Thornburg, P., Myers, S, Paige, V. & Grubaugh, K. (2008). Nurses ' experiences of caring while letting go. Journal of Hospice and Palliative Nursing, 10 (6), 382-391.…
Following giant theorists in philosophy in nursing, I organize my perceptions and understanding in according with the four metaparadigm concepts of nursing. In common senses, every person is an existing entity in the universe. Therefore, environment of an entity is the universe without the entity. And health is a conditional state that defines the enduring and developing of an entity. A person as a whole is composed of properly functioning physical body, mental clarity, emotional harmony, and enlightened spirit. Healthy persons have their components proportionally operating in a synchronized fashion and in harmony with the environment. Unhealthy persons find themselves in deficiency of the components or in inappropriate for the surrounding.…
An old english proverb states, “ Be not deceived with the first appearance of things, for show is not substance,” This idea of appearances being deceiving outwards relates to the characters Hester Prynne, Arthur Dimmesdale, and Roger Chillingworth. For example, through the towns people considered Hester a sinner however she is a good person inside by helping the poor and such. Dimmesdale was the minister of the town, and everyone thinks he would do no sin but in fact he is Pearl’s father. Chillingworth worth gave the idea that he was a physician but he was there in the town to seek revenge on Hester.…
A terminal illness can have a devastating effect, not only on the patient, but the family as well. Caring for the patient does not just involve physically caring for the patient, but rather involves the holistic care, which is “all nursing practice that has healing the whole person as its goal” (American Holistic Nurses’ Association, 1998). The nurse becomes the therapeutic partner, which involves the care of the mind, body, and spirit, and is at the forefront of this care. It involves the patient and the care of the family during this difficult time.…
Theories surrounding the understanding and meaning of death tend to focus on either religion or medicine. Religious attitudes to death are more abstract, while the medical world attempts to separate the living from the dead and the ill from the healthy, providing rationality in the face of demise (Seale 1998, p. 75). Seale (1998, p. 76) describes religion as a means of relieving death anxiety for the living; explaining that those who believe in an afterlife have a less dramatic relationship with death. Harding, Flannelly, Weaver and Costa (2005, p. 253) substantiate this idea with findings that show significantly less death anxiety and considerably more death acceptance amongst religious groups. Moreover Freud (cited in Koenig, 2001, p. 98) sates that “only religion can give meaning to life”. In contrast Seale (1998, p. 75) explains the medicinal outlook on death in two distinct veins, the first being the “best hope” for those who are suffering and are close to death and the second being a “reasonable account” for why all people must die. In addition Seale (1998, p. 77) places medicine and death in direct opposition stating that medicine seeks to cure the “natural death”. Contrastingly, Zola (2011, p. 487) states that the role of medicine within death is not concerned with saving lives, but instead with the controlling of terminally ill or elderly patients. This thought is ripe throughout work surrounding palliative care (see Conrad 1992), however some scholars see the implementation of medical care as simply providing support for those on the verge of passing (Zimmerman & Rodin, 2004, p. 122). In summary, both religious and medicinal approaches to understanding death by the living are still both extremely popular, however the array of works which document…
Nurses use theories in every day practice to help answer questions and to build a strong foundation from. In this paper, two theories will be compared and contrasted. The first article applied Virginia Henderson’s grand theory of Principles and Practice of Nursing, also known as the activities of living theory (Nicely & DeLario, 2011). She believed, “the best health care is patient-focused; better still, family-focused” (Nicely & DeLario, 2011, p. 72). In this article, Henderson’s theory was applied specifically to the population of organ donation. Nicely and DeLario (2011) defined an organ donor as “an individual who is brain dead and is a candidate for solid-organ donation for transplantation” (p. 72). As one can imagine, this situation places a significant amount of stress on not only the patient but also the patient’s family and support system. By applying the fourteen activities categorized under Henderson’s theory, nurses are able to provide the brain dead patient with the proper care they deserve and to ease the process for the family going through this unfortunate situation.…
Connecting is one of the most important themes in establishing an effective nurse-patient relationship (Johnston & Smith, 2006). This connection with the patient gives them someone to talk to, someone to listen to them, someone that wants to know them as a person and someone that doesn’t avoid them. These things are often difficult for family and friends to do during the end of life stages because of their own grief and lack of knowledge of supportive measures. The author’s decision to return to school and become a nurse was the result of having a wonderful nurse that did just this. The author’s 8 year old niece was diagnosed with leukemia and only lived 6 months after the diagnosis. There was nothing that could have changed the final outcome of her niece but the connection that her nurse had with the family changed the way that they dealt with everything. This is something that the author will never forget and inspired her to “pass this forward”.…
Grand Canyon University College of Nursing Philosophy. (2008, March 19). Retrieved November 21, 2010, from Grand Canyon University:…
Spirituality and aging are two concepts that go hand in hand for most patients. As we get older, our spirituality increases. This is true because as an adult ages, they tend to look for the deeper meaning and purpose of life. It is a unique part of aging that is hard to put into exact words due to the fact that it cannot be measured like a pathology or aging process. As an older adult approaches death, it is normal for them to be reflecting back on what their lives truly meant. Spirituality also helps patients to cope with situations, death, and can become a source of hope to them. It is important for a nurse to understand that religion is a part of spirituality, but spirituality can exist independently of religion. Spirituality is broader than religion and it is necessary for a nurse to be able to distinguish between the two. Finding ways to promote spirituality in an aging adult can be quite beneficial to the patient.…
I am working for one of the best hospitals in downtown Chicago, Illinois as a Registered Nurse. My duties include providing hands-on care to patients by administering medications, observing and monitoring patients' conditions, managing intravenous lines, communicating with doctors and maintaining records. In addition, I am responsible for educating patients and their families on disease prevention and post-hospital treatment. Also, provide emotional support to the patient and family members.…
The goal was to give nurses the opportunity to recognize feelings of grief and loss by identifying ways to renew their personal strengths and well-being. The techniques used was spirituality, music, yoga and even relaxation. This intervention also promoted physical health, development of appropriate work-life balance, seek professional help when needed, and recognize the positive impact nurses have on patients and families. According to Potter et. al., “although it is sometimes difficult to find the appropriate time to discuss religion and spirituality in hospital settings, nurses need to assess what is important to spiritual well-being” (p.111). It is pivotal for nurses to address their feelings, because assessing patients who are fighting for cancer may cause unrecognized…
The culture this author grew up on expects the younger generation to be respectful, compassionate, responsible and be accountable for own mistakes. This author believes that every human is entitled to have the same equal treatment without prejudice. These characteristics shaped this author’s personal beliefs that as a nurse, this author has an obligation to the patients to provide them with such regard. Nurses are always impelled to give the best quality care to their patients and address all their concerns. This author feels responsible to keep patient safe, secured and comfortable at all times and keeping them informed regarding their treatments and condition along the way. Spiritual value has always been a challenging topic outside healthcare but this author learned that when a patient is in a difficult situation, beliefs could be…
According to Taylor (2002), spiritual awareness is important for a nurse or a nursing student if he or she wants to be effective in healing or as a provider of spiritual care. This is because religious and spiritual dimensions of life influences the lives of many people (Wong, Hockenberry, Wilson, Perry, & Lowdermilk, 2006). By assessing the spiritual aspects of patients and families, nurses strive to meet the spiritual needs of individuals, which provide strength through holistic nursing care (Wong et al., 2007). Therefore, spiritual assessments are an important component in nursing practice.…
Spirituality is a delicate topic, and some may not be open to talking about their beliefs. Spirituality is generally understood to be an essential aspect of being human (Lyndo-Lam, 2012). Assessing the spiritual needs of patients is a key component in the nursing process. A compassionate and thoughtful nurse can make a patient feel more secure, making it easier for him to express his spirituality. The participation of both patient and health care provider is vital in promoting spiritual health. The main focus of a spiritual assessment is to gather information regarding the patient’s spiritual needs in order incorporate them into the plan of care, so as to treat the patients as a whole. In this essay, I shall summarize the patient findings based on a spiritual assessment tool, describe significant discoveries about the person interviewed, analyze the interview, point out barriers and challenges, and describe my personal spiritual experience and the importance of this tool to better meet the needs of my patients. Assessment Findings…
Practitioners who work in palliative care and with hospice patients they lose patients very frequently. Whether close to these patients or not, their job requires them to put their emotions aside and care for these patients as well as view these loses as normal; the cycle of life and death. However the reality can’t be ignored that these incidents are affecting them in some way, shape, or form. For a doctor it is hard for them to not feel guilty over a patients death. This is because there are such high expectations for them to not make mistakes. Doctors are often put on a pedestal as being stoic and lack emotion, where they must be professional at all times. The truth is, however, that they are human and often times will relate with a patient on a personal level. Either because they relate to the patients ailments, or perhaps the patient reminds them of a family member. Other attributes may be that a substantial amount of time was spent with this patient. There seems to be even more problems with this area when it comes to general practice. Often times if the doctor was intensely involved with the dying patient they would make home visits. The typical hospice nurse lasts two years and then moves on to a different field and this may be due to the grief related stress which may have something to do with the fact that it seems unprofessional to express feeling of mourning. There isn’t much grief training built into nursing school, but perhaps there should be. The internet full of stories of nurses grieving, and a lot of these include hospice nurses. They are all heart felt and sincere stories, but almost all of them explain that they have been working for ‘X’ amount of years and never really allowed themselves the opportunity to grieve. As a human, a person is guaranteed to experience the death of a loved one at least one, but as a…