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Biomedical subjects

N C Dunaway

Publications and source records attributed to N C Dunaway.

2 recordsLinked to original sources

Good grieving--an intervention program for grieving children.

PURPOSE/OBJECTIVES: To describe a program for grieving children including the agenda, activities, and logistics of organizing the program. DATA SOURCES: Clinical observations and evaluations from the program; literature review. DATA SYNTHESIS: A series of four seasonal programs were designed to promote a child's normal grieving process and enhance adjustment to the loss. Programs are cyclic, children are grouped by age, and activities are intended to promote expression of feelings, understanding of the loss, and good coping skills. A concurrent program for caregivers facilitates family communication and support. CONCLUSIONS: The program demonstrated positive behavioral changes in grieving children and provides a model for other nurses to use in organizing similar programs. IMPLICATIONS FOR NURSING PRACTICE: Nurses should be familiar with key elements of children's grief and incorporate this into their practice, especially when caring for terminally ill patients who have children.

Adaptation, Psychological↗

Planning and organizing a multidisciplinary psychosocial oncology service.

Providing psychosocial care to patients with cancer and their families is a formidable task given the current fiscal environment in hospitals. As the pool of available resources shrinks and populations shift from inpatient to outpatient, psychosocial staff are challenged to find creative, versatile, and efficient ways to deliver quality services and programs. This article describes the efforts to plan and implement psychosocial care at a cancer center facing the constraints of limited staff and decreasing resources. The background of the project, the development and implementation of a strategic plan, and a 1-year evaluation of the attainment of the objectives in the plan are described. The success of this approach and implications for psychosocial staff at other institutions are discussed.

Cancer Care Facilities↗