This paper will contained two parts: First part will be a summary of the interview I had with a nurse in a hospice care settings. Second part of the paper will have a detail explanation of how my family views the process of taking care of someone already on the process of dying. In addition, it will describe in short details how my family grieves for a family member who has crossed over to the other side. Furthermore, I will compare and contrast how my culture differs from other cultures on the process of caring for an elderly person who is on the verge of dying. Moreover, I will identify themes that are present across many cultural approaches in dealing with long-term care of the elderly, death and dying, and grief and loss. Henceforth, I will explain how my knowledge will be useful in my counseling career. During the interview the person I interviewed was a registered nurse that has been in the hospice care settings for over ten years. The nurses’ name is Diana. Diana has been in this line of work for 16 years. Diana’s response to the questions that were to be asked for my assignment is as follows: Hospice is an exclusive way of compassionate for individuals with life-threatening infirmities and their relatives. It is a multidisciplinary wellbeing care plan that is accountable for reassuring and sympathetic care with contemplation of the individual and relatives desires. Hospice concentrates on the care of the individual, not finding a cure. According to Newman & Newman (2012) “Hospice care is an integrated system of medicine, nursing, counseling, and spiritual care for the dying person and the family” (Pp. 607). 1- A person’s age can determine lots of things with their personality, culture, religion, etc. However, it is a... ... middle of paper ... ...ng cultural diversity will give me the knowledge I need to meet the demands of the person I will be counseling. The United States has a diversity of development of traditional upbringings which can regularly set the phase for emotional state of misunderstanding, resentment, doubt, and a multitude of other feelings when different beliefs differ. Traditional proficiency in the mental health counseling setting can aid in reducing these obstacles and offer a policy for mental health counselors to pursue in the search to appreciate the individual’s beliefs. When a counselor takes his or her time to acquire about a particular culture before offering care, it shows respect to the individual traditions, and beliefs. Works Cited Newman, B., & Newman, P. (2012). Development through Life: A Psychosocial Approach (11 ed). Belmont: Wadsworth Cengage Learning.
Hays, P. A. (2008). Addressing cultural complexities in practice: Assessment, diagnosis, and therapy (2nd ed.). Washington, DC: American Psychological Association.
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
After reading the different stories in the book “Final Gifts”, I believe I have a better understanding of the nurse’s role in caring for the needs of the dying patient and how their families need to be guided through this experience. The different stories in this book provide insight into the experiences of the dying as well as how their loved ones cope with their loss. The authors Maggie Callahan and Patrician Kelly, experienced hospice nurses who have extensive exposure to dying patients and their families, through their shared stories, paint a picture of what the dying want. To many, death is a difficult concept.
Remember, self-reflection is vital to becoming a culturally-competent counselor. The counselor should consistently re-examine their worldview and personal beliefs about diverse individuals and other cultures. The idea is for the counselor to explore their own prejudices, emotions, and preconceived notions of those that differ from themselves. Remaining curious and willing to learn about culturally distinct groups is a practical way of working effectively with varied clients in counseling and understanding what barriers and prejudices are typical in their
An individual’s personality and character structure portrays a major reflection of how they age. Personality style and character structure both incorporate the conscious and unconscious motivational, cognitive and affective mental states, as well as defense mechanisms (Silver 1992). Biopsychosocial factors-broken down into biological, psychological, and sociocultural-also play a huge role in personality and aging (Notes 10/08). Some examples of biological factors are health, genetics, and physiological function. Thoughts, feelings, and emotions would be considered psychological factors. Sociocultural factors include family, religion and community. Additionally, people endure unique experiences and circumstances throughout their life course,
Granted, textbooks and nursing classes deal with death, but Marks explains that you do not really understand it until it is right in front of you. Overtime it becomes something that nurse’s become accustom to. To clarify the subject of death never becomes easy, it just becomes bearable. After 31 years of experience Marks explained to me that nurses have to learn how to distance themselves, yet still be caring at the same time; a trait that does not come easily to most. In the same way treating someone with a terminal illness is just as hard. In these cases nurses must step into the role of councillors. They must learn how to comfort their patient, yet not become too attached. As well they must learn how to explain to them what is happening, which can become especially hard when dealing with
Hospice focuses on end of life care. When patients are facing terminal illness and have an expected life sentence of days to six months or less of life. Care can take place in different milieu including at home, hospice care center, hospital, and skilled nursing facility. Hospice provides patients and family the tool and resources of how to come to the acceptance of death. The goal of care is to help people who are dying have peace, comfort, and dignity. A team of health care providers and volunteers are responsible for providing care. A primary care doctor and a hospice doctor or medical director will patients care. The patient is allowed to decide who their primary doctor will be while receiving hospice care. It may be a primary care physician or a hospice physician. Nurses provide care at home by vising patient at home or in a hospital setting facility. Nurses are responsible for coordination of the hospice care team. Home health aides provide support for daily and routine care ( dressing, bathing, eating and etc). Spiritual counselors, Chaplains, priests, lay ministers or other spiritual counselors can provide spiritual care and guidance for the entire family. Social workers provide counseling and support. They can also provide referrals to other support systems. Pharmacists provide medication oversight and suggestions regarding the most effective
The nurse becomes the confidant, the guide through the darkness, a source of comfort for those experiencing the trauma of losing a child. To successfully fulfill these nursing roles, in addition to roles that must be fulfilled to meet other patient’s needs, one must acknowledge their own definition of death and educate themselves on cultural and societal norms associated with death and dying. It is important to identify one’s own definition of death and dying but also understand that one’s preference does not define the death experience for others. The individuality and uniqueness of each death experience means that one definition of death may be hard for one to accomplish. It is important to maintain an open mind, nonjudgmental spirit, and impartiality for the cultures and practices of others surrounding death and dying. A culturally competent nurse is not only responsible for acknowledging the cultural norms of others but also respecting and educating themselves about the death rituals of their patient’s culture and providing the family with as many resources to safely and effectively fulfill their cultural practices. Education is empowering for the nurse who is navigating the death and dying process. Education often supplements ones credibility with the dying patient and their family which can ease overall anxiety and further promote ones role as a patient advocate and provider of
Nurses are both blessed and cursed to be with patients from the very first moments of life until their final breath. With those last breaths, each patient leaves someone behind. How do nurses handle the loss and grief that comes along with patients dying? How do they help the families and loved ones of deceased patients? Each person, no matter their background, must grieve the death of a loved one, but there is no right way to grieve and no two people will have the same reaction to death. It is the duty of nurses to respect the wishes and grieving process of each and every culture; of each and every individual (Verosky, 2006). This paper will address J. William Worden’s four tasks of mourning as well as the nursing implications involved – both when taking care of patients’ families and when coping with the loss of patients themselves.
For many years our society and the media has placed an image of death in our heads, of a painful experience, one that is feared by everyone. Although death can be emotionally draining, also can be an uplifting experience. Providing comfort and love and the assurance that life will continue, is truly the biggest gift. Hospices are designated to provide sensitive support for people in the final phase of terminal illness. ). The typical hospice patient has a life expectancy of six months or less. Hospice care works to help the patient and family members to carry on an alter, pain-free life to manage other symptoms so that their last days may be spent with dignity and quality at home or in a home-like setting (http:/www.cmcric.org/homecare.html, 2000)
The end-of-life nurse’s primary objective is to provide comfort and compassion to patients and their families during an extremely difficult time. They must satisfy all “physical, psychological, social, cultural and spiritual needs” of the patient and their family. (Wu & Volker, 2012) The nurse involves their patient in care planning, as well as educating them about the options available. They must follow the wishes of the patient and their family, as provided in the patient’s advance directive if there is one available. It is i...
We can see that the hospice concept is a bio-psychosocial approach to the dying process, concerned with biological, psychological, and social health. Because of its proponents, Hospice is considered a more humane and sensible approach to terminal illness, combining care, comfort, and support of family and friends as the individual faces death. Their concern for dignity and fo...
There are different perspectives, however, which put stress on various aspects of culture and try to identify its boundaries and its substitutes. Some regard culture as separate entity from demographic factors, some point out acculturation as one of the obstacles, which makes culture difficult to identify, some show how an intimate and meaningful relationship between a counsellor and a culturally different client to be established. In this essay I will be discussing what the different concepts of understanding of culture in Counselling are, by examining different authors and perspectives and evaluating their strengths and weaknesses.
Counselors need to be aware that they are able to work with particular issues and certain cultural groups. This is because conscious and unconscious meanings and assumptions, such as strongly held religious or political beliefs, will be communicated to the client. “It is desirable up to a point to know about a particulars clients background and therefore not to ask questions about it” due to the clients may be frustrated and impatient with this use of their time. (Bayne, Jinks, Collard, Horton, 2008). This is where cross-cultural training, supervision and personal development are
The nurse stated during the interview that “holding the hand of the patient just diagnosed with a terminal illness” (Appendix A) is difficult and requires a variety of techniques to face the situation. There are many ways to approach a dying patient, and one study identified four themes that help nurses in creating a “’curtain of protection’ to mitigate the grieving process and allow them to provide supportive nursing care” (Gerow et al., 2010). Of the four approached, there is one that appears to make the greatest impact on the nurse; the fact that initial patient deaths are formative. In this case, a study found that “significant death experiences early in a nurse’s career set the foundation for how the nurse began caring for future dying patients” (Gerow et al., 2010), which was further explained as the fact that those who had enough support and mentorship early on in their nursing practice were more likely to not be emotionally damaged by the event, and were able to better approach similar situations in the future. I plan on implementing this strategy in the future by surrounding myself with colleagues and mentors within my practice that I am comfortable confiding in whenever I happen to be struggling. A strong support network is key for maintaining proper emotional health, which is important for a nurse to have when working with vulnerable patients and providing competent