Introduction to palliative nursing care

2015 ◽  
pp. 3-10 ◽  
Author(s):  
Nessa Coyle
Keyword(s):  
Palliative Care ◽  
Nursing Care ◽  
Clinical Competence ◽  
Interpersonal Skills ◽  
Disease Trajectory ◽  
Healing Relationship ◽  
Care And Support ◽  
The Face ◽  
The One ◽  
Relationship Of

Providing palliative care depends on the nurse having strong interpersonal skills and clinical knowledge and is informed by respect for the person and the ethical principles of autonomy, beneficence, nonmaleficence, and justice. The genuine, warm, and compassionate relationship of a nurse with his or her patient is frequently a healing relationship even in the face of death. It is a combination of state-of-the art clinical competence with fidelity to the patient, the ability to listen and remain present in the face of much suffering and distress, and effective communication. It is the nurse who provides much of the care and support to patients and families throughout a disease trajectory and the one who is more likely to be present at the time of death than any other health professional.

scholarly journals Nursing care in palliative care in pediatric oncology

2021 ◽  
Vol 5 (3) ◽  
pp. 91-94
Author(s):  
Joana Muniz Mendonça ◽  
Luana Luzia de Assis Arruda Corbari ◽  
Matheus Mychael Mazzaro Conchy ◽  
Renan da Silva Bentes
Keyword(s):  
Palliative Care ◽  
Nursing Care ◽  
Pediatric Oncology ◽  
Pediatric Cancer ◽  
Pediatric Patients ◽  
Terminal State ◽  
The Family ◽  
The Face ◽  
Nursing Professionals ◽  
Informative Text

This research has as general theme "Nursing care in palliative care in pediatric oncology", an approach that needs to be further discussed due to the need to prepare nursing professionals working in the pediatric sector with cancer patients who are terminally. Thus, an informative text was produced with information based on authors who have already conducted research on this theme, with a qualitative approach, because this is a Bibliographic research. To guide this research, the general objective was to identify the knowledge and reactions of nursing professionals in pediatric cancer care and as specific objectives to identify the perceptions and feelings that permeate pediatric nursing practice in relation to cancer, treatment, and its implications and to know the care/care activities aimed at children hospitalized in the pediatric oncology sector. It is concluded that the courses directed to nursing need to offer disciplines that prepare these professionals to deal with pediatric patients who are in terminal state, preparing them to comfort the family in the face of the failure of the treatments that the patient underwent.

scholarly journals Primeiro caso de COVID-19 em uma unidade de Cuidados Paliativos oncológicos: relato de experiência

2020 ◽  
Vol 11 (2.ESP) ◽  
Author(s):  
Fernanda Barcellos Santiago ◽  
Ana Lúcia Abrahão Da Silva
Keyword(s):  
Palliative Care ◽  
Nursing Care ◽  
Medical Records ◽  
Rio De Janeiro ◽  
Rapid Evolution ◽  
Physical Symptoms ◽  
Use Of Technology ◽  
Ventilatory Assistance ◽  
The Face ◽  
Mixed Feelings

Objetivo: Relatar a experiência da assistência de Enfermagem à primeira paciente em Cuidados Paliativos oncológicos com COVID-19, no Rio de Janeiro. Método: Trata-se de estudo descritivo do tipo relato de experiência acerca da assistência de Enfermagem à paciente com COVID-19 em instituição de referência. Resultados: Durante o levantamento de dados, constatou-se que a assistência de Enfermagem é fragmentada e sem sistematização em registros e prontuário, consistindo em: vigilância do estado geral da paciente, assistência ventilatória e risco de queda. Incluíram-se medidas para aliviar o medo frente aos sintomas físicos mais expressivos. O uso da tecnologia por videochamada foi o recurso utilizado para amenizar a ansiedade. Conclusão: A abordagem da equipe de enfermagem à paciente com doença avançada e com COVID-19 se torna peculiar pela rápida evolução desta doença, tornando a assistência de enfermagem múltipla, complexa, com cuidados biopsicossocioculturais. O rápido agravamento da doença, isolamento, ausência de cuidador/familiar e risco de contaminação da equipe frente à adequação do serviço de internação hospitalar no contexto da pandemia fizeram com que a assistência de enfermagem fosse mais específica e cuidadosa. Em meio ao caos, à mistura de sentimentos e ao medo, vivenciou-se a verdadeira essência do Cuidado Paliativo.Descritores: COVID-19; Cuidado Paliativo; Enfermagem.FIRST CASE OF COVID-19 IN AN ONCOLOGICAL PALLIATIVE CARE UNIT: EXPERIENCE REPORTObjective: To report the experience of nursing care to the first patient in palliative care oncology with COVID-19, in Rio de Janeiro. Method: This is a descriptive study of an experience report about nursing care for patients with COVID-19 in a reference institution. Results: During data collection, it was found that nursing care is fragmented and without systematization in records and medical records, consisting of: surveillance of the general condition of the patient, ventilatory assistance and risk of falling. Measures to alleviate fear in the face of the most expressive physical symptoms were included. The use of technology by video call was the resource used to alleviate anxiety. Conclusion: The nursing team's approach to patients with advanced disease and with COVID-19 becomes peculiar due to the rapid evolution of this disease, making nursing care multiple, complex, with biopsychosociocultural care. The rapid worsening of the disease, isolation, absence of caregiver / family and risk of contamination of the team in view of the adequacy of the hospitalization service in the context of the pandemic made nursing care more specific and careful. In the midst of chaos, mixed feelings and fear, the true essence of Palliative Care was experienced.Descriptors: COVID-19; Palliative Care; Nursing.PRIMER CASO DE COVID-19 EN UNA UNIDAD DE CUIDADOS PALIATIVOS ONCOLÓGICOS: INFORME DE EXPERIÊNCIAObjetivo: informar la experiencia de la atención de enfermería al primer paciente en oncología de cuidados paliativos con COVID-19, en Río de Janeiro. Método: Este es un estudio descriptivo de un informe de experiencia sobre cuidados de enfermería para pacientes con COVID-19 en una institución de referencia. Resultados: Durante la recolección de datos, se encontró que la atención de enfermería está fragmentada y sin sistematización en los registros y registros médicos, que consiste en: vigilancia del estado general del paciente, asistencia respiratoria y riesgo de caídas. Se incluyeron medidas para aliviar el miedo frente a los síntomas físicos más expresivos. El uso de la tecnología por videollamada fue el recurso utilizado para aliviar la ansiedad. Conclusión: El enfoque del equipo de enfermería para pacientes con enfermedad avanzada y con COVID-19 se vuelve peculiar debido a la rápida evolución de esta enfermedad, lo que hace que la atención de enfermería sea múltiple, compleja y con atención biopsicosociocultural. El rápido empeoramiento de la enfermedad, el aislamiento, la ausencia del cuidador / familia y el riesgo de contaminación del equipo en vista de la idoneidad del servicio de hospitalización en el contexto de la pandemia hicieron que la atención de enfermería fuera más específica y cuidadosa. En medio del caos, sentimientos encontrados y miedo, se experimentó la verdadera esencia de los cuidados paliativos.Descriptores: COVID-19; Cuidados paliativos; Enfermería. 

The Healing Space in Psychotherapy and Theatre

1992 ◽  
Vol 8 (32) ◽  
pp. 333-342 ◽  
Author(s):  
Peter Elsass
Keyword(s):  
New York ◽  
Cultural Anthropology ◽  
Cultural Resilience ◽  
New York University ◽  
Healing Relationship ◽  
History Of ◽  
The One ◽  
Relationship Of ◽  
The Relationship ◽  
Comparative Examination

This article is a comparative examination of the relationship of audience and actors on the one hand, and of a client and his psychotherapist on the other. Peter Elsass argues that in order to describe both relationships as of a healing nature, one also has to identify a ‘healing space’ beyond the consulting room, instead of focusing on the healing relationship itself. Employing an analogy with shamanism, he describes this ‘healing space’ as a ‘pinta’, or vision from an extra-contextual frame. The history of psychoanalysis shows this need for a ‘pinta’ as a driving, rebellious force, and he suggests that without a ‘pinta’ of its own, the theatre also dies. Peter Elsass is a Professor of Health Psychology in the Medical Faculty of Aarhus University, Denmark, and chief psychologist at the Psychiatric Hospital, Aarhus. In addition to writing a large number of articles within the medical and psychological fields, he has also worked in the field of cultural anthropology, and in Strategies for Survival: the Psychology of Cultural Resilience in Ethnic Minorities (New York University Press, 1992), he describes his many periods of residence with Indian tribes in Colombia. Peter Elsass has been an associate of Odin Theatre, and has taught at the International School of Theatre Anthropology, directed by Eugenio Barba.

A Phenomenological Analysis of Experiences and Practices of Nurses Providing Palliative and End of Life Care

2021 ◽  
pp. 003022282110375
Author(s):  
Derya Uzelli Yilmaz ◽  
Dilek Yilmaz ◽  
Gonul Duzgun ◽  
Esra Akin
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Nursing Care ◽  
End Of Life Care ◽  
Ethical Issues ◽  
Life Care ◽  
Face To Face ◽  
The Face ◽  
One Year ◽  
Ethics Counselling

The aim of this study was to describe the experiences and practices of nurses providing palliative and end of life care. The study was conducted in the palliative care unit of a territory hospital in Turkey. The sample consisted of 11 nurses who had been working as palliative care nurses for at least one year. The face to face interview method was used to collect data, with a semi-structured in-depth individual interview. 5 main themes and 24 sub-themes were emerged in relation to the experiences and practices of the nurses. The majority of participant nurses pointed that inadequacy in the number of nurses, secondary nursing care activities, refusal of treatment, cultural and ethical problems were barriers in the provision of nursing care. They frequently experienced ethical issues when caring for end of life patients, and for this reason they felt the need for ethics counselling which they could consult.

scholarly journals Existential experience of children with cancer under palliative care

2018 ◽  
Vol 71 (suppl 3) ◽  
pp. 1320-1327 ◽  
Author(s):  
Jael Rúbia Figueiredo de Sá França ◽  
Solange de Fátima Geraldo da Costa ◽  
Maria Emília Limeira Lopes ◽  
Maria Mirian Lima da Nóbrega ◽  
Patrícia Serpa de Souza Batista ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Palliative Care ◽  
Point Of View ◽  
Central Axis ◽  
Nursing Theory ◽  
Children With Cancer ◽  
The Face ◽  
Relationship Of ◽  
The Relationship

ABSTRACT Objective: To understand the existential experience of children with cancer under Palliative Care from the Humanistic Nursing Theory's point of view. Method: This is a field and qualitative research, in which eleven children participated, supported by the Support Centre for Children with Cancer in Paraíba State. To collect data it was used the Story Drawing Procedure. The data were qualitatively analyzed based on Humanistic Nursing Theory. Results: From the analysis of the empirical study's subject, the following thematic categories have emerged: children experiencing fear, sadness, anguish and insecurity in the face of their diagnosis and children experiencing fear of their family falling apart because of the possibility of dying. Conclusion: It is fundamental the participation of nurses in the Palliative Care to the children with cancer in order to strengthen the trust between the children and the professional to have the relationship of dialogue as central axis.

Óscar Romero and the Politics of Sainthood

2011 ◽  
Vol 5 (3) ◽  
pp. 265-291
Author(s):  
Manuel A. Vasquez ◽  
Anna L. Peterson
Keyword(s):  
Human Rights ◽  
Civil War ◽  
El Salvador ◽  
The Other ◽  
Post Colonial ◽  
Holy See ◽  
The Poor ◽  
The Face ◽  
Crisis Of Modernity ◽  
The One

In this article, we explore the debates surrounding the proposed canonization of Archbishop Oscar Romero, an outspoken defender of human rights and the poor during the civil war in El Salvador, who was assassinated in March 1980 by paramilitary death squads while saying Mass. More specifically, we examine the tension between, on the one hand, local and popular understandings of Romero’s life and legacy and, on the other hand, transnational and institutional interpretations. We argue that the reluctance of the Vatican to advance Romero’s canonization process has to do with the need to domesticate and “privatize” his image. This depoliticization of Romero’s work and teachings is a part of a larger agenda of neo-Romanization, an attempt by the Holy See to redeploy a post-colonial and transnational Catholic regime in the face of the crisis of modernity and the advent of postmodern relativism. This redeployment is based on the control of local religious expressions, particularly those that advocate for a more participatory church, which have proliferated with contemporary globalization

The Hierophanic Facets of the Seraphic Hymns

Trictrac ◽  
2018 ◽  
Vol 10 ◽  
Author(s):  
Petru Adrian Danciu
Keyword(s):  
Mutual Recognition ◽  
The Other ◽  
Human Being ◽  
Material World ◽  
Face To Face ◽  
The People ◽  
Musical History ◽  
The Face ◽  
The One

Starting from the cry of the seraphim in Isaiahʹ s prophecy, this article aims to follow the rhythm of the sacred harmony, transcending the symbols of the angelic world and of the divine names, to get to the face to face meeting between man and God, just as the seraphim, reflecting their existence, stand face to face. The finality of the sacred harmony is that, during the search for God inside the human being, He reveals Himself, which is the reason for the affirmation of “I Am that I Am.” Through its hypnotic cyclicality, the profane temporality has its own musicality. Its purpose is to incubate the unsuspected potencies of the beings “caught” in the material world. Due to the fact that it belongs to the aeonic time, the divine music will exceed in harmony the mechanical musicality of profane time, dilating and temporarily cancelling it. Isaiah is witness to such revelation offering access to the heavenly concert. He is witness to divine harmonies produced by two divine singers, whose musical history is presented in our article. The seraphim accompanied the chosen people after their exodus from Egypt. The cultic use of the trumpet is related to the characteristics and behaviour of the seraphim. The seraphic music does not belong to the Creator, but its lyrics speak about the presence of the Creator in two realities, a spiritual and a material one. Only the transcendence of the divine names that are sung/cried affirms a unique reality: God. The chant-cry is a divine invocation with a double aim. On the one hand, the angels and the people affirm God’s presence and call His name and, on the other, the Creator affirms His presence through the angels or in man, the one who is His image and His likeness. The divine music does not only create, it is also a means of communion, implementing the relation of man to God and, thus, God’s connection with man. It is a relation in which both filiation and paternity disappear inside the harmony of the mutual recognition produced by music, a reality much older than Adam’s language.

Challenging Gender Hierarchies in Narratives of the Nation: Representations of Women in Zintgraff and the Battle of Mankon and Hard Choice

Imbizo ◽  
2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Naomi Epongse Nkealah ◽  
Olutoba Gboyega Oluwasuji
Keyword(s):  
The Other ◽  
Literary Texts ◽  
Gender Differentiation ◽  
Hard Choice ◽  
Other Hand ◽  
Gender Hierarchies ◽  
The Face ◽  
The One ◽  
Representations Of Women ◽  
Do So

Ideas of nationalisms as masculine projects dominate literary texts by African male writers. The texts mirror the ways in which gender differentiation sanctions nationalist discourses and in turn how nationalist discourses reinforce gender hierarchies. This article draws on theoretical insights from the work of Anne McClintock and Elleke Boehmer to analyse two plays: Zintgraff and the Battle of Mankon by Bole Butake and Gilbert Doho and Hard Choice by Sunnie Ododo. The article argues that women are represented in these two plays as having an ambiguous relationship to nationalism. On the one hand, women are seen actively changing the face of politics in their societies, but on the other hand, the means by which they do so reduces them to stereotypes of their gender.

TINDAK PENGANCAMAN DAN PENYELAMATAN WAJAH ANIES BASWEDAN DAN BASUKI “AHOK” TJAHAJA PURNAMA

Jurnal KATA ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 356
Author(s):  
Saiko Rudi Kasenda
Keyword(s):  
Qualitative Method ◽  
Common Ground ◽  
Large Range ◽  
Politeness Theory ◽  
Crucial Point ◽  
Passive Voice ◽  
Positive Image ◽  
The Face ◽  
Face Saving ◽  
The One

<p><em>This article is aimed to investigate face threathening acts and face saving acts demonstrated by Anies Baswedan dan Basuki Tjahaja Purnama as the candidates of DKI Jakarta governor during the debate held in April 2017. Face threatening act and face saving act are analyzed because they are able to show not only their positive image but also the negatve one in front of not only to each candidate but also to the audience watching the debate. Politeness theory from Brown and Levinson (1987.) are employed to analyze both candidates’ face threatening acts and saving acts since this theory provides detailed descriptions of a large range of strategies that can be used to deeply understand both face threatening acts and face saving act performed by the candidates. The context surrounding the debate becomes a crucial point to analyze how politeness strategy is applied to show face thratening act and face saving act. Through qualitative method, this study found that 1) Bald on-record is the strategy used by the candidates to show face threatening and they are intended to show contradictions, to disagree, to insult, to interrupt, to speak out-of-topic, to challenge, and to exaggerate. 2) Both candidates use positive and negative strategies to show face saving act intended to show contradictions, to assert common ground, to show agreement, to joke, to apologize, and to avoid disagreement. 3) The face threatening act and saving acts can be considered as the efforts to defend their argumentations and to preserve their positive faces, 4.) The use of the word “kita” and passive voice can be seen as markers in both candidates’ utterances to minimize the imposed face threatening act and to signal solidarity to each candidate and to audience, 5) While Anies is revealed to be the one who more frequently uses face threatening act, Basuki is the candidate who uses face saving act more often during the debate. The study is expected to enrich the study in the field of pragmatics focusing on the use of politeness strategy. </em></p><p> </p><p>Artikel ini bertujuan untuk menginvestigasi tindak pengancaman muka wajah dan tindak penyelamatan wajah yang ditunjukkan oleh Anies Baswedan dan Basuki Tjahaja Purnama pada Debat Pilkada gubernur provinsi DKI Jakarta 2017.<strong> </strong>Tindak pengancaman wajah dan penyelamatan wajah diteliti pada makalah ini karena dapat merepresentasikan citra positif maupun citra negatif kandidat pilkada Gubernur DKI tidak hanya dihadapan masing-masing kandidat tetapi juga kepada masyarakat umum yang menyaksikan. Teori kesantunan dari Brown dan Levinson digunakan untuk menganalisis tindak pengancaman muka dan tindak penyelamatan muka kedua kandidat karena teori ini memiliki penjelasan yang komprehensif tentang berbagai strategi yang dapat dipergunakan untuk memahami secara mendalam bagaimana tindak pengancaman dan penyelamatan wajah ditunjukkan oleh kedua kandidiat. Konteks topik debat yang diangkat dipahami untuk dapat menganalisis tindak pengancaman dan penyelamatan wajah oleh Anies dan Basuki.  Melalui metode kualitatif, studi ini menemukan bahwa 1) Bald on-record adalah strategi yang sering digunakan untuk menunjukkan tindak pengancaman muka dan ditujukan untuk menyatakan kontradiksi, menyatakan ketidaksetujuan, menyinggung, menginterupsi, berbicara di luar topik pembicaraan, menantang kandidat lain, dan memberikan pernyataan yang berlebihan. 2) Tindak penyelamatan muka dilakukan dengan strategi kesantunan positif dan negatif seperti menyatakan kontradiksi, menegaskan common ground, memberikan persetujuan, membuat lelucon, meminta maaf, dan menghindari ketidaksetujuan. 3) Tindak pengancaman muka dan penyelamatan muka dapat dianggap sebagai cara untuk mempertahankan argumentasi kedua kandidat dan untuk melindungi wajah positif masing-masing.4) Penggunaan kata “kita” dan kalimat pasif dimaksudkan untuk meminmalisiri ancaman sekaligus sebagai sinya solidaritas.5) Anies ditunjukkan sebagai kandidat yang lebih sering menggunakan tindak pengancaman muka, sedangkan Basuki adalah kandidat yang lebih sering menunjukkan penyelamatan muka selama debat berlangsung. Studi ini diharapkan dapat memperkaya pemahaman di bidang pragmatik khususnya tentang penggunaan strategi kesantunan</p>

scholarly journals Are asylum seekers more likely to work with more inclusive labor market access regulations?

2019 ◽  
Vol 155 (1) ◽  
Author(s):  
Michaela Slotwinski ◽  
Alois Stutzer ◽  
Roman Uhlig
Keyword(s):  
Labor Market ◽  
Asylum Seekers ◽  
Market Access ◽  
Initial Period ◽  
Early Integration ◽  
Labor Market Policies ◽  
The Face ◽  
Labor Market Access ◽  
The One

Abstract In the face of recent refugee migration, early integration of asylum seekers into the labor market has been proposed as an important mechanism for easing their economic and social lot in the short as well as in the long term. However, little is known about the policies that foster or hamper their participation in the labor market, in particular during the important initial period of their stay in the host country. In order to evaluate whether inclusive labor market policies increase the labor market participation of asylum seekers, we exploit the variation in asylum policies in Swiss cantons to which asylum seekers are as good as randomly allocated. During our study period from 2011 to 2014, the employment rate among asylum seekers varied between 0 and 30.2% across cantons. Our results indicate that labor market access regulations are responsible for a substantial proportion of these differences, in which an inclusive regime increases participation by 11 percentage points. The marginal effects are larger for asylum seekers who speak a language that is linguistically close to the one in their host canton. Summary Inclusive labor market access regulations substantially increase the employment chances of asylum seekers, in particular if the language distance is short.

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