A follow-up bereavement service: ‘completing the patient pathway’

Authors

  • Deborah Ford
  • Derek Fraser
  • Keith Morrison

Keywords:

bereavement care pathway, brief intervention, hospital complaints, complex grief

Abstract

Abstract

The article describes an initiative, The Bereavement Care Follow up Service (BCFS) in Cambridge University Hospitals (CUH) NHS Trust which offers brief intervention and support for relatives following the death of a loved one in hospital. The service includes sending a letter of condolence, and offering an opportunity to talk to a member of the team involved in the care of their relative. It presents its historical context, its pertinence to grief theory and practice and gives a description and evaluation of the service. The service provides an alternative, less problem-centred pathway to the standard route for those with problems relating to the hospital and gives relatives the opportunity to voice concerns, and to seek information and answers from those best equipped to meet them (experts in clinical and bereavement care). Reported satisfaction with the service is high, both among relatives and staff.

References

Bereavement Services Association (2013). A description and timeline of The Bereavement Pathways Project [available at: http://bereavement.bsauk.org/; http://www.web11188.vs.speednames.com/BPPpapers/NetworkingEvents.pdf; http://www.web19069.vs.speednames.com/BPPintro.html]

Bion WR (1967). Second thoughts. London: William Heinemann.

Boelen, et al (2006). A cognitive behavioural conceptualisation of complicated grief. Science and Practice 13 (2) 109–128.

Bollas C (1987). The shadow of the object: psychoanalysis of the unthought known. London: Free Association Books.

Cambridge University Hospitals (CUH), unpublished data and material

Department of Health (2011). When a person dies: advice on developing bereavement services in the NHS. London: Crown Copyright, I.3

Department of Health (2005). Survey of bereavement care and support services. London: Crown Copyright, Note 16.

Department of Health (2008). End of Life Care Strategy London: Crown Copyright, 24–25.

Garland C(ed) (1998). Trauma and grievance. In: Understanding trauma: a psychoanalytic approach. London: Routledge, 81–82; 93 ff.

Hawton K (2007). Complicated grief after bereavement. British Medical Journal 34 962–963.

Healthcare Commission (2008) Spotlight on complaints. 2 21–23; 32

Jackson I (1992). Bereavement follow up service in intensive care. Intensive and Critical Care Nursing 8 163–168.

Kieholt-Glaser JK, Glaser R (1998). Disclosure of traumas and immune function. Journal of Consulting and Clinical Psychology 62 (1) 130–140.

Kubler-Ross E, Kessler D (2005). On grief and grieving: finding the meaning of grief through the five stages of loss. New York: Scribner.

Lindemann (1998). Guidelines for bereavement care in intensive care units. The Intensive Care Society. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12859081

Machin L (2009). Working with loss and grief: a new model for practitioners. London: Sage, 113–165

Neimeyer RA (ed) (2001). Meaning reconstruction and the experience of loss. Washington: American Psychological Association Convention.

Neimeyer R, Anderson A (2002). Meaning reconstruction theory. In: N Thompson (ed) Loss and grief. Basingstoke: Palgrave.

NHS Choices (2010). End of life care guide. [avaialble at http://www.nhs.uk/Planners/end-of-life-care/Pages/End-of-life-care.aspx]

Prigerson HG, Horowitz MJ, Jacobs SC (2010). Prolonged grief disorder: psychometric validation of criteria proposed for DSM-V and ICD-11. PLoS Med 6(8): e1000121.

Schut H, Stroebe M (1999). The dual process model of coping with bereavement: rationale and description. Death Studies 23 197–224.

The Alderhey Report (January 2001) London: Crown Copyright.

Winnicott DW (1965). Maturational processes and the facilitating environment: studies in the theory of emotional development. London: Hogarth Press.

Worden JW (1991). Grief counselling and grief therapy: a handbook for the mental health practitioner (2nd ed). New York: Springer.

Worden JW (2009). Grief counselling and grief therapy: a handbook for the mental health practitioner (4th ed). New York: Springer.

Zhang B, El-Jawahri A, Prigerson HG (2006). Update on bereavement research: evidence-based guidelines for the diagnosis and treatment of complicated bereavement. Journal of Palliative Medicine 9(5) 1188–1203.

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Published

2013-12-01

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