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Showing posts with label ” Research. Show all posts
Showing posts with label ” Research. Show all posts

Friday, January 7, 2011

Animals Supporting Hospice-Palliative Care Philosophy (Research, Video 4:15)

Many animals seem to instinctively support the hospice-palliative care philosophy. Researchers at the University of Stirling and at Blair Drummond Safari Park in the United Kingdom reported how three chimpanzees nurtured an elderly dying chimpanzee named Pansy. Although the chimpanzees had been separated from Pansy during the earlier stage of her illness when she was being treated, they were allowed to join her during the final phase just before her death. The chimpanzees “frequently groomed and caressed” her. They stayed close to her, shook her shoulder to test for signs of life, and appeared to understand when she was no longer alive. Although Pansy’s daughter Rosie did not normally sleep near her mother, she stayed with her mother’s corpse most of the night, but she didn’t sleep soundly.

Sixteen hours later, the chimpanzees quietly witnessed Pansy’s corpse being removed by the zookeepers. Days later, they were still subdued and refused to make a nest on the platform where Pansy had died. I thought it was interesting that they also demonstrated a need for more attention for themselves. For humans, the bereavement process is so often made easier when others support their healing.

Should zookeepers re-evaluate the common practice of removing terminally ill animals from a group?  James Anderson, lead author, thinks so. He says, “It may be more humane to allow the group to remain together until a sick animal dies, to give the ailing animal comfort, and allow the group a sense of closure.” Does that sound familiar?

The video below highlights an everyday cat coping with the suffering or death of another cat. It’s raw expression of nurturing and grief. This scenario says a lot about animals and heartfelt caregiving. Can you feel the love?


Frances Shani Parker, Author

Saturday, September 4, 2010

Oncology Nurses, Cancer, and Palliative Care (Research, Video 1:39)

In an earlier post, I mentioned the confusion many people have regarding what palliative care is. One problem is the close association they make between palliative care and hospice care. Those with misinformation include some who work in the healthcare field.
Oncology nurses provide and supervise care for cancer patients who are chronically or critically ill. The “Oncology Nursing Forum” presents results from a study at George Mason University. Researchers examined how some oncology nurses define palliative care, their views about who should and should not receive palliative care, and their beliefs about palliative care decision-making. These nurses’ beliefs include who should be involved in making palliative care decisions and how decisions should be managed. Interviewed were twelve nurses representing different aspects of oncology nursing.
Findings indicate that most of the oncology nurses interviewed focused on symptom management and made no distinction between hospice and palliative care. Palliative care was viewed as care only for patients near the end of life. Nurses perceived their own involvement in decision-making regarding palliative care as limited and indirect. These perceptions cause concern because they could limit palliative care that is appropriate for cancer patients who may not be eligible for hospice care.
While this study involved a small group of oncology nurses, it reinforces the need for more education and clinical experience so palliative care can be used to benefit more patients. Dr. Diane Meier, Director of the Center to Advance Palliative Care, defines palliative care in this video titled “What is Palliative Care?”


Frances Shani Parker, Author

Saturday, July 24, 2010

Can Older Adults With Dementia Enjoy Life? (Research, Arts Video 3:04 mins.)

I have a friend whose mother has Alzheimer's disease. He and his father are her primary caregivers at home. He says that people generally feel sorry for them. When his mother’s name comes up in conversations, the tone changes to one of sadness. They also assume that his mother must be an unhappy person because of her mentally impaired condition. The other day, I smiled at his response when I asked him how she was doing. He said, “Mama is doing just fine. Pops and I focus on keeping her healthy and active. Most of the time, she is as happy as she can be.”

A research study in the “International Journal of Geriatric Psychiatry” supports that assessment. Consisting of interviews with 1,620 community-dwelling older adults, the study examined the following:
1) Overall life satisfaction with material circumstances and with social circumstances of older adults with no cognitive impairment, with cognitive impairment without dementia, and with dementia
2) The effect of cognition on life satisfaction across a broad spectrum of cognition
3) The effect of factors such as depressive symptoms, functional impairment, education, and social support.
While participants with dementia and participants with cognitive impairment without dementia did have lower life satisfaction than those with normal cognition, the effects were relatively small. The study concluded that, although cognition is associated with life satisfaction, older adults are generally satisfied with life.

Older adults with dementia have varied days like everyone else. Happy memories and enriching activities can slow dance into their realities and fill them with joy. This video titled “I Remember Better When I Paint: Treating Alzheimer’s Through Creative Arts” shows how creative arts activities can enhance the quality of their lives. A longer DVD version can be purchased at amazon.com, frenchcx.com, artistsforalzheimers.com, and hilgos.com.


Frances Shani Parker, Author

Sunday, March 14, 2010

Massage for Caregivers of Terminally Ill Patients (Research, Video 3:35 mins.)

Many say that what caregivers need most is caregiving. Relatives caring for the terminally ill at home are particularly in need of support to improve their own quality of life. One form of nurturing for caregivers that reduces their levels of stress is soft tissue massage (hand or foot). This strategy has demonstrated beneficial results for caregiving relatives of patients receiving palliative home care.

In research reported in the “Journal of Clinical Nursing,” nineteen relatives received soft tissue massage nine times (25 minutes) in their homes. After all the sessions were completed, relatives participated in a tape-recorded interview about their massage experiences. They reported that the soft-tissue massages gave them feelings of being cared for, body vitality, and peace of mind. For a while, they experienced the freedom of being worry-free.

These positive results from having massages were experienced by all participants. Soft tissue massages can play an important role in palliative care by providing supplementary benefits in supporting caring relatives.

This video titled “Hand Massage Lesson by Health-Choices Massage School” demonstrates how a hand massage is done.

Frances Shani Parker, Author

Sunday, June 14, 2009

Friendship, Loneliness, and Senior Women Living Alone (Video: 1:04 min.)

Do senior women with family members who live nearby really need friends as much as senior women without family members living nearby? According to this research, they do. Reported in the “Journal of Gerontological Nursing,” a study by the University of Northern Iowa in Cedar Falls examined the role of friends in predicting loneliness among women over age 65 who lived alone. Researchers hypothesized that those women who didn’t have family members living nearby would be lonelier than those who did. Well, that didn’t happen. It turns out that “close friends were important for women living alone, regardless of whether they had family living locally.” This information is noteworthy because it emphasizes the need for making social connections a priority in the lives of older women who live alone, regardless of their local family connections.

This video titled "Knitting Together" showcases a group of older women who socialize through weekly knitting sessions. A woman shares near the end, “I’m here to enjoy the company.”

Frances Shani Parker, Author
"Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes”
“Hospice and Nursing Homes Blog”