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Palliative Medicine
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What's this?

Grief support provided to caregivers of palliative care patients in Spain

Patricia Yi

Pilar Barreto

Department of Personality, Evaluation and Psychological Treatments, University of Valencia, Valencia

Carmen Soler

Dr Moliner Hospital, Serra, Valencia

Miguel Fombuena

Victoria Espinar

Palliative Medicine Unit, Dr Moliner Hospital, Serra, Valencia

Lorenzo Pascual

Centro de Salud de Manises

Ramón Navarro

Palliative Medicine Unit, Dr Moliner Hospital, Serra, Valencia

Remedio González

Department of Personality, Evaluation and Psychological Treatments, University of Valencia, Valencia

Jordi Bernabeu

Jesús Suárez

Department of Investigation and Diagnostics Methods in Education, University of Valencia, Valencia

Grief support for relatives of patients in palliative care is recognized as a fundamental practice within palliative medicine. The aim of this research was to determine the nature and extent of grief support programs offered to relatives of patients in palliative care in Spain. A postal survey was carried out among members of the Spanish Society of Palliative Care. The members' names were obtained through the Society's 2000 Directory, which lists 160 different teams, of which 50% answered a questionnaire made up of 34 questions, some open-ended and others multiple choice. Results show that 88.6% of the services include grief support, that mainly emotional and one-to-one care is provided (92.4 and 89.9%, respectively), and that the number of psychologists and social workers in each team is limited. The risk factors most commonly taken into account by professionals are: absence of family support (36.92%) and the bereaved's case history (21.54%); while the most widely used diagnostic criteria for complicated bereavement are blame and depression (12.5 and 11.36%). In conclusion, it can be seen that bereavement services are not completely consolidated in Spain and there is a need for a greater variety of intervention strategies.

Key Words: bereavement • caregivers • grief • palliative care • psychosocial support systems • risk assessment

Palliative Medicine, Vol. 20, No. 5, 521-531 (2006)
DOI: 10.1191/0269216306pm1165oa


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