When It Comes to the End
When it Comes to the End: A Theory Review
Katelyn C. Hall
Grand Canyon University: NUR 502
September 18, 2012
Introduction
Some of the most important days in an individual’s life are the last few they will ever have. These are the times people typically want to be surrounded by the ones they love. It is hard for most family members to watch their loved one die. And it is especially hard for those that are not ready to accept the fact that there loved one will be passing. Nurses are a very important support to both the patient and their families. It is important to know how to treat not only the patient but the family and ensure that the patient is comfortable in their last few days of life. The purpose of this paper is to address the practice problem; what is the best way to support and help families that are not ready to accept that their loved one is dying and help the family let go? I intend to answer this practice problem and support it with a review of literature on the subject of death, dying, letting go and the involvement of family in this process. In answering this practice problem I will use Cornelia Maria Ruland RN, Ph.D middle range theory on end of life care and a borrowed theory by R.S. Lazarus on stress, coping and adaption and apply it to different practice situations involving end of life care.
Cornelia Maria Ruland: End of Life Care Cornelia M. Ruland attended the University of Bergen, Norway for her undergraduate studies in Philosophy and Social Sciences in 1974 (Ruland, 2002). In 1979 she attended Haukeland School of Nursing in Norway and graduated with her RN (Ruland, 2002). In 1983 she obtained a Clinical Nurse Specialist degree in Pediatric Nursing (Ruland, 2002). In 1994 Cornelia received her MSN in Nursing Administration from Case Western Reserve University, FPB school of nursing in Cleveland, OH and in 1998 She graduated from the same school with her Ph.D. in Nursing informatics (Ruland, 2002). Since graduating
Katelyn C. Hall
Grand Canyon University: NUR 502
September 18, 2012
Introduction
Some of the most important days in an individual’s life are the last few they will ever have. These are the times people typically want to be surrounded by the ones they love. It is hard for most family members to watch their loved one die. And it is especially hard for those that are not ready to accept the fact that there loved one will be passing. Nurses are a very important support to both the patient and their families. It is important to know how to treat not only the patient but the family and ensure that the patient is comfortable in their last few days of life. The purpose of this paper is to address the practice problem; what is the best way to support and help families that are not ready to accept that their loved one is dying and help the family let go? I intend to answer this practice problem and support it with a review of literature on the subject of death, dying, letting go and the involvement of family in this process. In answering this practice problem I will use Cornelia Maria Ruland RN, Ph.D middle range theory on end of life care and a borrowed theory by R.S. Lazarus on stress, coping and adaption and apply it to different practice situations involving end of life care.
Cornelia Maria Ruland: End of Life Care Cornelia M. Ruland attended the University of Bergen, Norway for her undergraduate studies in Philosophy and Social Sciences in 1974 (Ruland, 2002). In 1979 she attended Haukeland School of Nursing in Norway and graduated with her RN (Ruland, 2002). In 1983 she obtained a Clinical Nurse Specialist degree in Pediatric Nursing (Ruland, 2002). In 1994 Cornelia received her MSN in Nursing Administration from Case Western Reserve University, FPB school of nursing in Cleveland, OH and in 1998 She graduated from the same school with her Ph.D. in Nursing informatics (Ruland, 2002). Since graduating