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End Of Life Theory

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Running head: PRESTIGE PRESTIGE Practicing with Prestige Lizbeth Sanchez, Crystal Pacca, Marie Pierre, Nataly Jean-Michel University of Miami Practicing with Prestige Our theory of Practicing with Prestige was derived from Ruland?s End of Life theory, Murrays Theory of Psychogenic needs, and Nurse Expressed Empathy for Patient Outcomes by Olson, Joanna, and Hanchett. The theories used to derive Practicing with Prestige all correlated to how the nurse-patient relationship and psychological needs of patients affect the patient?s perception of care provided and ultimately the healthcare outcomes. We feel that practicing with prestige is an intricate and imperative part of providing care and optimizing the nurse-patient relationship …show more content…

Ruland was assigned to create a middle range theory for nursing science and practice in her doctorate course taught by Moore. Ruland decided to combine her previous experience from Norway and formulated the End of Life theory using Donebadian?s model of structure, process, and outcome which in part was developed from General System Theory and identifies the complexities of health care interactions and organizations. A second theory which also influenced the development of End of Life theory is preference theory which has often been used by philosophers to define quality of life. Collectively Ruland and Moore developed the Peaceful End of life Theory published in 1998.? Comment by Grammarly: Deleted:f Comment by Grammarly: …show more content…

Explanation of the theory Peaceful end of life theory was developed to address complex nursing practice problems identified by multiple research projects in relation to death and dying in terminal conditions such as cancer once deemed terminal. The theory recognizes that the goals of care in end of life are not to optimize care as it has already been determined that the patient?s condition will not improve and therefore the goals of care change to providing care that will enhance the quality of life and result in a peaceful death. Areas of advances practice that use or could use this theory Application of Ruland?s theory of peaceful end of life is often seen in palliative and hospice care programs. ?End of Life nursing theory may be utilized in any care setting where the focus of care is not aimed towards a cure but rather on making sure that the patient is free of pain has comfort, dignity, peace, all while maintaining closeness with significant others. In advanced practice, it is important to recognize terminal conditions and assist patients and their families in educating and accepting the difference between quantity versus quality of life so informed decisions may be made regarding treatment

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SDLA 4: Activity 1 Palliative care continues to evolve in providing better end-of-life care and so does nursing care. Thus, nursing practice is enhanced to satisfy the demand of the palliative care. A nurse provides complex care and fulfils the needs of the patients. Nursing involves in caring work, which focus on patient experiencing agony in palliative and haematological cancer care. Nurses worked in a taxing environment, that can be highly stressful, and often they experience physical, psychological and spiritual exhaustion.

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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.

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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

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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

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It brought to my awareness both the limitation and the capacity of medicine. Although there was no medical intervention that could cure the diseases of those terminal patients, their quality of life was improved  by an outstanding team of doctors, nurses and volunteers. This awareness helped reconcile myself to the fact that certain things, such as death and terminal illness, can not be avoided or changed. By viewing death as a natural part of life, I will be able to offer my dying patients the best care possible while also understanding my limitation as a physician and a human being.

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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.

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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.

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“Death with dignity is a human right: to retain control until the very end and, if the quality of your life is too poor, to decide to end your suffering; the dignity comes from exercising the choice.” says Jason Barber, whose wife, Kathleen Barber, died in his arms. He had one question in mind when she died. What was he going to say if someone asked him how she died? Whether she went peacefully? He decided to tell people that his wife died in peace, without any pain or suffering.

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The possible legalization of euthanasia can cause a great disturbance in how people view life and death and the simplicity of how they would treat it. "There are many fairly severely handicapped people for whom a simple, affectionate life is possible." (Foot, p. 94) As demonstrated, the decision of terminating a person 's life is a very fragile and difficult one, emotionally and mentally. Nevertheless, it’s a choice we can make if it is passive euthanasia being expressed.

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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.

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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.

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