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Sjuksköterskans tolkning och hantering av existentiell smärta hos patienter i livets slutskede.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
2009 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Palliativ vård omfattar den vård man ger till en patient som bara har månader eller veckor kvar att leva. Sjuksköterskan skulle tillgodose fysiska, sociala, existentiella samt andliga behov hos den döende patienten. Att lindra existentiell smärta som ångest, oro kunde underlätta den sista svåra tiden för patienten och dess anhöriga. Syftet var att belysa hur sjuksköterskan tolkade och hanterade existentiell smärta hos patienter i livets slutskede. En kvalitativ innehållsanalys valdes för att få ut en så bred och täckande beskrivning som möjligt. Detta gav möjlighet till en exakt beskrivning av det specifika i sjuksköterskans agerande och samla in så rika och förutsättningslösa berättelser som möjligt. Analysen resulterade i sex kategorier såsom, bekräftelse, skapa tillit, att hantera ett lidande, att uppfylla specifika önskemål, att hjälpa patienten att nå en acceptans samt reflektionstid. I resultatet framkom att sjuksköterskans närvaro kring patienten var viktig för att minska dess existentiella lidande. Att man vågade vara närvarande i de svåraste stunderna hos patienten krävde mod. Man behövde inte alltid göra något utan att bara finnas där. I diskussionen kom det fram att det var viktigt att som sjuksköterska ha en god självkännedom och livserfarenhet samt att veta var man själv stod i sina existentiella frågor och sina egna tankar om döden för att kunna närma sig patienten. Slutsatsen blev att för att kunna tolka och hantera ett extistentiellt lidande hos en patient förutsattes det djupare kunskaper i ämnet samt en personlig styrka i att våga vara närvarande i de svåraste stunderna.

Abstract [en]

Palliative care involves the care you give to a patient who has only months or weeks left to live. Nurse would respond to physical, social, existential and spiritual needs of the dying patient. To alleviate the existential pain of anxiety, concern was eased on the last difficult time for the patient and their relatives. The aim was to highlight how the nurse recognized and dealt with existential pain in patients end-of-life. A qualitative content analysis was chosen to get as broad and wide as possible. This gave the opportunity for a precise description of the specific nature of the nurse's actions and collect as rich and ended stories as possible. The analysis resulted in six categories such as: confirmation, create confidence, to deal with suffering, to meet specific requests, to help the patient reach an acceptance and reflection. The result showed that the nurse's presence around the patient was important in order to reduce its existential suffering. That dared to be present in the most difficult moments in the patient requiring courage. You need not always do anything but just to be there. The discussion has highlighted that it was important that as nurses have a good self-knowledge and life experience and to know where you yourself were in their existential issues and their own thoughts about death in order to move closer to the patient. It was concluded that to interpret and manage an existential suffering in a patient was anticipated that deeper knowledge of the subject and a personal strength in daring to be present in the most difficult moments.

Place, publisher, year, edition, pages
2009. , 27 p.
Identifiers
URN: urn:nbn:se:miun:diva-9606OAI: oai:DiVA.org:miun-9606DiVA: diva2:233652
Presentation
Sal M 104, Mittuniversitetet, Sundsvall (Swedish)
Uppsok

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Available from: 2010-05-26 Created: 2009-09-01 Last updated: 2010-05-26Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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  • Other locale
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Output format
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