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Health SA Gesondheid (Online)

versão On-line ISSN 2071-9736
versão impressa ISSN 1025-9848

Health SA Gesondheid (Online) vol.14 no.1 Cape Town  2009




Caring for terminal AIDS patients: The experiences of caregivers in a palliative care institution



Magdalena (Dalena) van Rooyen; Margaret Williams; Essie Ricks

Department of Nursing Science, Nelson Mandela Metropolitan University, South Africa





This research focused on the lived experiences of caregivers working with Acquired Immune Deficiency Syndrome patients, particularly patients who die from this disease whilst resident in a formal institution. A qualitative, exploratory, descriptive, and contextual research design with a phenomenological approach to inquiry was utilised. 13 unstructured interviews, which were audio-taped, were conducted with caregivers working full-time in a formal institution caring for patients who are dying from AIDS. The transcribed interviews were analysed using Tesch's method of descriptive analysis (in Creswell 1994:115).
One central theme emerged, namely that in their daily duty (at their place of work), caregivers experienced various challenges as a result of having to deal with the death of their patients suffering from AIDS, and five sub-themes were formulated from further analysis. The five sub-themes were:
Caregivers experienced emotional challenges in caring for patients dying of AIDS
Caregivers experienced a difference in death and dying of adults as opposed to children
Caregivers experienced the rationalisation of death and dying differently
Caregivers experienced that faith in God gives them strength to cope with death and dying
Caregivers experienced caring for patients as fulfilling and meaningful to them despite the sadness of death and dying.
The participants face the death of their patients daily, from a disease that causes untold suffering to the patients, family members and to the caregivers themselves, who wish they could prevent the anguish, the pain and the inability of the medical profession to do more than they are at present towards curing this disease. They described their emotional experiences, which included the various challenges that they face as a result of having to deal with the death and dying of their patients suffering from AIDS. The information shared by these participants formed the foundation of the broad guidelines that were developed in order to provide support for such caregivers.

Keywords: AIDS patients; palliative care; care givers; hospices; terminal illness


Die fokus van hierdie navorsing was op die beleefde ervaringe van die versorgers wat met Verworwe Immuniteitsgebreksindroom pasiënte werk, veral pasiënte wat sterf aan die siekte terwyl hulle in 'n formele inrigting is. 'n Kwalitatiewe, eksploratiewe, beskrywende en kontekstuele navorsingsontwerp met 'n fenomenologiese benadering was gebruik. 13 ongestruktueërde onderhoude, wat op 'n audioband opgeneem was is gehou met versorgers wat voltyds in 'n formele inrigting sorg vir pasiënte wat aan VIGS sterf werk. Tesch se metode van beskrywende analise was gebruik om die transkribeerde onderhoude te analiseer (in Cresswell 1994:115).
Een sentrale tema het na vore gekom, naamlik dat versorgers tydens die uitvoering van hulle daaglikse pligte (in die werk) 'n verskeidenheid uitdagings ondervind het as gevolg van hul pasiënte wat sterf van VIGS en vyf sub-temas is geformuleer deur verdure analise. Hierdie vyf sub-temas was:
Versorgers ervaar emosionele uitdagings tydings die versorging van pasiënte wat van VIGS sterf
Versorgers ervaar n verskil in die dood en sterfte van volwassesnes teenoor die van kinders
Versorgers ervaar die rasionaliseering van dood en sterfte verskillend
Versorgers ervaar dat vertroue in God hulle krag gee om die dood en sterfte beter te hanteer
Versorgers ervaar dat die versorging van pasiënte wat sterf of sterwend is vervullend is ten spyte van die hartseer van dood en sterfte.
Die deelnamers ervaar die dood van hul pasiënte daagliks van 'n siekte wat ongetelde lyding vir hulself, die pasiënt en hul familie veroorsaak. Die versorgers wens dat hulle kon die angs en die pyn voorkom, sowel as die ombekwaamheid van die mediese beroep om huidiglik meer te kan doen om die siekte te genees. Hulle beskryf hul emosionele ervaringe wat die verskillende uitdagings wat hul ervaar as gevolg van hul betrokkenheid by die dood en afsterwe van hul pasiënte aan VIGS. Die inligting wat deur hierdie deelnemers gedeel word, vorm die basis van die ontwikkeling van breë riglyne om die versorgers te ondersteun.



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Dalena van Rooyen
Department of Nursing Science
Nelson Mandela Metropolitan University
PO Box 77000
Port Elizabeth 6031
South Africa

Received: 25 July 2008
Accepted: 23 Jan. 2009
Published: 29 June 2009

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