The Peaceful End of Life theory is paramount as the authors stated that every individual deserved to die in a peaceful manner with dignity. The theory is empirical based which is applicable to nursing practice in caring for dying patients, assessing interventions, maximizing care, promote dignity and enhancing end of life to be peaceful. According to Moore and Ruland, a good life is simply defined as getting what one wants (Alligood, 2014, p. 702). The approach of given patients what they want or their preference is a practical approach to the end of life care. This theory stands out to me because it fit into my patient’s diagnosis and I believe everyone deserves to die with dignity and peacefully. The theory of the peaceful end of life deduced …show more content…
the theory is patient-specific because of the patient’s diagnoses and the limited verbal communication. The theory assumptions are helpful with this patient as the nurses make it a priority to interpret cues which reflect his end of life experience and giving prompt intervention to maintain peaceful experience even at his dying moment. The theory was developed be used with terminally ill adult patients and their families/significant others. The theory is not applicable in its totality with non-hospice or palliative care patients. The goal of the end of life care is not to optimize care rather is to provide comfort measures, dignity and peaceful end of life experience. Therefore, it is not universal. The theory is clear and not complex to understand though its generality is based on Norwegian context which cannot be applicable to all cultures (Alligood, 2014, p. 705). It is a taboo to talk about death as it is believed to end the sick person’s life, how can such people talk about the end of life care …show more content…
The theory fails to mention the young adult patient that is dying maybe from auto collision or other incidences that subjected them to the dying stage of their life who may not have thought of making an end of life decision. The situation that put care team in a dilemma and may delay care or prolong needed care than necessary. Ruland and Moore was derived from doctoral theory course in the accumulations of empirical knowledge, clinical practice knowledge and synthesized knowledge which did not address the lower level of educators that are still scared to talk to patients about living will or who is yet to understand how to help a patient in an acute situation with a living will. Miller, B. (2017) states that physicians and nurses report discomfort in discussing end of life care with the patient from other cultures. He further expresses that the contributing factor to their inability to talk about the end of life care is lack of knowledge among practicing nurses regarding their role in educating patients (Miller,
Atul Gawande’s book, “Being Mortal: Medicine and What Matters in the End,” explores different themes such as, aging, death, and the mishandling of both aging and death by the medical profession’s. This book also addresses what it means to live well near the end of life. It is not just to survive, not just to be safe, not just to stay alive as long as the medical technology allows, but, according to the author it is about what living truly means to an individual. The author describes that the idea of “Being Mortal” developed as he watched his elderly father go through a steep decline in his health and the eventual death. He soon realized that during his medical education and training he was never taught how to help his patients with managing
When a patient is at the end of life it is very important to value the patients self dignity and their decisions at the mere end of their lives. The end of life care is to relieve the weight of the patient 's shoulders physically and mentally. I approve of end of life caring. Basic end of life care is summarized by improving the care of quality of life and dignity of the ill person. The important themes to good ethics of end of life care is a combination of human rights,respect,dignified care,and privacy.
Why has dignity become the defining and unifying aspect of the right to die debates? Whether “Dying with dignity” is defined as having a meaningful death or as a death without undue suffering or loss of autonomy (as proposed by the right to die movement), “dying with dignity” is now synonymous with having “a good death.” Dignity represents a taken for granted ideal of both sides of the debate, with an assumption that all human beings desire to die with dignity. Many right to die advocates argue for more relative and contingent definitions and understandings of dignity. In current terms, dignity is subjective and may depend on how the person views their mental and physical being.
The practices and attitudes of people vary from one country to another depending on the culture of the people. The common theme surrounding the attitude towards death and dying is based on the belief of a community about the soul of the deceased, which leads to the performance of rituals and ceremonies. Puerto Ricans comprise of Latinos who have demonstrated a greater external expression of grief towards death with the intensity of grief increasing depending on the suddenness of death. Puerto Ricans have strong family relationships, so they do everything to terminally ill family members do not learn about the seriousness of their illness to protect them from grief is detrimental. This information was the eldest son or daughter.
Hospice and palliative care can be easily intertwined; they are both concerned with promoting comfort and relieving patient pain. Hospice and palliative care, however, are different in some aspects. Patients who receive hospice care are nearing the end of their lives and there is no effort to cure their disease; the goal is to provide pain relief, a sense of belonging from family and friends if desired, support through the dying stages, and to assure that the person is able to die with dignity. Palliative care is also focused on reducing discomfort; however, the patient receiving care can be at any stage in their disease. Additionally, palliative care can also be administered during a time when a patient is receiving treatment to cure their illness.
1 Outline the factors that can affect an individual’s views on death and dying •Social •Cultural •Religious •Spiritual 2 Outline the factors that can affect own views on death and dying •Emotional •Past experience •Psychological •Religious •Social •Spiritual 3 Outline how the factors relating to views on death and dying can impact on practice Current and previous professional roles and responsibilities and past; boundaries limited by legal and ethical issues; professional codes of practice - internal and national; impact of management and leadership; input from other team members and workers. 4 Define how attitudes of others may influence an individual’s choices around death and dying different models of nursing care; person-centred
The ethical principle of autonomy provides for respect for the patient’s autonomy to make decisions and choices concerning their life and death. Respecting the patient’s autonomy goes against the principles of beneficence and non-maleficence. There also exists the issue of religious beliefs the patient, family, or the caretaker holds, with which the caretaker has to grapple. The caretaker thus faces issues of fidelity to patient welfare by not abandoning the patient or their family, compassionate provision of pain relief methods, and the moral precept to neither hasten death nor prolong life.
An Integrative Review. JAN Journal of Advanced Nursing, 1744. Karlsson, M. B.-F. (2015). A Qualitative Metasynthesis From Nurses’ Perspective When Dealing With Ethical Dilemmas and Ethical Problems in End-of-Life Care. International Journal for Human Caring, 40-48.
When you hear the word death or you hear that someone has died today in the news or on the television I know a lot of people think “Man, I feel sorry for the family that they have to go through that.” or they thank god that it was not them or their family members.” Sadly though people try to push away death and push away the fact that everyone dies at one point in time. This is even truer when they witness their own family member in the hospital with a critical condition that the doctors cannot fix even with modern medicines on the doctor’s side. Another such time would be when a person’s family member is diagnosed with an incurable sickness that is fatal.
My personal philosophy of nursing seeks to incorporate the art of conveying nursing science holistically with care and human dignity. The four nursing metaparadigm concepts are described in relation to nursing as a science and an art and provide the base upon which my view of nursing and my personal philosophy are derived. As a nursing student at UIC, I am well aware of the fact that the best outcome for any patient may not be improvement in health, but rather, a dignified death during the end of life care. End of life care includes a significant quality in care and human dignity.
The book discusses the need for conversations about end-of-life care, and the importance of having those conversations early. Gawande emphasizes that it is essential to have a plan in place in order to ensure that our wishes are respected, and that our loved ones are taken care of in the way we have chosen. He offers practical advice on how to go about it, including exploring our options, talking to our doctors, and researching reputable care facilities. Gawande also stresses the importance of quality of life when making decisions about our care. He shows that there is more to life than prolonging it, and that quality of life should be a priority when making decisions about care options.
It is not easy to make the decision of death. Thus, when a person wants to die with dignity, we as a society should respect their
Nursing Theory Virginia Henderson: Definition of Nursing Princess Oliver Averett University Abstract Theorist’s Background Virginia Avenel Henderson (November 30, 1897 – March 19, 1996) was a nurse, theorist, and author. Henderson is also known as “The First Lady of Nursing,” “The Nightingale of Modern Nursing,” “Modern-Day Mother of Nursing,” and “The 20th century Florence Nightingale. Henderson received her early education at home in Virginia with her aunts, and uncle Charles Abbot, at his school for boys in the community Army School of Nursing at Walter Reed Hospital in Washington D.C. In 1921, she received her Diploma in Nursing from the Army School of Nursing at Walter Reed Hospital, Washington
INTRODUCTION Euthanasia alludes to the act of deliberately close a life keeping in mind the end goal to assuage torment and enduring. There are different euthanasia laws in each country. The British House of Lords Select Committee on Medical Ethics defines euthanasia as "a deliberate intervention undertaken with the express intention of ending a life, to relieve intractable suffering".[1] In the Netherlands, euthanasia is understood as "termination of life by a doctor at the request of a patient"". Euthanasia is sorted in diverse ways, which incorporate voluntary, non-voluntary, or automatic.
Introduction With reference to the question posed, it has been suggested that euthanasia may be defined as “the act of intentionally causing the painless death of a sick person”. In other words, it bears the meaning of a “painless, happy or good death” as derived from the ancient Greek language – “eu”, meaning good; and “thanatos”, meaning death. Due to the rapid advancements in medical treatments, patients are capable of being kept “alive” for indefinite periods of time. Hence, in order to distinguish the ancient concept of allowing a patient to die and neglecting them treatment, the medical community has encompassed the idea of drawing a line between active euthanasia and passive euthanasia .