Table 7 Illustrative quotes comparing perspectives of health professionals and parents
ThemeParentsHealth professional
aParent–child interaction“We were told virtually, ‘put him in a home, they’ll look after“Basically a lot of these families just become imprisoned by
him, don’t worry about it’… and I thought you can put himtheir child’s disabilities, so they’re like slaves to their kids”
in a home and yes, they can look after him, but they can’t
love him and I think the love makes the big difference.”
bDelivery of services“We were never given choices … We saw the surgeon and the“I wonder whether part of the conflict might also be an element
next day he had (the gastrostomy) done. And I mean he wasof control, like do the parents ultimately want to have the control
9 months old, our first child. We were still getting over theor are they happy to relinquish that control in a way, for those
fact that he’d got cerebral palsy. Maybe we were stupid. Wemajor decisions to other informed people which are probably
just followed what the doctor said.”mainly the medical fraternity.”
cEmotional well-being“Like, if your child wasn’t crying you wouldn’t think they wereHealth professional describing the difficulty of assessing a
having a great life, you’d still want them to achieve and to dopatient’s “happiness”: “when you’ve got someone who’s got
stuff … our kids want to live life just as much as anyone else.really severe physical disabilities you also have to key into
And even if it’s a shorter life span it’s to be a happy life span.”things like breathing patterns and just tenseness or relaxation,
relaxing of muscles, looking at that posture, they’re very
subtle things.”
dPhysical well-being“He’s putting on weight. I mean that’s not everything.“They (parents) often say they don’t want them to put on too
Having a life is pretty important too.”much weight because then it will be difficult for them to lift.”
eSocialisation“(the teachers) support the children so they can all watch“…in a social situation, trying to bring normality to the
each other feed and so that they know that each other alsofamily if they go to a restaurant. There’s a great deal of
has a button and I find that really has been a good thing forembarrassment associated with meals … and you often get looks
(my son), to accept that he’s not the only one.”of disgust when the child retches or vomits in a restaurant.”