Epidemiología enfermera del duelo en Canarias

Grief is a natural and self-limited process of adaptation to a new reality that arises after a significant loss, real or perceived, with a wide range of manifestations that produce an impact on the health of the mourner. Objective: To know and identify, broken down by diagnostic gradient, the prevalence of mourning in the Canary Islands, as well as the needs of care before the diagnosis of mourning of the mourners. Results: Significantly, more women than men are identified in the three diagnostic labels under study. Patients with bereavement complications previously presented depression, anxiety, and risk of loneliness. The result of the pattern assessment is paradoxical. Conclusion: Grief is a multidimensional phenomenon that can hardly be assessed from a reductionist tool such as functional patterns. The high prevalence of complications in women’s grief should be studied in-depth, associating it with their previous burdens of care and vulnerability. The association between loneliness and complicated grief is evident, and the role of community nurses in these patients may be essential. Further research is needed on the care needs of bereaved persons, both complicated and uncomplicated, as well as on their predictive and protective factors.

Living through Loss: Questions and Answers about Grief and Bereavement

The field of grief therapy is rapidly evolving, as new theories, models and research findings inspire new understandings of loss and how people accommodate it. This article summarizes some of these contemporary developments, emphasizing the search for meaning in bereavement, and illustrates how these fresh perspectives can offer guidance to real people seeking consultation on how to manage very real losses under complicating circumstances. Nurses occupy many roles that bring them into contact with death and grief, leaving them well positioned to extend knowledgeable and compassionate care for patients and families facing such existential transitions

La formación enfermera en cuidados al final de la vida en las universidades españolas

There are specific competencies that a nurse must develop and master in order to provide quality care to the patients they serve. Not only in the field of care in general but in particular in care at the end of their lives. These skills must be learnt with adequate basic academic training, which will allow mastery in these areas and thus provide the best quality of care for patients and their families. In this article, we briefly approach the daily and regular care developed when caring for patients at the end of their lives and the level of knowledge imparted to nursing students in the undergraduate studies currently existing in Spain, in particular the subjects related to care at the end of life in these universities. We also compare the data on the situation in our country five years ago and at present, to see what progress has been made, in addition to examining the quantity and quality of such knowledge and the training provided in our country

¿Qué sabemos sobre el duelo y el final de la vida las enfermeras? A propósito de un estudio mediante grupo focal en Santa Cruz de Tenerife

Introduction and purpose of the research: the authors, members of the End-of-Life Care group at the University of La Laguna (CUFINVIDA), seek to identify areas of improvement concerning end-of-life care, loss and grief in the professional context, from the premise that there is not enough training around this topic. Methodology: phenomenological hermeneutic research through a focus group of fifteen nurses from Ofra Delicias-Miramar primary healthcare centre in Santa Cruz de Tenerife (Spain), carried out in November 2019. Results: Four main categories are identified when delving into what mourning is: the physical space of mourning and death; meaning and context; mourning for deceased children and proposals for improvement. Conclusions: Nurses report not feeling prepared regarding grief and the process of dying. Training is scarce, and it is necessary to consider and reflect on how nurses carry out diagnoses and establish objectives and interventions for people at the end of life or in the mourning process.

El final de la vida como desafío a la ética sanitaria

Article 10 of the Spanish Constitution of 1978 recognizes the dignity of the individual, the inviolable rights inherent in it, the free development of personality, respect for the law and the rights of others as the basis of political order and social peace. The rules relating to fundamental rights and freedoms recognized by the Constitution shall be interpreted in accordance with the Universal Declaration of Human Rights and the international treaties and agreements on the same subjects ratified by Spain. Hence, this value of dignity serves as a basis in its analysis for framing a dignified death. On this premise, several doubts are raised regarding the combination of several of the precepts of the Magna Carta, which, in their application to the field of health, can generate discrepancies. We refer, on the one hand, to Article 15, which calls for the proclamation of both the right to life and the right not to be subjected to inhuman and degrading treatment. And on the other hand, we see that this same article 15 confronts the precepts that the Constitution dedicates to the right to personal freedom in its various variants.

Aplicación de la historia de vida como técnica para la visibilización y abordaje de las múltiples pérdidas y duelos en casos de violencia

The main objective of this paper is to describe how the application of the life history technique serves to make visible, address, and treat the multiple losses and grief in contexts of violence. this is done through the analysis of the life history of a 62-year-old Mexican woman from the state of Guerrero. this is a qualitative study that takes up robert A. Neimeyer’s theory of multiple grief, who conceives grief as a situation triggered by the death of a close person, but also by a loss that is generally minimized and not well attended by society. This way, the life story technique has significant advantages for the treatment of multiple grief or losses in violent contexts. The narrative helps people to integrate thoughts and emotions about the losses they have suffered into a consistent and meaningful experience.

Más de dos décadas en cuidados paliativos en Costa Rica

This article presents a synthesis on the development of palliative care in Costa Rica, articulated through the National Council for Palliative Care, an institution linked to the Ministry of Public Health. We conclude that the coordination among different organisms that work on behalf of consensus in care is essential to establish norms, protocols, and clinical guidelines for health professionals in end-of-life care.