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  Health Topics: Palliative Care
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Palliative Care Publications for Families/Caregivers

Palliative Care in the News

Pediatric Palliative Care Radio Story
Help for Parents and Ill Children to Deal with Death

National Public Radio recently aired an eight-minute segment featuring The Initiative for Pediatric Palliative Care’s (IIPC) faculty development workshop held in Boston, MA. in June 2004. Click here to listen to the segment! (Real Audio Player software is needed to listen to the story but this is FREE software and can be downloaded by clicking the link above to listen.

When A Child Is Dying - Smallest patient offers biggest lesson
By Bruce Himelstein and Joanne Hilden 2001, Partnership for Caring

Parents Don't Regret Talking About Death
The American Psychological Association (9/15/04)

Fact Sheets/Brochures

Approaching Grief Brochure
"There is neither a right nor wrong way to approaching grief. Each of us must establish our own way of dealing with it. There is, however, a pattern to resolving grief and others have suffered losses and experienced intense grief and survived. As parents/caregivers you realize you are not alone. Others care, and are willing and able to help". - Children's Hospice International

This brochure includes help with understanding:
Stages of Grief
How Children Approach Grief
Ways to Help Your Children Grieve
Ways Resolve Loss

How to Select a Care Provider
Common questions for patients and loved ones facing life-threatening illnesses. Determining if a hospice is right for you may best be learned from interviewing different hospices and talking to those you trust who are familiar with hospice programs in your area. This Web site provides information on what services to expect from a hospice, how hospice begins, what supports are available to families/caregivers and choosing a palliative program.

Click here for a checklist which can be used to evaluate the different types of care and services a hospice may provide. Developed by The National Hospice and Palliative Care Organization

Fast Facts: Grief In Children And Developmental Concepts Of Death
An understanding of age appropriate grief reactions and conceptions of death are important when assessing a child’s response to terminal illness and a loved one’s death. This Fast Fact reviews key developmental concepts and describes strategies for addressing children’s grief.

Children grieve differently than adults. They often grieve in spurts and can re-grieve at new developmental stages as their understanding of death and perceptions of the world change. Childhood grief may be expressed as behavioral changes and/or emotional expression. The two most important predictive factors of a child’s successful outcome after suffering a loss are the availability of one significant adult and the provision of a safe physical and emotional environment.

This fast facts sheet is currently available on the End of Life/Palliative Education Resource Center Web site at: www.eperc.mcw.edu/fastFact/ff_138.htm

The American Hospital Association's "Put It In Writing" Web site
An advance directive is your life on your terms. Whether you're 18 or 80, documenting your wishes today means your family won't have to make heart-wrenching decisions later. To help patients, families and the hospitals that serve them, the American Hospital Association (AHA), with the cooperation of other organizations, has compiled key resources to enhance educational efforts and raise awareness around this important issue. The Association encourages everyone to talk with their family, their friends, their doctor. Know the options. Decide what's right for themselves. And then put it in writing.

The American Hospital Association's "Put It In Writing" Web site -contains resources to help people put their wishes about end-of-life care into advance directives.

Periodicals/Articles

Davies B, Collins JB, Steele R, Pike I, Cook, K. The impact on families of a Children's Hospice Program. Journal of Palliative Care. 2003;19:15-26

Steele RG. Experiences of Families in Which a Child Has a Prolong Terminal Illness: Modifying Factors. International Journal of Palliative Nursing. 2002; 8:418-434

Sumner, LH. Lighting the Way: Improving the Way Children Die in America. Caring. 2003;22:14-18

Whittle M, Cutts S. Time to Go Home: Assisting Families to Take Their Child Home Following a Planned Hospital or Hospice Death. Pediatric Nursing. 2002;14:24-28

Publications

Home Care for Seriously Ill Children: A Manual for Parents
By Stacy Orloff, LCSW, EdD, and Susan M. Huff, RN, MSN
A manual that serves as a guide and support to parents who, faced with their child's life-threatening illness, choose to or must care for their child at home. Order this manual from Children's Hospice International.

Views from Our Shoes: Growing Up With a Brother or Sister With Special Needs.
By Donald J. Meyer
This book shares a collection of 45 brief essays by children and young adults who have a sibling with special needs, ranging from mental retardation through a number of rare syndromes. The writings are arranged in chronological order, from that of a 4 year old to an 18 year old.

The Sibling Slam Book: What it is really like to have a brother or sister with special needs! By Donald J. Meyer
This book features the candid, funny, and insightful observations of 80 teen sibs of kids who have wide range of special developmental and health needs from five countries (including members of SibKids, our listserv for young brothers and sisters). The book also features an introduction by David Gallagher, star of WB's Seventh Heaven, brother to a young man who has autism, and CAN Youth Ambassador.

Voice of Sibs
A life limiting illness or condition of a child impacts a wide community, siblings often find their world shaken and broken. How to help these children through the time of their sibling's illness and after the death? Children's concepts of life/death and dying are impacted by developmental levels, which are also impacted by cultural background. Cultural factors influence communication styles and parental expectations for children. Cultural background and family experience influence the amount of information considered appropriate to share with children and perception of appropriate responses to difficult situations.   Each child and family is unique, and the children themselves can guide us. Several young people provide their own reflections on living through the time of a sibling's illness and after the death, at: www.nhpco.org/i4a/pages/Index.cfm?pageID=4665

National Support Groups

Bereaved Parents
Bereaved Parents is a Web site that offers a forum, chatroom and helpful information for bereaved parents. Started as a support network by the parents of a son that died at the age of three years from a diaphragmatic hernia.

The Compassionate Friends
A national nonprofit, self-help support organization that offers friendship, understanding, and hope to bereaved parents, grandparents and siblings. There is no religious affiliation and there are no membership dues or fees.}

The STARBRIGHT Foundation is dedicated to the development of projects that empower seriously ill children to combat the medical and emotional challenges they face on a daily basis. STARBRIGHT projects do more than educate or entertain: they address the core issues that accompany illness – the pain, fear, loneliness, and depression that can be as damaging as the sickness itself.

National Center for Grieving Children and Families
The mission of The Dougy Center for Grieving Children is to provide loving support in a safe place where children, teens and their families grieving a death can share their experiences as they move through their healing process.

For Siblings

Sibshops are pedal-to-the-metal celebrations of the many contributions made by brothers and sisters of kids with special needs.

Sibshops acknowledge that being the brother or sister of a person with special needs is for some a good thing, others a not-so-good thing, and for many, somewhere in-between. They reflect a belief that brothers and sisters have much to offer one another — if they are given a chance. Sibshops are a spirited mix of new games (designed to be unique, off-beat, and appealing to a wide ability range), new friends, and discussion activities. The Sibshop curriculum is used throughout the United States, Canada, Croatia, England, Ireland, Iceland, Japan, New Zealand, Guatemala, Mexico, and Argentina.

The SibKids Listserv
SibKids is a great place to meet other young brothers and sisters from around the world. On SibKids, members talk about their siblings with special needs, favorite music, friends, local sports teams, school—just about anything!

 Last Updated July 8, 2004

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