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Nursing issues
9–10 months postbereavement, caregiver grief, quality of life and general health are comparable with people who are non-caregivers and not recently bereaved
  1. Jane Nicol
  1. School of Nursing, University of Birmingham, Birmingham, UK
  1. Correspondence to Jane Nicol, School of Nursing, University of Birmingham, Birmingham B15 2TS, UK; j.nicol{at}

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Commentary on: Breen LJ, Aoun SM, O’Connor M, et al. Effect of caregiving at end of life on grief, quality of life and general health: a prospective, longitudinal, comparative study. Palliat Med 2020;34:145–54.

Implications for practice and research

  • Individualised bereavement support, pre-death and post-death, should be provided for all caregivers, not just those at risk of prolonged grief (PG).

  • Further studies should ensure data collection takes place over a minimum of 12 months.


A terminal diagnosis affects the patient and those around them, with informal carers providing much of the day-to-day care. This can impact negatively on caregivers, both psychologically and in their daily life. Recognising the potential impact on bereavement, studies1–3 have examined the relationship between caregiving and developing PG. PG is identified by preoccupation and yearning for the deceased with …

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  • Twitter @jnicolbham

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.