Families, Cancer and Dying

Journal/Book: Oxford University Press. 1987; 3:

Abstract: The" characteristics of this community service to the terminally ill are. 1. An ´holistic'-perspective which is concerned with developing comprehensive programmes to meet the physical, psychological and spiritual needs of those who come-for help. 2. Programmes which are responsive to family style and promote family coping mechanisms and strengths. Self-care and education are-emphasized before treatment and dependence.3. A way of working which emphasizes practitioner cooperation and utilizes lay networks. 4. Pharmacological and -surgical -remedies are talked about with the family.5. An active partnership is encouraged between care-givers and consumers. 6. Change as a process is accepted and understood as having ramifications for many family members. Crises are anticipated at critical junctures in the process of dying.7. Continuity of care is seen as extending beyond death and within the realm of informal community support.8. Communication with other professionals and community groups is seen as important in fostering the development of such a service.This response is less concerned with family pathology, and more with promoting family strengths. We must face the challenge of working with other practitioners of differing theoretical persuasions. To do so will mean that we can fully meet the needs of those whom we serve.

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