There is one profoundly touching moment that I shared with a patient in her last moments of life many years ago. To this day, when I think about this moment, a mere snapshot in my life and of her death, it brings tears to my eyes. There were several caring factors and caritas that came to light during this interaction, however the one that stands out most is the tenth caritas. This caritas process focuses on the mystery of spirituality and the unknown. It allows us to open up to spiritual mysteries of one’s life and death and the explore the soul of the human being we are caring for (Blais and Hayes, 2016, p. 111). Years ago, I was working as a staff nurse in a long term care facility. I loved my job and had been working in this area of nursing for 13 years. In long term care, you get to know your patient’s very well. The patient’s become like an extended family that you take care of everyday. There was a patient named Delores, we called her Dee for short. Dee was 75 years old and admitted after being diagnosed with metastatic breast cancer. She had had been living at the care facility for about a year. The striking feature about Dee was her …show more content…
When I awoke after the surgery, the nurses told me I had a beautiful baby girl. I began crying and I told the nurses I was not crying because I was sad, but I was crying tears of joy as I knew Dee had made to heaven. The therapeutic nursing intervention that was utilized during this caring moment were, “Purposeful Touch”, “Reminiscence” and “Spiritual Support through Prescensing” (TNI PPt). During my encounter with Dee, I held her hand and gave her a reassuring hug at an emotional moment. By asking her what she was thinking, this allowed Dee to open up and reminisce about the past and her children growing up. Spiritual support was given through prescensing. Being there with Dee to offer support and an authentic human caring
Sadly, life is a terminal illness, and dying is a natural part of life. Deits pulls no punches as he introduces the topic of grief with the reminder that life’s not fair. This is a concept that most of us come to understand early in life, but when we’re confronted by great loss directly, this lesson is easily forgotten. Deits compassionately acknowledges that grief hurts and that to deny the pain is to postpone the inevitable. He continues that loss and grief can be big or small and that the period of mourning afterward can be an unknowable factor early on. This early assessment of grief reminded me of Prochaska and DiClemente’s stages of change, and how the process of change generally follows a specific path.
Puchalski, C. M., Dorff, D. E., Hebbar, B. N., & Hendi, Y. (2012). Religion, spirituality, and end of life care. RELIGION, SPRITUALITY, AND END OF LIFE CARE. Retrieved from http://www.uptodate.com/contents/religion-spirituality-and-end-of-life-care?source=search_result&search=Religion%2C+spirituality%2C+and+end+of+life+care&selectedTitle=1%7E146#
Final Gifts, written by hospice care workers, Maggie Callanan and Patricia Kelly, includes various stories detailing each of their life changing experiences that they encountered with their patients. Hospice care allows the patient to feel comfortable in their final days or months before they move on to their next life. This book contains the information considered necessary to understand and deal with the awareness, needs, and interactions of those who are dying. Not only are there stories told throughout the book, there are also tips for one to help cope with knowing someone is dying and how to make their death a peaceful experience for everyone involved. It is important that everyone involved is at as much peace as the person dying in the
Participant 4 stated, “I think just basically being there for the family as well…I think even just a cup of tea can go a long way with any family (McCallum & McConigley, 2013). Another theory that intertwines with Watson’s is Barbara Dossey’s Theory of Integral Nursing. Dossey articulates, “Healing is not predictable, it is not synonymous with curing but the potential for healing is always present even until one’s last breath,” (Parker and Smith, 2015, p. 212). Dossey believes that integral nursing is a comprehensive way to organize different situations in fours perspectives (nurse, health, person and environment) of reality with the nurse as an instrument in the healing process by bringing his or her whole self into a relationship with another whole self. In the HDU, the RN’s interacted with each patient while providing high quality care to create a healing environment for the patient and family even when their prognosis was otherwise. Patient 3 specified that “We still have to provide care...and make the family feel that they are comfortable and looked after” (McCallum & McConigley, 2013). These theories ultimately show the importance of a nurse through the aspects of caring to create and maintain a healing environment that is not only beneficial to the patient but to their loved ones as
In my 3 years of experience as a hospice nurse, I have cared for several patients in the final stages of their breast cancer diagnosis and journey. In the little time I’ve had to spend with those patients have I learnt about the life they lived , their families , pets , favorite books , music, skin tome , hair color , and even height prior to their diagnosis , or during its early stages. Often when I arrive in the home it is extremely difficult
... joy Mrs. L got from seeing her cat. Health in this scenario is shown mostly notably when Mrs. L got relief from Morphine and stated she knew she was going to die but felt “ok for now”. Health in this case was measured by an improvement in pain and not an absence of illness. Finally, nursing in this scenario is exemplified in many ways. In the paragraph above I begin by ensuring the patient’s confidentiality. Mrs. L was placed at the center of care. I collaborated with other nurses and all those in the environment to assure the best care possible. Through direct care, teaching and advocacy I delivered the exact type of care I would wish for myself, or someone I loved, if I were in Mrs. L’s place.
I had just finished facing my fears watching the metallic needle slip so seamlessly under my skin into the veins of my nervous, clammy hand. Hugging my Mom like it could have been the last time I saw her, seeing my dad's face stern and worried. I wheeled down the hall into this operating room, white was all I saw, a bed in the middle for the surgery to go down. As I lay on the bed waiting to be put under I remember seeing the blue masks of the people to be operating on me, I had to put all my trust in them, trusting someone you seen for less than 5 seconds with your life. Absolutely terrifying. The nurse slipping the fluid into my IV as I lay on my back looking up at the white ceiling, this cold sensations rushed over me. Then suddenly, I was out.
A week before Christmas in 2013, my stepfather suddenly lost consciousness. His body stiffened and he began to violently convulse – he was having a seizure. Later in the hospital, the doctors informed us that my stepdad had suffered a hemorrhagic stroke. The anguish that I felt that night was eased by a nurse who talked to my family about my stepfather’s condition and assured us that the hospital would do everything that they can to assist him with recovery. The next few weeks were filled with uncertainty as my stepdad laid comatose, no knowledge of when or even if he would wake up. During that time, my interactions with the nurses always made me feel safe and comforted Unfortunately, he passed away in January 2014. Though this was a traumatic and life altering experience, what I remember most are the nurses that provided care to my stepfather. They went above and beyond their outlined job duties to care for my loved one and to make my family feel secure even in such a difficult time.
In spite of what she has been faced with, she has always had a positive attitude and outlook. She is a woman of strong faith, which I believe has played a big part in getting her through the challenges she has faced. Chronic illness not only affects the patient, but all members of the family as well. For her, it has been a challenge with the expense it has incurred for her. She has health insurance, but some of the medications that she is on are very expensive. In the beginning of her illness, it placed more of a financial strain on her. She was divorced and did not have the best health insurance coverage to begin with. She remarried a couple of years ago and now has better health care insurance through her husband. Not being able to pay for your health care during a difficult time is very hard to deal with. As the nurse, we can offer referrals to agencies that may be able to offer some assistance. Psychosocial care should be incorporated into the routine care of patients with cancer (Jacobsen & Wagner, 2012). Dealing with a chronic illness can also have emotional effects on the patient, as well as other family members. Depression is a commonly incurred condition that coincides with cancer, which can lead to other health and social issues. It is of great importance to provide emotional support to the patient and their family members. As the nurse, we can offer support groups to the patient and
I had been assigned to a 96 year old patient with a diagnosis of failure to cope. Prior to entering the patient’s room I had made a mental assessment through my personal research and verbal report that he was known to be a non-compliant agitated patient. Although the patient was already labeled as a difficult patient I did not allow this to cloud my own personal judgment when meeting with the patient. While providing morning care I began to engage with the patient through conversation and shortly learned that the patient was still grieving the loss of his wife from 9 years ago, they had been married for 65 years. By showing empathy and listening to the patient explain his story I was able to develop a therapeutic relationship with the patient where trust was built and nursing care was provided efficiently. I wanted to further explore the impact empathy has on nursing care in such setting as acute care, and how vital this is to the human
The concept between life and death cannot simply exist without one another, where the topic is widely discussed throughout “When Breath Becomes Air” by Paul Kalanithi. This memoir explores Paul’s definition of death as he passes through the distinct “stages” of his life. As Paul progresses through each stage, he views death differently as he transformed from a student to a neurosurgeon, neurosurgeon to a patient, and eventually becoming a father, where he needed to take full responsibility as an adult.
The book is written by Pamela Tucker Burton, an ordinary person who experienced the death of four family members, she shares her experiences and how a family stay positive, when they faced a deadly disease. In Pamela’s family were no cancer survivors, there were no encouraging sentiments to alleviate their pain. For a family with strong Christian beliefs the only healing and strength for their family was to pray, don’t be afraid and be spiritually prepared for the final journey.
Leming, M., & Dickinson, G. (2011). Understanding dying, death, & bereavement. (7th ed., pp. 471-4). Belmont, California: Wadsworth.
The dynamic holistic view of the human individual as a biological, psychological, social, and spiritual being is the foundation of most nursing theories (Puchalski, 2006). Integral in these models of care is the recognition that the client is more than their physical being (Puchalski, 2006). To ensure the patient and family receive the most compassionate, comprehensive care, the consideration of spirituality is essential (Puchalski, 2006). According to Govier (2000), spirituality affects and embraces all that we are and do. Addressing spirituality is necessary to provide the experience of holistic care (Noto, 2006). It is imperative to attend to the spiritual dimension of the client in order to deliver nursing care that is compassionate and
The concept of human mortality and how it is dealt with is dependent upon one’s society or culture. For it is the society that has great impact on the individual’s beliefs. Hence, it is also possible for other cultures to influence the people of a different culture on such comprehensions. The primary and traditional way men and women have made dying a less depressing and disturbing idea is though religion. Various religions offer the comforting conception of death as a begining for another life or perhaps a continuation for the former.