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Supporting children when a parent has a life-threatening illness: the role of the community practitioner
1rachel.fearnley@yahoo.co.uk
Insights
Children living with a terminally ill parent need more support. Age-appropriate information sharing and professional facilitation of difficult conversations are crucial for these children's well-being.
Area of Science:
- Pediatric Palliative Care
- Child Psychology
- Family Support Services
Background:
- Growing recognition of children's needs after bereavement.
- Limited acknowledgment of the needs of children with a terminally ill parent.
- Children's needs are often overlooked in clinical settings.
Purpose of the Study:
- To explore the experiences of children living with a dying parent.
- To identify key support mechanisms for these children.
- To highlight the role of professionals in addressing these needs.
Main Methods:
- Qualitative methodology.
- Interviews with 36 participants (children, parents, professionals).
Main Results:
- Importance of age-appropriate information sharing for children.
- Professionals play a key role in facilitating difficult conversations.
- Community practitioners possess in-depth family knowledge beneficial for care.
Conclusions:
- Children of terminally ill parents require specific, recognized support.
- Effective communication and professional facilitation are vital.
- Community practitioners can significantly enhance care for these children.
Abstract:
The last two decades have seen an academic and practice based shift in the acknowledgment that children require support following the death of a significant person. However, the needs of children who are living amidst parental life threatening illness are not, as yet, so clearly recognised or acknowledged. These children are often forgotten and their needs are frequently peripheral, if not absent, within the clinical setting. The current study adopted qualitative methodology to explore children's experiences when living with a parent who is dying. A total of 36 people were interviewed, including children, their parents and professionals. The findings highlighted the importance of age appropriate information sharing with the children and the significant role professionals have in facilitating conversations either directly or through supporting the parents to hold these 'difficult' discussions. This paper offers an overview of the vital role community practitioners have in supporting the children of patients. It argues that they often have a more in-depth knowledge of the family and its functioning and that consequently they can add a different dimension to the care provided.
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