title: Experiences and needs of bereaved carers during palliative and end-of-life care for people with chronic obstructive pulmonary disease.
abstract: OBJECTIVE
  This study explored the experiences of palliative care that bereaved carers had while providing care to a dying loved one with chronic obstructive pulmonary disease (COPD).
  
  
  METHODS
  Semi-structured interviews were undertaken with nine carers who had lost a loved one in the preceding 6 to 24 months. These interviews explored levels of satisfaction with disease management, symptom management, and end-of-life care. With permission, interviews were tape recorded, transcribed, and subjected to content analysis.
  
  
  RESULTS
  Three themes emerged from the data: the impact of the caring experience, the lack of support services, and end-of-life and bereavement support. Carers experienced carer burden, lack of access to support services, a need for palliative care, and bereavement support.
  
  
  CONCLUSIONS
  The findings provide a first insight into the experiences of carers of patients with advanced COPD. Bereaved carers of patients who had suffered advanced COPD reported that they had received inadequate support and had a range of unmet palliative care needs. Special attention should be paid to educating and supporting carers during their caring and bereavement periods to ensure that their quality of life is maintained or enhanced.
authors.affiliation: Institute of Nursing Research and School of Nursing, University of Ulster, Newtownabbey, Northern Ireland.
authors.forename: Felicity
authors.initials: F
authors.lastname: Hasson
authors.forename: Allison
authors.initials: A
authors.lastname: Spence
authors.forename: Mary
authors.initials: M
authors.lastname: Waldron
authors.forename: George
authors.initials: G
authors.lastname: Kernohan
authors.forename: Dorry
authors.initials: D
authors.lastname: McLaughlin
authors.forename: Barbara
authors.initials: B
authors.lastname: Watson
authors.forename: Barbara
authors.initials: B
authors.lastname: Cochrane
mesh_terms: D000368:Aged; D001601:Bereavement; D017028:Caregivers / Q000523:psychology*; D005260:Female; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000523:psychology*; D029424:Pulmonary Disease, Chronic Obstructive / Q000451:nursing*; D036301:Qualitative Research; D012944:Social Support; D013727:Terminal Care / Q000523:psychology*