title: The needs of parents with children suffering from lethal epidermolysis bullosa.
abstract: BACKGROUND
  Some subtypes of the heterogeneous genetic blistering disease epidermolysis bullosa (EB) lead to lethality in childhood. The severity and extent of blistering leaves these patients living in excruciating pain and distress their entire lives. Parents of these patients experience some specific problems, such as the unfamiliarity of EB amongst healthcare professionals and the suffering and loss of their child.
  
  
  OBJECTIVE
  To identify the needs of parents who have lost their child to lethal EB.
  
  
  METHODS
  A qualitative study was performed, comprising semistructured, in-depth interviews with 16 parents. The transcripts were analysed and common themes were identified.
  
  
  RESULTS
  Parents indicated that they have the need (i) for a fast and correct referral to a specialized EB clinic, (ii) to be informed as honestly as possible about the diagnosis and lethal prognosis, (iii) to have a structured network of caregivers in the palliative care, (iv) to be involved in the care and the medical decisions involving their child, (v) to be informed about the end of life and to discuss euthanasia, (vi) for guidance and to have remembrances of their child, and (vii) for genetic counselling.
  
  
  CONCLUSIONS
  Our job as healthcare professionals is to provide the best care not only for children suffering from lethal EB, but also for their parents. In this study, parents have provided us with some guidelines to care for them. However, it is important to keep in mind that every parent is different, and that the guidance should be tailored to their individual needs.
authors.affiliation: Department of Dermatology, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700RB Groningen, the Netherlands. w.y.yuen@umcg.nl
authors.forename: W Y
authors.initials: WY
authors.lastname: Yuen
authors.forename: J C
authors.initials: JC
authors.lastname: Duipmans
authors.forename: M F
authors.initials: MF
authors.lastname: Jonkman
mesh_terms: D000328:Adult; D001601:Bereavement; D017028:Caregivers; D002648:Child; D003376:Counseling; D003695:Delivery of Health Care / Q000592:standards; D004820:Epidermolysis Bullosa / Q000523:psychology*; D005065:Euthanasia / Q000523:psychology; D005817:Genetic Counseling; D006801:Humans; D020380:Needs Assessment; D009426:Netherlands; D010166:Palliative Care / Q000592:standards; D010290:Parents / Q000523:psychology*; D010353:Patient Education as Topic / Q000592:standards; D010358:Patient Participation / Q000523:psychology; D017060:Patient Satisfaction; D011369:Professional-Patient Relations; D012017:Referral and Consultation / Q000592:standards