Theory of The Peaceful End of Life - Ruland and Moore

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THEORY OF

FINAL
QUIET OF
LIFE - RULAND Laura M. Leather
( M C G a la m d i and the s H Ri u v r a ta s

d R o . M.

Valentina Zapata M.

§ EPISTEMOLOGICAL OF THE
9) NURSING CARE
UNIVERSITY
SANTIAGO
FROM CALI
HEALTH: The best way and management must be sought
METAPARADIGM to end or replace the pain suffered by the terminally ill
patient and also achieve a better state of health.

PERSON: The theory establishes that the events


and facts of the peaceful end of life are the
ENVIRONMENT: From the terminal state, the patient must
experience of each person, only he or she
be given the greatest state of harmony, tranquility,
experiences and feels.
understanding and calm through closeness to their loved
ones or family, offering them a precise, attentive and
effective service.

NURSING CARE: The nursing staff analyzes the


situation for which it is occurring and intervenes in
the most correct way without being exaggerated, to
achieve a calm and serene attitude towards the
death process.

The greatest possible care should be provided for


the terminally ill patient through the use of
technologies and wellness measures to ensure their
integrity.
Proximity to loved ones) It is being implicitly
connected through feelings of affection or love.
Physical or emotional closeness.

State of tranquility) It is a feeling of calm and


satisfaction, free of anxiety, agitation, worries and
fear within the physical, psychological and spiritual
dimension.

Well-being experience ) It is defined as the relief


of discomfort, rest in the face of discomfort and
everything related to making life pleasant.
Absence of pain ) Pain is conceptualized as a
sensory or fleeting emotion that denotes a
certain degree of discomfort. This concept
seeks to ensure that the patient is free from all
types of suffering or discomfort since pain is
considered an unpleasant experience.

Experience of Dignity and Respect > The


value of the person is taken as an ethical and
respect principle, and protection is given to
those who depend on others. Assist the person
who suffers temporary or lasting disability.
CLAIMS
THEORET
Several propositions for the theory are evident:

ICAL
Administer medications to counteract the patient's pain. Prevent
physical discomfort to contribute to better tranquility and serenity.
Inform those close to you about the care that should be treated, treat
the patient with respect and empathy, and be willing to meet the needs
for the person's peace of mind.

• Provide emotional support, provide trust, and provide the physical


presence of another person to promote safety in the patient.
The patient's care can also be evidenced by family members and
those closest to them.
• Contribute to ensuring that the patient does not present any physical
or emotional discomfort to help ensure their peace of mind and
security.
IWLIL4 B_4 LLALCM

USED THE
THEORY

In the practical development of the


profession

Oh 1
fl ■ Has been integrated into teaching in
nursing courses
On the research
SITUATION OF
NURSING
(VISION)
Ruland and Moore's peaceful end-of-life theory outlines the need to provide the best possible care through
the judicious use of technology and comfort measures to increase quality of life and achieve a peaceful
death, which emphasizes in the components of absence of pain, experiences of well-being, dignity and
respect, state of tranquility and proximity to those close to you.
REVIEW ARTICLE
DO1: http://dx.dol.org/10.18359/r1bl.1764

NURSING THEORIES FOR RESEARCH AND PRACTICE


IN PALLIATIVE CARE*
NURSING THEORIES FOR RESEARCH AND HEALTH CARE PRACTICE IN
PALLIATIVE CARE
NURSING THEORIES FOR RESEARCH AND PRACTICE IN CARE
ARTICLE OF
PALLIATIVES
“Olga Janeth Gómez Ramírez”
Clona Mabel Carrillo González***
Edier Mauricio Anas****

* Review article.
"" Nurse, MSc, PhD. Associate professor. Faculty of Nursing, National University of Colombia. Email:
[email protected] ORCID: httD://□rc>d■orgJ , 0000-0002-9160-4170. Bogota Colombia.
***Nurse, MSc, PhD. Department Director. Faculty of Nursing Nadonal University of Colombia. Email :
gmcarrillogunal.edu.co. ORCID: nttp://orcid.org/0000-0003-4513-104X. Bogota Colombia.
**”Nurse, MSc, PhD Student in Nursing. Secano Colclenclasc.727. Email: [email protected] . ORCID:
http://orcid.org/0000-fl003-2Q96-1792 . Bogota Colombia

Reception date : February 29, 2016 Evaluation


date : August 21 , 2016
Acceptance date: November 15, 2016

Online publication: November 16, 2016

How to cite:
Gómez Ramírez, O. J.. Camilo González, G. M. and Anas, E. M. (2016). Nursing theories for research and practice in
palliative care. Lattnoamencana Journal of Bioethics, 17(1), 60-79. DO1: http://dx.doi.orq/10.18359/rlbt. 1/64.

SUMMARY

This article describes and analyzes nursing theories used to guide research and practice in palliative care, through
retrospective documentary research carried out with an observation window of 15 years (1990-2015), and taking into
account established criteria. for descriptors, nursing and palliative care theories, which guide research and practice in
palliative care. Some related articles and book chapters were included as documentation support, and the analysis and
comparison of the theories were guided by what was proposed by Fawcett and Desanto (2013).

Four midrange nursing theories that can guide research and practice in palliative care were explored: comfort, peaceful end
of life , self-transcendence , and uncertainty. The analysis of the selected references showed the predominance of
descriptive studies that have addressed the central phenomena of each theory in patients and family caregivers. To a
lesser extent, studies with a greater explanatory scope on particular variables and aspects of palliative care were identified,
with few reporting the impact of interventions generated based on these theoretical references on Ine narlentec n =is familine
Diñn enrnntreree nor io evistan tenrine de nurse relarinn adas mnn miiHarn
Palliative care is increasingly important in the
health area, it is in high demand by patients
and their families; They are carried out to avoid
ROLE OF THE NURSE IN
the suffering of each of these people and thus
make this treatment or process more tolerable. THE ELDERLY WITH
CANCER
How has been the research development of
We, as future health professionals, define palliative care as care
to improve the quality of life of patients who have a serious
or life-threatening illness (e.g., cancer).

four mid-range nursing theories to guide palliative care


practice?
both the patient and his or her family; The article
The following criteria are taken into account explains four nursing theories that recognize and
1. Be mid-range theories according to the definition address central phenomena in palliative care, taking
proposed by Fawcett and Desanto (2013). into account well-being and quality of life, symptom
management, comfort, dignity and respect.
2. Include within your concepts phenomena related to
palliative care.

It is understood that palliative care is carried out in


order for the patient with a serious illness to have a
more tolerable treatment and thus be able to educate
ASSESSMENT
OF THE
BIBLIOGRAPHIC REFERENCES
1. NURSING THEORIES FOR RESEARCH AND PRACTICE IN CARE
PALLIATIVE [cited September 12, 2021]. Available at:
https://revistas.unimilitar.edu.co/index.php/rlbi/article/view/1764/2567#:~:text=La%20teor%C 3%ADa
%20del%20final%20tranquilo,componentes %20of%20absence%20of%20pain%2 C

2. natorabet. Theory of the quiet ending [Internet]. Slideshare.net. [cited September 13, 2021]. Available
at: https://es.slideshare.net/natorabet/teoria-del-final-tranquilo

3. Ruland, Cornelia, & Moore, Shirley M. (2011). Intermediate Theories. Theory of the peaceful end of life.
El Sevier Editorial. Spain. 755 – 761.

4. Gómez Ramírez, O. J., Carrillo González, G. M. and Arias, E. M. (2016). Nursing theories for research
and practice in palliative care. Latin American Journal of Bioethics, 17 (1), 60-79. DOI:
http://dx.doi.org/10.18359/rlbi.1764 .

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