Discusses the development of Canuck Place, North America's first free-standing pediatric hospice of its kind, opened in British Columbia, Canada, in 1995. Discusses the process of assessing the need for Canuck Place. Data from traditional quantitative and less-traditional qualitative sources were used to document and develop an argument in support…

This paper provides a personal account of the process of psychotherapy for Acquired Immune Deficiency Syndrome (AIDS) patients, as seen from both the client's and the psychotherapist's perspective, with a focus on countertransference issues found in the early phases of treatment. Based on case material, the discussion explores themes presented by…

Considers Directive to Physician, Durable Power of Attorney for Healthcare Decisions, and Medical Ethics Decision Form. Notes importance of process individuals go through in defining what quality of life means to them. Sees current struggle being individual articulation of one's wishes based on personal definition of quality of life set forth in…

Compared bereavement experiences of surviving spouses of suicides (N=14) with those of other surviving spouses (N=43). Focused on grief reactions suggested to be unique to suicide bereavement and quality of grief resolution. Found no significant differences among survivors on frequencies of common grief reactions, but suicide survivors were…

Counseling for HIV prevention and antibody testing is at the forefront of psychological support services. Recently, there has been a determined effort to develop a range of psychotherapeutic approaches to help people cope with and adjust to living with terminal illness. Introduces a growing interest in the field for counseling those affected by…

A survey of 127 hospice physicians attempted to identify appropriate performance objectives for medical training in care of the terminally ill. The 39 objectives identified covered physician attitudes, knowledge, and skills. Thirty-four of the objectives were validated. The list of objectives with their ratings is included. (MSE)

This "gray paper" addresses the concerns of older women regarding their control over death and dying. It is based on the observation that older women are devalued by society on account of both their age and gender, and hence are likely to be impoverished and vulnerable as they approach death. The paper begins by examining the legal,…

This study sought to identify from the literature the type of preparation nurse practitioners receive and the practices they use in the care of terminally ill patients as well as to determine from a study of five practitioners in rural health clinics in Mississippi their perception of their training, their philosophy, and the strategies they use…

Assessed effects of nursing home staff training in care for the dying on quality of life of 306 terminally ill patients in 5 pairs of matched nursing homes assigned randomly to trained and not trained staff groups. Patients in trained homes had less depression and greater satisfaction with care than patients in control homes at 1 and 3 months.…

Investigates experiences of Greek mothers who cared for a child dying of cancer. Highlighted some needs during the terminal period. Fifteen mothers were interviewed and both quantitative and qualitative procedures were used to analyze findings. Family networks played a significant role in supporting mother-child units, especially when death…

Parental death or divorce can have serious effects on children. It is important for adults and teachers to provide support and to be available to listen to the child on an age appropriate level. This paper describes the emotional impact of loss on children both when a marriage is ending and when a parent is seriously ill or is recently deceased.…

Across the United States and world, children who lose their parents to HIV/AIDS are one of the fasted emerging groups affected by this epidemic. Increasingly, child welfare and family service agencies are helping infected parents to secure legal and permanent care arrangements for their children. These guidelines address the issues of placing…

At the end of the 1980s, counselors largely lacked an integrated approach to counseling people living with HIV disease. This book describes the experience of counseling this group of persons. The major premise here is that counselors who counsel HIV-positive clients must come to understand and affirm their clients' experiences. The text defines a…