persson, L., et al. (2012). Factors that facilitate and hinder the manageability of living with amyotrophic lateral sclerosis in both patients and next of kin. Journal of Clinical Nursing, 21, 13641373.CrossRefGoogle ScholarPubMed
Oyebode, J.R., Smith, H.J. & Morrison, K. (2013). The personal experience of partners of individuals with motor neuron disease. Amyotrophic Lateral Sclerosis & and Frontotemporal Degeneration, 14, 3943.Google Scholar
Ray, R.A. & Street, A.F. (2006). Caregiver bodywork: Family members' experiences of caring for a person with motor neurone disease. Journal of Advanced Nursing, 56, 3543.Google Scholar
van den Berg, J.P., Kalmijn, S., Lindeman, E., et al. (2005). Multidisciplinary ALS care improves quality of life in patients with ALS. Neurology, 65, 12641267.CrossRefGoogle ScholarPubMed
Wijesekera, L.C. & Leigh, P.N. (2009). Amyotrophic lateral sclerosis. Orphanet Journal of Rare Diseases, 4, 3.CrossRefGoogle ScholarPubMed
Williams, M.T., Donnelly, J.P., Holmlund, T., et al. (2008). ALS: Family caregiver needs and quality of life. Amyotrophic Lateral Sclerosis, 9, 279286.CrossRefGoogle ScholarPubMed