Influential Factors of Long-Term Care in a Japanese Rural Community Examined Through Interviews of Family Caregivers

Recent increases in the number of those with health care needs who live at home in Japan highlight the importance of maintaining a healthy community environment for long-term care. This study characterized continuing long-term home-based care for patients with health care needs in a rural community through an examination of influential factors, as perceived by family caregivers of patients with care needs. Semistructured interviews revealed self-reliance as the most important factor. Promoting the quality of a family caregiver's life was also found to be important. Family caregiver support is required considering the character of a rural community and residents' ideologies.     

Supporting SIDS Families: The Public Health Nurse SIDS Home Visit

Sudden infant death syndrome (SIDS) death has a devastating effect on parents. There is no known cause, so parents experience guilt about what they might have done or not done to contribute to the death. Although some SIDS parents may receive support from family and friends, the public health nurse (PHN) has an important professional role in providing grief support, SIDS education, and offering SIDS resources and referrals. Based on years of clinical practice, we recommend the following: Perform the home visit as soon as possible. Show care and compassion. Personalize the baby by using his or her name and asking to see photographs. Reassure the parents that grief is a process which takes time. Educate about what SIDS is and what it is not. Increasingly, SIDS deaths occur in the presence of risk factors. Explain that risk factors are not causes of death. As an authority in health care, reassuring families that they did not cause their baby's death has a tremendous impact on relieving guilt. Putting newly bereaved SIDS parents in contact with other SIDS parents is one of the most helpful actions a PHN can take to help families.