Bereavement
Grief
Attitude to Death
Hospice Care
Death
Adjustment Disorders
Spouses
Death, Sudden
Hospices
Life Change Events
Hospital-Patient Relations
Adaptation, Psychological
Parents
Caregivers
Terminally Ill
National Institute of Child Health and Human Development (U.S.)
Northwestern United States
Social Support
Intensive Care Units, Pediatric
General practitioners' beliefs and attitudes about how to respond to death and bereavement: qualitative study. (1/309)
OBJECTIVES: To investigate the perceptions of general practitioners when they are notified or hear of a death or bereavement in their practice; to explore doctors' accounts of their relationships with their patients in the context of bereavement; and to explore the concerns of general practitioners in managing themselves and bereaved patients. DESIGN: Semistructured interviews followed by qualitative content analysis. SETTING: London borough of Redbridge. PARTICIPANTS: 25 general practitioners. RESULTS: Almost all the doctors had felt guilty about issues relating to the death of patients. These feelings were based on their expectations of not making mistakes and diagnostic precision. They described a culture gap existing between hospital and general practice and a need to develop new models and methods to explain and manage the causes of illness presented to them. In the absence of useful teaching on bereavement, many devised strategies which relied more on their personal experiences. General practitioners used various methods to contact bereaved patients, especially if they had been involved in the terminal care or if the death was particularly shocking. The doctor was also bereaved by the death of well known patients and sometimes needed to grieve and express emotion. CONCLUSION: General practitioners may need support and learning methods to manage their own and their patients' bereavement. (+info)Psychological disturbance and service provision in parentally bereaved children: prospective case-control study. (2/309)
OBJECTIVES: To identify whether psychiatric disturbance in parentally bereaved children and surviving parents is related to service provision. DESIGN: Prospective case-control study. SETTING: Two adjacent outer London health authorities. PARTICIPANTS: 45 bereaved families with children aged 2 to 16 years. MAIN OUTCOME MEASURES: Psychological disturbance in parentally bereaved children and surviving parents, and statistical associations between sample characteristics and service provision. RESULTS: Parentally bereaved children and surviving parents showed higher than expected levels of psychiatric difficulties. Boys were more affected than girls, and bereaved mothers had more mental health difficulties than bereaved fathers. Levels of psychiatric disturbance in children were higher when parents showed probable psychiatric disorder. Service provision related to the age of the children and the manner of parental death. Children under 5 years of age were less likely to be offered services than older children even though their parents desired it. Children were significantly more likely to be offered services when the parent had committed suicide or when the death was expected. Children least likely to receive service support were those who were not in touch with services before parental death. CONCLUSIONS: Service provision was not significantly related to parental wishes or to level of psychiatric disturbance in parents or children. There is a role for general practitioners and primary care workers in identifying psychologically distressed surviving parents whose children may be psychiatrically disturbed, and referring them to appropriate services. (+info)Bereaved children. (3/309)
OBJECTIVE: To describe the unique aspects of childhood grief. To provide a framework for family physicians to use in assisting children to grieve. QUALITY OF EVIDENCE: A MEDLINE search from 1966 to 1999 using the key words children, childhood, grief, mourning, and bereavement revealed mainly expert opinion articles, some non-randomized observational studies, and retrospective case-control studies. MAIN MESSAGE: Although children are influenced by similar factors and need to work through the same tasks of grief as adults, their unique psychological defences and evolving cognitive and emotional development make their grieving different from adults'. Understanding these unique childhood features will allow family physicians to more effectively help children through the tasks of acknowledging a death, working through the pain of that death, and accommodating it. CONCLUSIONS: With a framework for grief counseling that incorporates unique features of children's mourning, family physicians will be in a better position to assist their young bereaved patients. (+info)Acute and post-traumatic stress disorder after spontaneous abortion. (4/309)
When a spontaneous abortion is followed by complicated bereavement, the primary care physician may not consider the diagnosis of acute stress disorder or post-traumatic stress disorder. The major difference between these two conditions is that, in acute stress disorder, symptoms such as dissociation, reliving the trauma, avoiding stimuli associated with the trauma and increased arousal are present for at least two days but not longer than four weeks. When the symptoms persist beyond four weeks, the patient may have post-traumatic stress disorder. The symptoms of distress response after spontaneous abortion include psychologic, physical, cognitive and behavioral effects; however, patients with distress response after spontaneous abortion often do not meet the criteria for acute or post-traumatic stress disorder. After spontaneous abortion, as many as 10 percent of women may have acute stress disorder and up to 1 percent may have post-traumatic stress disorder. Critical incident stress debriefing, which may be administered by trained family physicians or mental health practitioners, may help patients who are having a stress disorder after a spontaneous abortion. (+info)Unresolved grief in young offenders in prison. (5/309)
The study aimed to pilot a grief awareness programme as a health promotion project for young offenders with complicated grief. Seventeen young offenders in custody at HM Prison, Cardiff were opportunistically recruited, interviewed about their bereavement, and offered entry to the programme. Young offenders who reported coping poorly with bereavement were more likely to have used drugs to cope with their emotions, to have had suicidal thoughts, and reported more depression and anxiety. They were also more likely to have been bereaved in late adolescence and to have lost a first degree relative, with death being sudden, violent or by suicide. (+info)Psychotherapies in psycho-oncology. An exciting new challenge. (6/309)
BACKGROUND: There is ample scope to devise forms of psychotherapy in consultation-liaison psychiatry, including the newly evolving area of psycho-oncology. AIMS: To highlight the development of psychotherapy in psycho-oncology, providing two illustrations. METHOD: We report on conceptual and clinical research in the context of oncology and palliative care, focusing on (a) an approach for families at risk of maladaptive bereavement; and (b) a group programme for women newly diagnosed with early-stage breast cancer. RESULTS: We were able to introduce new forms of psychological treatment for specific clinical groups, and anecdotal evidence points to useful benefits for participants. CONCLUSIONS: Psychotherapists should grasp the opportunity to bring their skills to the medical arena, but need to subject newly devised interventions to well-designed and methodologically rigorous research. (+info)Cancer incidence and survival following bereavement. (7/309)
OBJECTIVES: This study investigated the effect of parental bereavement on cancer incidence and survival. METHODS: A cohort of 6284 Jewish Israelis who lost an adult son in the Yom Kippur War or in an accident between 1970 and 1977 was followed for 20 years. We compared the incidence of cancer in this cohort with that among nonbereaved members of the population by logistic regression analysis. The survival of bereaved parents with cancer was compared with that of matched controls with cancer. RESULTS: Increased incidence was found for lymphatic and hematopoietic malignancies among the parents of accident victims (odds ratio [OR] = 2.01; 95% confidence interval [CI] = 1.30, 3.11) and among war-bereaved parents (OR = 1.47; 95% CI = 1.13, 1.92), as well as for melanomas (OR = 4.62 [95% CI = 1.93, 11.06] and 1.71 [95% CI = 1.06, 2.76], respectively). Accident-bereaved parents also had an increased risk of respiratory cancer (OR = 1.50; 95% CI = 1.07, 2.11). The survival study showed that the risk of death was increased by bereavement if the cancer had been diagnosed before the loss, but not after. CONCLUSIONS: This study showed an effect of stress on the incidence of malignancies for selected sites and accelerated demise among parents bereaved following a diagnosis of cancer, but not among those bereaved before such a diagnosis. (+info)Evaluating the use of benzodiazepines following recent bereavement. (8/309)
BACKGROUND: There is no evidence to support current advice not to use benzodiazepines after bereavement. AIMS: To determine the role of benzodiazepines in the management of bereavement. METHOD: We conducted a randomised, double-blind, placebo-controlled evaluation of the use of diazepam after recent bereavement. Participants were randomised to either 2 mg diazepam or identically packaged placebo up to three times daily. The primary outcome measure was the Bereavement Phenomenology Questionnaire. RESULTS: Thirty subjects were randomised. No evidence was found of an effect of benzodiazepines on the course of the first 6 months of bereavement (estimated mean difference of combined follow-up assessments=0.3 in favour of placebo; 95% Cl - 6.2 to +6.7). CONCLUSION: We found no evidence of a positive or negative effect of benzodiazepines on the course of bereavement. (+info)In medical terms, death is defined as the irreversible cessation of all bodily functions that are necessary for life. This includes the loss of consciousness, the absence of breathing, heartbeat, and other vital signs. Brain death, which occurs when the brain no longer functions, is considered a definitive sign of death.
The medical professionals use various criteria to determine death, such as:
1. Cessation of breathing: When an individual stops breathing for more than 20 minutes, it is considered a sign of death.
2. Cessation of heartbeat: The loss of heartbeat for more than 20 minutes is another indicator of death.
3. Loss of consciousness: If an individual is unresponsive and does not react to any stimuli, it can be assumed that they have died.
4. Brain death: When the brain no longer functions, it is considered a definitive sign of death.
5. Decay of body temperature: After death, the body's temperature begins to decrease, which is another indicator of death.
In some cases, medical professionals may use advanced technologies such as electroencephalography (EEG) or functional magnetic resonance imaging (fMRI) to confirm brain death. These tests can help determine whether the brain has indeed ceased functioning and if there is no hope of reviving the individual.
It's important to note that while death is a natural part of life, it can be a difficult and emotional experience for those who are left behind. It's essential to provide support and care to the family members and loved ones of the deceased during this challenging time.
* Emotional distress, such as anxiety, sadness, or irritability
* Difficulty sleeping or concentrating
* Changes in appetite or eating habits
* Social withdrawal or avoidance of social situations
* Physical symptoms, such as headaches or muscle tension
Adjustment disorder can be diagnosed by a mental health professional based on the presence of these symptoms and their duration. Treatment for adjustment disorder may involve therapy, such as cognitive-behavioral therapy (CBT) or medication, such as antidepressants.
It is important to note that adjustment disorder is not a sign of weakness, and it is not something that a person can simply "snap out of." It is a real condition that requires professional treatment in order to recover fully. With appropriate treatment and support, individuals with adjustment disorder can learn to cope with the stresses in their life and regain their emotional balance.
There are several types of adjustment disorders, including:
* Adjustment disorder with anxiety: This type of adjustment disorder is characterized by excessive worry or fear about the future, and may include physical symptoms such as rapid heartbeat or shortness of breath.
* Adjustment disorder with depressed mood: This type of adjustment disorder is characterized by persistent feelings of sadness or hopelessness, and may include changes in appetite or sleep patterns.
* Adjustment disorder with mixed anxiety and depressed mood: This type of adjustment disorder is characterized by both anxious and depressed symptoms, such as worrying about the future while also feeling sad or hopeless.
It is important to seek professional help if you are experiencing any of the symptoms of adjustment disorder, especially if they are interfering with your daily life or causing significant distress. With appropriate treatment, individuals with adjustment disorder can learn to cope with stress and regain their emotional balance.
It's important to note that while adjustment disorder is a real condition, it is not the same as depression or anxiety disorders. However, these conditions can often occur at the same time as adjustment disorder, and may need to be treated separately.
Treatment for adjustment disorder typically involves a combination of psychotherapy and medication, such as antidepressants or anti-anxiety drugs. Psychotherapy can help individuals with adjustment disorder learn new coping skills and strategies for managing stress, while medication can help reduce the symptoms of anxiety or depression.
In addition to professional treatment, there are several things that individuals with adjustment disorder can do at home to help manage their symptoms, such as:
* Practicing relaxation techniques, such as deep breathing or yoga
* Engaging in regular exercise, which can help reduce stress and improve mood
* Getting enough sleep and maintaining a healthy diet
* Avoiding alcohol and drugs, which can worsen symptoms of adjustment disorder
* Seeking support from friends, family, or support groups.
It's important to seek professional help if you are experiencing symptoms of adjustment disorder, as early treatment can help improve the chances of a successful recovery.
Parental death can be caused by various factors such as illness, accidents, or suicide. The grieving process for children and adolescents is unique and may involve different emotions and reactions compared to adults. It is essential for parents, caregivers, and other family members to provide support and understanding during this challenging time.
Some common reactions to parental death in children and adolescents include:
1. Shock and denial: Children may have difficulty accepting the loss of their parent and may feel numb or disbelieving.
2. Anger: Children may express anger at the parent who has passed away, themselves, or others they feel are responsible for the loss.
3. Sadness and grief: Children may experience intense sadness, crying, and tearfulness, which is a normal and healthy response to loss.
4. Fear and anxiety: Children may worry about their own mortality, the future, or the well-being of other family members.
5. Guilt: Children may feel guilty for things they did or didn't do with their parent before they passed away.
6. Anger at the world: Children may feel angry at the world for taking their parent away from them.
7. Loneliness and isolation: Children may feel disconnected from others, especially if they were very close to the parent who passed away.
8. Difficulty with sleep and nightmares: Children may have trouble sleeping or experience nightmares related to the loss of their parent.
9. Changes in behavior: Children may exhibit changes in behavior such as acting out, becoming more aggressive, or becoming more withdrawn.
10. Difficulty with school and social relationships: Children may struggle with concentrating in school, making friends, or maintaining existing friendships.
It's important to note that each child grieves differently and in their own unique way, and it is essential to provide individualized support and understanding during this difficult time. By acknowledging and validating their feelings, children can begin the healing process and learn to cope with their loss in a healthy way.
Some common types of mouth abnormalities include:
1. Teeth abnormalities: These can range from simple irregularities, such as crowded or crooked teeth, to more complex conditions like dental hypoplasia (underdeveloped teeth) or ectodermal dysplasia (a group of genetic disorders that affect the development of the teeth, hair, and other structures).
2. Gum abnormalities: Gingival hyperplasia (enlarged gums) or gingival recession (exposed roots of the teeth) can be caused by a variety of factors, including poor oral hygiene, smoking, or certain medical conditions.
3. Tongue abnormalities: tongue-tie (ankyloglossia), where the tongue is attached to the floor of the mouth by a piece of tissue, can make it difficult to speak or eat. Other tongue abnormalities include geographic tongue (characterized by irregular patches on the surface of the tongue) and hairy tongue (where the papillae on the surface of the tongue are longer than normal).
4. Lip abnormalities: Cleft lip and palate, where the tissue in the mouth fails to properly close during fetal development, is a common congenital condition that can be surgically corrected. Other lip abnormalities include oral mucosal lesions (such as canker sores or cold sores) and lip tie (where the upper lip is attached to the gum above the front teeth).
5. Other soft tissue abnormalities: These can include frenulum (a thin piece of tissue connecting the tongue to the floor of the mouth), bumps or masses on the lips or tongue, and excessive saliva production (known as hypersalivation).
These are just a few examples of mouth abnormalities. Treatment options vary depending on the specific condition and can range from observation and monitoring to surgery, medication, or other interventions. If you suspect that your pet has a mouth abnormality, it's important to consult with a veterinarian as soon as possible for proper diagnosis and treatment.
www.medicinenet.com/sudden_death/article.htm
Sudden death is death that occurs unexpectedly and without warning, often due to a cardiac arrest or other underlying medical condition.
In the medical field, sudden death is defined as death that occurs within one hour of the onset of symptoms, with no prior knowledge of any serious medical condition. It is often caused by a cardiac arrhythmia, such as ventricular fibrillation or tachycardia, which can lead to cardiac arrest and sudden death if not treated promptly.
Other possible causes of sudden death include:
1. Heart disease: Coronary artery disease, heart failure, and other heart conditions can increase the risk of sudden death.
2. Stroke: A stroke can cause sudden death by disrupting blood flow to the brain or other vital organs.
3. Pulmonary embolism: A blood clot in the lungs can block blood flow and cause sudden death.
4. Trauma: Sudden death can occur as a result of injuries sustained in an accident or other traumatic event.
5. Drug overdose: Taking too much of certain medications or drugs can cause sudden death due to cardiac arrest or respiratory failure.
6. Infections: Sepsis, meningitis, and other severe infections can lead to sudden death if left untreated.
7. Genetic conditions: Certain inherited disorders, such as Long QT syndrome, can increase the risk of sudden death due to cardiac arrhythmias.
The diagnosis of sudden death often requires an autopsy and a thorough investigation into the individual's medical history and circumstances surrounding their death. Treatment and prevention strategies may include defibrillation, CPR, medications to regulate heart rhythm, and lifestyle modifications to reduce risk factors such as obesity, smoking, and high blood pressure.
Bereavement benefit
Shidu (bereavement)
Child bereavement
Bereavement (film)
Suicide bereavement
Cruse Bereavement Care
Bereavement in Judaism
The Sexuality of Bereavement
Walsoken
Peyton List (actress, born 1998)
Substance use disorder
Samuel Ferguson's cottage
Prolonged grief disorder
Cardiac Risk in the Young
Carson and Others v. The United Kingdom (2010)
Mervyn Winfield
Histon Road Cemetery, Cambridge
Family therapy
Bernard Wood (cricketer)
Rachel Costello
Child life (degree)
Rainbow Trust Children's Charity
Tavistock and Portman NHS Foundation Trust
2012 New Year Honours
Immortality
Hillel Halkin
Mary Berry
Susan Varley
Mourning
Western Cemetery (Cardiff)
'Bereavement'[majr:noexp] AND humans[mh] AND english[la] AND 'last 1 Year' [edat] NOT (letter[pt] OR case reports[pt] OR...
Bereavement: MedlinePlus
Bereavement: MedlinePlus
NIMH » Bereavement scales
Northside Hospital Bereavement Kit
Grief and Bereavement Resources | Autism Speaks
Bereavement | AA Financial Services
A's place Frank Menechino on bereavement list
Beware the 'bereavement fare' gouge
Am I Legally Required to Give Bereavement Leave? - FindLaw
Church & Supplies / Ministries / Music & Media Ministry / Bereavement - Christianbook.com
Bereavement Support Group to meet Aug. 10
Bereavement | Brooklyn College
Catholic Bereavement Books | Ave Maria Press
Fundraiser by Theresa Shoulders Agee : Bereavement Fund Elliana Whitley
Grief and the elderly - death loss bereavement | Ask MetaFilter
Bereavement Telephone Support Group - Pulmonary Hypertension Association
Animals Bereavement
Bereavement Damages - Hansard - UK Parliament
QuickStats: Percentage of Residential Care Communities Engaged in Selected End-of-Life and Bereavement Care Practices -...
Childhood Bereavement Network
bereavement Archives - KRBD
Collective bereavement? - nwLaborPress
Bereavement Support - Cat Chat Feline Forum
Fedex Bereavement Policy (How Many Days, Proof, + More!) - Talk Radio News
Online Workshop Series: Suicide Bereavement in Farm Country - NASDA
Grief And Bereavement2
- Connect, learn and share strategies and experiences dealing with grief and bereavement. (phassociation.org)
- Also, see eMedicineHealth's patient education article Grief and Bereavement . (medscape.com)
Coping1
- Coping with bereavement is one of the most difficult times you'll face. (theaa.com)
Burial1
- If possible tell the Bereavement Officer whether you would like a cremation or burial. (airedale-trust.nhs.uk)
Caregivers2
Search1
- For example, if looking for information on bereavement grants, type the word "grant" into your search box, this will take you to the first occurrence of the word "grant" in this document, click the next, or forward, arrow to be taken to the next occurrence of this word in the document and so on, until you find the information you are looking for. (rip.ie)
Grieve2
- FedEx offers employees bereavement leave that allows them to take time off work to grieve and focus on their issues. (talkradionews.com)
- Employee bereavement leave allows employees to grieve. (talkradionews.com)
Subjects1
- Death and bereavement are subjects we do not find easy to discuss. (autismspeaks.org)
Death6
- Bereavement is the period of grief and mourning after a death. (nih.gov)
- How long bereavement lasts can depend on how close you were to the person who died, if the person's death was expected and other factors. (nih.gov)
- Stages Learning provides some ideas about how to help kids with autism understand and cope with death and bereavement. (autismspeaks.org)
- This book explains death in concrete terms that the child with autism will understand, explores feelings that the child may encounter as a part of bereavement, and offers creative and expressive activities that facilitate healing. (autismspeaks.org)
- Death, dying and bereavement: a survey of dental practitioners. (bvsalud.org)
- While the majority of dentists in this study provided bereavement support and believed they could effectively comfort grieving persons , these dentists experienced significant stress when dealing with issues of death and bereavement . (bvsalud.org)
Loss4
- Autism and Loss" is a complete resource that covers a variety of kinds of loss, including bereavement, loss of friends or staff, loss of home or possessions and loss of health. (autismspeaks.org)
- Children and teenagers with autism can struggle to cope with the loss of a loved one, and the complicated and painful emotions of bereavement. (autismspeaks.org)
- Employers and employees can both benefit from a bereavement policy to help ease the burden of work in the wake of loss and prepare for the celebrations of the deceased. (talkradionews.com)
- Airedale Hospital provides a full bereavement service to help relatives and friends to cope with their grief following the loss of a loved one. (airedale-trust.nhs.uk)
Explains2
- This article explains FedEx's bereavement leave standards and definitions. (talkradionews.com)
- FedEx's bereavement policy explains what is eligible for staff leave and how long it will take based on the relationship of the deceased. (talkradionews.com)
Relatives3
- Fedex also offers one day of bereavement time for friends and family members who are not immediate relatives. (talkradionews.com)
- FedEx often offers 1 day of bereavement for friends and family who are not immediate relatives. (talkradionews.com)
- The API-ES (Irreparable Losses Support Group) is a social support group for bereavement and meets monthly under the supervision of a psychologist, gathering participants bereaved by different kinds of losses (parents, siblings, children and other relatives in general) of several causes (abortion, disease, car accident, suicide, murder, among others). (bvsalud.org)
Close1
- FedEx offers bereavement time, which is time off for employees who have lost a family member or close friend. (talkradionews.com)
Care3
- FedEx has a bereavement policy, which is necessary to show employees that they care about them. (talkradionews.com)
- In 2018, when a resident was dying or died, 82% of RCCs documented residents' family, religious, or cultural preferences in their care plans, 79.9% discussed residents' spiritual needs with them, 65.1% publicly honored deceased residents in the RCC, and 59.5% offered bereavement services to staff members and residents. (cdc.gov)
- The Bereavement Program is run by the Pain and Palliative Care Services of the NIH Clinical Center. (nih.gov)
Find1
- Read our Bereavement support patient information leaflet below to find out more about the support we offer. (kch.nhs.uk)
Families1
- They also provided the families with a brochure on bereavement. (nih.gov)
Long1
- FedEx How Long Does FedEx Allow for Bereavement Leave? (talkradionews.com)
Offer1
- The Southeast regional Native corporation's board voted Monday to offer bereavement benefits of up to $1,000. (krbd.org)
Area1
- On arrival at Airedale you should report to the area as directed by the Bereavement Officer. (airedale-trust.nhs.uk)
Days2
- Fedex Bereavement Policy (How Many Days, Proof, + More! (talkradionews.com)
- But at least you get 3 days of bereavement leave! (someecards.com)
Learn1
- Continue reading to learn more about Fedex's bereavement policy. (talkradionews.com)
Grief2
- Bereavement is the period of grief and mourning after a death. (nih.gov)
- We seek to help anyone experiencing bereavement to understand their grief and cope with their loss. (crusescotland.org.uk)
Cite1
- Cite this: Homicide Bereavement: A Family Affair - Medscape - Sep 01, 2005. (medscape.com)
Support2
- For Bereavement Support and Enquiries about our Bereavement Services please call our Helpline on 0845 600 2227 ( calls cost 5p per minute plus you phone company's access charge) OR email us This email address is being protected from spambots. (crusescotland.org.uk)
- The API-ES (Irreparable Losses Support Group) is a social support group for bereavement and meets monthly under the supervision of a psychologist, gathering participants bereaved by different kinds of losses (parents, siblings, children and other relatives in general) of several causes (abortion, disease, car accident, suicide, murder, among others). (bvsalud.org)
Services2
- In 2018, when a resident was dying or died, 82% of RCCs documented residents' family, religious, or cultural preferences in their care plans, 79.9% discussed residents' spiritual needs with them, 65.1% publicly honored deceased residents in the RCC, and 59.5% offered bereavement services to staff members and residents. (cdc.gov)
- The Bereavement Program is run by the Pain and Palliative Care Services of the NIH Clinical Center. (nih.gov)
Death3
- How long bereavement lasts can depend on how close you were to the person who died, if the person's death was expected and other factors. (nih.gov)
- Talking with terminally ill patients and their caregivers about death, dying, and bereavement: is it stressful? (nih.gov)
- This study was conducted to assess whether interviewing terminally ill patients and their caregivers about death, dying, and bereavement is stressful and/or helpful. (nih.gov)
Study3
- Bereavement and Prognosis After a First Acute Myocardial Infarction: A Swedish Register-Based Cohort Study. (nih.gov)
- Employment status and bereavement after parental suicide: a population representative cohort study. (nih.gov)
- Spouse bereavement and brain pathologies: A propensity score matching study. (nih.gov)
People1
- Cruse Bereavement Care Scotland exists to promote the well-being of bereaved people in Scotland. (crusescotland.org.uk)