When critiquing phenomenological research, there are a number of questions the critique should answer to determine the validity of the research. The first is to determine if the research phenomenon of interest is clearly stated. In the article, the authors clearly state that they use the philosophical works of Merleau-Ponty in order to explore the existential phenomena of caring for the dying. According to the authors, death can only be known through the study of dying. The authors describe death as either a personal experience or the experience of death through a dying person. The authors’ desire to explore the perceptions of critical care nurses regarding death and dying lends itself to qualitative research. The second question asks if the description given by the authors helps to understand the lived experience of the participants. They provide a background of the environment, emotion, and professional obligations that nurses share and experience when patients, families and loved ones are experiencing death. This emphasis captures the perception of the lived experience of the participants and establishes meaning in the research phenomenon. Next, the method used to collect the data should be examined. The method used by the authors was based on the philosophy of Merleau-Ponty that the meaning of an experience must be elicited by dialog. The author’s specifically used the existential ground of body, time, world, and other people as their background. The participants were
Thinking about death and dying is a very difficult subject to approach. There are movies, television shows, songs, books, and real life situations that basically force us to think about death and dying daily in one way or another. When we consider real life situations either involving our loved ones or ourselves, we must think about the ways in which we may be treated and how this treatment may affect our understanding of death and our role in the process. I am going to address this as well as how the ways in which people treat those who were dying many years ago compared to in our modern time is significantly different. There is also a phrase that is commonly being used in the United States known as the “medicalization of death”. I am going
On reading this article and identifying the study, there was a clear insight on how death and dying, and even improved health, impacted those nurses (Conte, 2014). Nurses, who worked closely with their patients, through the perils and suffering, culminating of death and losses, had grief not readily explored to enable that comfort zone (Conte, 2014).
On Death and Dying By Elisabeth Kubler-Ross For my book review, I read On Death and Dying, by Elisabeth Kubler-Ross. Dr. Kubler-Ross was the first person in her field to discuss the topic of death. Before 1969, death was considered a taboo. On Death and Dying is one of the most important psychological studies of the late twentieth century. The work grew out of her famous interdisciplinary seminar on death, life, and transition. In this paper, I give a comprehensive book review as well as integrate topics learned in class with Dr. Kubler-Ross' work. Like Piaget's look at developmental stages in children, there are also stages a person experiences on the journey toward death. These five stages are denial/isolation, anger, bargaining,
This author’s personal perceptions concerning patients facing a lingering terminal illness, have been shaped by over 20 years of critical care nursing experience. Facing death and illness on a daily basis requires self-examination and a high degree of comfort with one’s own mortality, limits and values. Constant exposure to the fragility of life forces respect for the whole person and the people who love them. A general approach to patients who are actively dying is to allow them to define what they want and need during this time. The nurse’s role
A flexible and unbiased attitude is needed in order for the caregivers methods to be effective.Jaffe and Ehrlich's purpose in writing this book is to provide people with a holistic understanding of hospice care by highlighting the many factors of hospice care, such as: pain control, nursing support, Medicare, availability of hospice programs, curriculum of medical students, sensitivity to religious beliefs, as well as the details of each area. Through their stories, they provide examples of the above areas to help the reader understand the benefits of Hospice care.This paper will provide an outline of the main points in the preface, introduction, and each of the nine chapters and appendix A; excluding the foreword, Appendix B, and Appendix C.PREFACEByock explains "the power to change public and professional attitudes lies within the stories of people's experiences in dying" (1, p. viii). This solidifies the purpose of
For this professional practice, I decided to interview a professional who deals with the subject of death and dying on a regular basis. The interview was conducted at Calvary Hospital which is located at 1740 Eastchester Road in the Bronx. Calvary Hospital was established in 1899 and works in connection with the Roman Catholic Archdiocese of New York. Calvary Hospital is a non-profit institution and it has a total of 225 beds. This hospital is one of the largest which focuses on end-of-life hospice and palliative care. Other programs include inpatient care, pain management, home care with bereavement and support programs for families and friends, therapeutic recreation, and music therapy. All these
Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely
Within all these theoretical standpoints, the theme and process of coming to terms with death and relationship could be regarded as the essence of an existential quest; one
What was once believed to be a form of neglect has resulted in a change in practice with the idea that doing less is more. Culture is an important factor in how care is rendered and thus, the limitations of palliative and hospice care lie within the desires of the family and patients. A thorough understanding of our surrounding demographics helps to ensure a seamless approach to providing care without bias or imposition of ones beliefs. However, just as with all things, providing care for the sick and comforting the dying should be rendered in moderation as to prevent the effects of burn out. Likewise, the same effects occur in the caregivers who sacrifice their responsibilities in order to care for their love ones. Finally, and with some closing thoughts, the writer wishes to express with gratitude the benefit of having taken this course to better understand oneself and others in the realm of healthcare. The lessons learned throughout have expanded this writer's knowledge and understanding of the human desire to make a connection through communication, emotion, compassion, and spiritually - the platform from which this writer wishes to continue seeking further knowledge and
According to (Liming & Dickenson 2011., p.3) “thanatology is the study of dying, death, and bereavement.” I believe that the study of death will be a topic to be discussed and forever researched. There are many different aspects of death that I believe people can study, rather it be cultural believes, medically researching different processes of death, or even just what your own personal discovery of what death exactly is or what happens after death. No one can interview the dead. No one can find out if death is peaceful, or if there is life after death, or what death feels like. So for this topic of defining thanatology I wanted to look at the studies of peoples near death experiences, interviews from people who are experiencing death, the different cultures behind viewing death, and lastly the communication skills needed for health care professionals to develop in order to discuss death and dying amongst the patient and their family
Nurses are the hospice team members who spend a lot of time with dying patients and their families. “The World Health Organization has characterized the need for expert, palliative and end-of-life care as a top priority for global health care. The specialty of hospice and palliative care nursing embraced a humanistic caring and holistic approach to patient care.” (Wu, Vilker, 2011).
Overview: University of Kansas, article entitled: Creating a curtain of protection: nurses’ experiences of grief following patient death. This title was clear and unambiguous suggesting the key phenomenon under study. Too long or too short titles can be confusing or misleading (Parahoo, 2006), however, this title contained few words which adequately described the contents and purpose of the paper being studied. The abstract provided a succinct overview of the research, it brought out the main features of the report and included relevant information. It captivated my interest which motivated me to continue reading. This paper is a qualitative research written by L. Gerow and colleagues. In this study eleven registered nurses were interviewed using semi-structured interviews and phenomenology concepts. Audio-tapes and demographic questionnaires were also used. The data was analysed using methods of Heideggerian hermeneutical analysis and Van Manen’s progression. The purpose was to describe the lived experiences of nurses surrounding patient’s death. It entails how nurses deal with such situation differently by creating a curtain of protection to mitigate the grieving process allowing them to continue providing supportive nursing care. The aim was to investigate nurses’ grief to develop
1.) Explain how the answers to the self-inventories in the text concerning facts, attitudes, beliefs and feelings about death reflect our societal understanding or lack of understanding of death. I think that the self- inventory question reflected on both our understanding and lack of understanding about death related topics. Some of the answers to the questions on the inventory I knew without look at the answers, but some of the answers actually surprised me. The question about the death certificate was one of the questions that actually surprised me. I assumed before I did the inventory that every death certificate had a specific cause of death that was given on the certificate. Another answer that
Death is inevitable at some point everyone must face it. Whether it is the death of a family member, friend, or a family pet, people are forced to deal with the death. Nurses however have more frequent encounters with death than the average person does. When a patient dies in a healthcare setting his or her nurse is obligated to deal with that as well. They must find ways to cope with the increased amount of death that
Phenomenological Study”. The research study was conducted in order to determine what it is like to