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.
This summer I was assigned Final Gifts by Maggie Callahan and Patricia Kelley. Both authors worked as hospice nurses and were able to share their thirty-three years of first- hand experiences and knowledge with us to help better our understanding of the special awareness’s, needs, and communications of the dying. The book focuses profoundly on the physical, metaphysical, and psychological traits the dying encounter weeks or days before death. Both Kelley and Callahan are experts at observing every little behavior of the sick and being able to pinpoint specific signs that mean death is approaching. Not only does this book concentrate on the sick and their needs, but it also fits in the families and their duties in such hard times.
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 FICA Spiritual Assessment, introduced this week, is a valuable tool in catching a glimpse of the overall health (mind, body, and spirit) of an individual. The chronic and terminally ill benefit most from the healthcare team receiving this information. Efficiency remains at the top of the list for health care workers and organizations alike, but an investigation into spiritual wellbeing is time consuming and often counterintuitive to our “flow”, it is extremely
Nursing theory provides the framework for nursing practice and education, as well as future nursing research, which is essential to aid in the development of evidence-based nursing practice. Dr. Katharine Kolcaba’s comfort theory is a mid-range theory which promotes focusing on the holistic comfort needs of our clients. According to the comfort theory, an enhanced state of comfort improves healthcare outcomes and encourages clients to engage in behaviors that move them to a state of well-being (Kolcaba, 2003). Although medications and treatments are necessary to aid in restoring health to our clients, attentiveness to comfort promotes healing of the body, mind, and spirit, thereby significantly improving healthcare outcomes.
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.
It was a rewarding experience to listen to her express her love for God. Using a spiritual assessment tool help establish a trust between clinician and patient. Therefore, a spiritual assessment tool is intended to establish a nature of trust by demonstrating to the patient that the healthcare professional is willing to listening to the patient about his or her spiritual concerns, (The George Washington Institute for Spirituality & Health, n.d.) and provide the healthcare worker the skills to assess the spriiual need to determine if a spriritual leader or chaplin is
Health Care givers should be aware of the issues on what to say and how to act,give emotional support,and when to use hospice care. An article stated,”Several scholars listed the implications of spirituality,including preserving the patient’s hope,helping the patient find meaning in life and death,and helping the patient find spirit.. ”(Qiaohong Guo and Cynthia S Jacelon,An integrative review of dignity in end-of-life care.)What this means is it is there to help the patient have hope,remember the good moments in life,and find the feeling of completeness so they can pass on from the physical world with no regrets. Healthcare givers can encourage their patients without giving false hope.
In all my experiences as a nurse, I’ve realized the importance of communication, providing holistic care to an individual and empowering them with the knowledge to manage their health. When an illness strikes a person, it affects not just his body, but also his mind and spirit. The art of communication is invaluable to patient interaction and establishing a therapeutic nurse-patient relationship, that facilitate coping mechanisms for patients, moreover it prepared myself as a nurse to meet their individual needs. Furthermore, there is at the moment an insurmountable demand for survivorship care as a result of the advancement in technology and medicine, which made living beyond life expectancy possible for increasingly more people. Living after cancer treatment is not free of complications as there are acute and chronic side effects of treatment that requires constant monitoring and attention, and this information spurred me to shift my focus from palliative to survivorship care.
Web. Nosek, C. L., C. W. Kerr, J. Woodworth, S. T. Wright, P. C. Grant, S. M. Kuszczak, A. Banas, D. L. Luczkiewicz, and R. M. Depner. "End-of-Life Dreams and Visions: A Qualitative Perspective From Hospice Patients." American Journal of Hospice and Palliative Medicine 32.3 (2014): 269-74.
Challenges in providing spiritual care The need for spiritual care is clearly stated and identified for a holistic care; however, there are certain challenges that exist in providing spiritual care. It is believe that many healthcare providers including the doctors and nurses find it very challenging to initiate discussions or dialogs with patients touching aspects on their spirituality. Researchers had mentioned that, some nurses feel discomfort in having discussions on spiritual care as they do not see it as their scope of services or even as their role (Tiew & Creedy, 2010) . Some of the nurses find that such discussions are too intimate or interfering for them.
This assignment also covers the importance of hope for patients and the role hope plays in terminally ill patients. I will also discuss ways in which health professionals can foster hope in terminally ill patients. I was on my placement on an oncology ward. It was my second week on
Although, Jewish religious tradition omits the description of life after the death, the representatives of this religion believe that “the dead shall rise in Israel” (Jewish Funeral Practices, 2014, n.p.). Another typical feature of Jewish people is a high level of unity. These people are accustomed to supporting each other inside the community that is why, through understanding of the bereavement and controlled experiencing these feeling among close people may be a cure for hurt brought by the loss. Moreover, a psychotherapeutic help may address the feeling of respect to the dead person. By understanding that death is the natural result of substantial life and the right for relief should be
The limitation of current end of life care education The end of life care education course can shape nurses’ attitude toward caring of dying patients so as to reduce anxiety about death and consequently have a positive influence on nurses’ attitude towards caring of dying (Wass, 2004; Abu Hasheesh, AI- Sayed AboZeid, Goda EI-Zaid& Alhujaili, 2014; Adesina, DeBellis & Zannettino,2014; Wessel & Rutledge, 2005). However, somehow, there is still limitation of end of life care education to the newly graduated nurse in delivering end of life care. Nursing students and newly graduated registered nurses claimed that the training was inadequately prepared them to deal with death and dying (Cavaye & Watts, 2010). Also, 72% in 607 registered nurses reported that did not formally end of life care courses in
