title: Relatives of patients with amyotrophic lateral sclerosis: Their experience of care and support.
abstract: OBJECTIVE
  The purpose of this study was to describe relatives' experience of patient care and the support they themselves received during the course of disease progression.
  
  
  METHODS
  A total of 15 relatives were included from two neurology clinics in Sweden: 7 wives, 4 husbands, and 4 daughters. Data were collected through qualitative interviews 6 to 12 months after the patient had died. Content analysis was performed to analyze the interviews.
  
  
  RESULTS
  The results showed that patient care was experienced as positive and as being based on the patient's needs and desires. Treatment from the staff, support and help, knowledge, availability, and continuity among the team were important reasons for the relations to feel secure. In addition, support for relatives was available, but different factors influenced its use. Most relatives did not think about their own needs but focused on the patient.
  
  
  CONCLUSIONS
  It is important that care and support for both patients and relatives be based on individual needs. The staff members responsible for providing this care and support must have knowledge and experience of the disease and its specific care. If they do not belong to an ALS (amyotrophic lateral sclerosis) team, they may require further education and support. The relatives focus on the patient's situation and do not think of their own needs. It is therefore important that health professionals be observant of the relatives and offer them help and support to better manage their situation.
authors.affiliation: Department of Neuroscience,Neurology,Uppsala University,Uppsala,Sweden.
authors.forename: Birgitta Jakobsson
authors.initials: BJ
authors.lastname: Larsson
authors.affiliation: Department of Surgical science,Uppsala University,Uppsala,Sweden.
authors.forename: Camilla
authors.initials: C
authors.lastname: Fröjd
authors.affiliation: Department of Public Health and Caring Science,Uppsala University,Uppsala,Sweden.
authors.forename: Karin
authors.initials: K
authors.lastname: Nordin
authors.affiliation: Department of Neuroscience,Neurology,Uppsala University,Uppsala,Sweden.
authors.forename: Ingela
authors.initials: I
authors.lastname: Nygren
mesh_terms: D000328:Adult; D000368:Aged; D000690:Amyotrophic Lateral Sclerosis / Q000150:complications* / Q000523:psychology*; D001294:Attitude to Health; D017028:Caregivers / Q000523:psychology*; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D013548:Sweden
keywords: Amyotrophic lateral sclerosis; Care; Palliative care; Relatives; Support