Discussion Board: Unit 9/Topic 1 Britton Lerch Due Date: October 17, 2015 Kaplan University MN502: Theoretical Foundations of Advanced Nursing Dr. Phelps My personal values and beliefs on nursing, health, environment, and patient care delivery is that they all affect each other. It is great that within our technology advanced society we have the ability to communicate globally and to develop theoretical works among many nursing scholars from around the globe to collaborate about the development of nursing science (Alligood, 2014). A big part of nursing involves education and transitions by guiding patients and family members with ongoing supports. My specialty is geriatrics and I have had some experience in oncology. One theory I find important in my practice is the Peaceful-End-of-Life Theory. Managing end of life care can be difficult for families to comprehend. Hodo and Buller (2012) state, “Care …show more content…
For example, for a peaceful end of life experience, the environment can include music therapy that, according to O 'kelly and Koffman (2007) is relaxing, capable of supporting the patient and family, as well as, lifting the atmosphere of staff members. The nurse can also address the health concept of this theory; for example, although someone who is in the stages of their end of life, the nurse should address mental health. The end of life process can be a terrifying experience for some; the nurse can provide interventions both non-pharmacological and pharmacological to assure the patient is free from anxiety. This theory is congruent with my own values and beliefs in that it addresses the four important components of a peaceful end of life process addressing freedom from pain, the experience of comfort, dignity and respect, being at peace, and experiencing closeness of loved ones (Alligood,
Now I am old enough to know that death is not the end, but it is the beginning of a new life. We have to submit our lives to God and ask him for the strength to move forward. Worldview about life after death will largely determine how the patient and families welcome death. Now, as a Christian nurse, I can see death in the light of the resurrection of Jesus Christ (GCU, 2015). If I can help the family members to go through this traumatic experience and the grieving process, my Christian calling as nurse will be
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
It could also be that there has been a lack of support from family when a death/dying has occurred and this could have left a negative impact on an individual. Or maybe somebody hasn’t had family/friends to guide and support them through difficult periods. 2.1 - Explain the aims and principles of end of life care The aims and principles of end of life care would be to ensure that the individual’s views and wishes are being followed and respected. This would be where we work together with the individual and their family members to assure that the dying process goes as gently and get to live comfortably till they pass.
In the following paragraphs, the grand theory of Jean Watson will be explored for its usefulness in practice. We will explore how the theory is congruent with current nursing standards and nursing interventions. Next, we will study if her theory has been tested empirically, if it is supported by research and if it is accurate. We will explore if there is evidence that her theory has been used by nursing educators, researchers, and nursing administrators. Then we will study how her theory is relevant socially and cross-culturally.
The challenge of making decisions, the after care of a ended life, factors that support ending life and guidelines for the withdrawal of life are major themes throughout making this decision. These challenges can often be caused by many other factors. Throughout this literature barriers to providing good end of life care was documented throughout, one of which was the overall environment that nurses provide. Which was also described as the nurse's work load, physical layout of the facility, visitation restrictions, procedures, and
Current Issues Surrounding Death A hot topic in today’s media and in discussion is the idea of physician assisted suicide and end of life care. There are several legal, ethical, social, and political issues surrounding this idea, which makes it a controversial topic. This paper will discuss some of these issues and explore the idea of physician assisted suicide and end of life care in more detail. Physician assisted suicide is defined as, “suicide by a patient facilitated by means or information (as a drug prescription or indication of the lethal dosage) provided by a physician who is aware of how the patient intends to use such means or information (Merriam-Webster, 2015).
When a patient in the direction of death, they should be able to die with dignity and peace. To end their misery is their way of dying with peace. Terminally ill patients are the ones with the pain, therefore be given the choice to end
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
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.
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.
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.
Making end of life decisions concerning treatment is never easy for the family of the dying patient. When educating loved one about the end of life care and treatment the healthcare provider must considered the cultural and spiritual prospective of the family. Futile treatment is describe by the author as “treatment which provides no chance of meaningful prolongation of survival or may only briefly delay the inevitable death of the patient”. The health care providers at time are stigmatized by the family members are even seen as a doctors who doesn’t care when face. When my sister in-law went into the ICU and her oncologist told the family not to considered any form of life supporting method, they were very reluctant ,and would like her to
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.
Nursing theories have an impact on nursing practice as they
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.