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Dissertation/Thesis Abstract

Investigating Families' Perceptions of End-Of-Life Care
by Tiernan, Janis B., Psy.D., Union Institute and University, 2016, 173; 10182320
Abstract (Summary)

Needless suffering at the end-of-life and death is avoidable in contemporary U.S. health care. The palliative and hospice care movement addresses end-of-life needs through application of a holistic care paradigm attuned to the bio-psycho-social-spiritual needs that presents during life limiting illness and death. This qualitative case study investigates the post mortem perceptions of family members who have lost a loved one while receiving palliative and hospice care. Family members of the deceased provide a retrospective on what aspects of care may have hindered or facilitated the suffering their loved one experienced at the end-of-life and death. Five primary themes emerged including; Attunement; Getting out of the Way; Hospice and Contemporary Medical Care; Trauma History, Re-Traumatization and Posttraumatic growth; and Parallels of Trauma. The knowledge learned from the lived experience of family members is useful in the provision of and planning for future end-of-life care.

Indexing (document details)
Advisor: Lax, William
Commitee: Becker-Klein, Rachel, Sears, Richard
School: Union Institute and University
Department: Psychology Progam: Clinical Psychology
School Location: United States -- Ohio
Source: DAI-B 78/04(E), Dissertation Abstracts International
Subjects: Gerontology, Clinical psychology
Keywords: Bio-psycho-social-spiritual needs, End-of-life growth, Hospice, Needless suffering, Palliative care, Posttraumatic growth
Publication Number: 10182320
ISBN: 978-1-369-30682-8
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