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The Global ETD Search service is a free service for researchers
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Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
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Showing 191 to 200 of 228 (0.04 seconds)Spelling suggestions: "subject:"terminal""
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Oral Interpretation as a Catalyst for Social Awareness Ann's Haven: Hospice of Denton CountyCancilla, Carlajo 08 1900 (has links)
This oral interpretation thesis studies the use of oral interpretation in social contexts. The context chosen was the Hospice movement, which deals with assisting terminally ill persons and their families through the stages of death and bereavement. A readers theatre script was compiled for "Ann's Haven: Hospice of Denton County," which was selected for the locus of this thesis. The script was presented to various civic groups for the purpose of informing the public and eliciting support for Ann's Haven. It was found that oral interpretation is a viable rhetorical tool and is well liked by audiences as a means of public enlightenment.
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| 192 |
Palliativa patienters beskrivning av en värdig död : en icke-systematisk litteraturöversikt / Palliative care patients' description of a dignified death : a non-systematic literature reviewBergius, Cecilia, Nord, Carla January 2023 (has links)
Bakgrund Den palliativa vårdens mål är att lindra lidande och främja livskvaliteten för patienter ilivets slutskede. Det finns olika typer av lidande såsom fysiska, psykiska och existentiellavilket betyder att lidandet behöver mötas ur ett multidimensionellt perspektiv. Ensammanställning av palliativa patienters beskrivning av en värdig död kan utökasjukvårdspersonalens kunskap och förståelse om patienternas prioriteringar, behov ochönskningar i livets slutskede. Syfte Syftet var att sammanställa palliativa patienters beskrivning av en värdig död. Metod En icke-systematisk litteraturöversikt, baserad på 20 kvalitativ och kvantitativavetenskapliga originalartiklar inhämtades från databasen PubMed med hjälp av sökord iolika kombinationer. Artiklarna valitetsgranskning utifrån Sophiahemmet Högskolasbedömningsunderlag för vetenskaplig kvalitet och klassificering. Resultatetsammanställdes och analyserades sedan med en integrerad dataanalys för att identifieralikheter och skillnader i resultatet. Resultat I sammanställningen av resultatet identifierades tre huvudkategorier: Minskat livslidandegenom ökad autonomi, Minskat sjukdomslidande samt minskat vårdlidande. Resultatetvisade att få dö med minimerat lidande, att få dö med autonomin i behåll, samt att få dö iden miljö och runt de man önskar är de viktigaste aspekterna för en värdig död. Slutsats Då sökningar efter relevanta artiklar gav betydligt fler träffar på artiklar med syfte attbelysa vårdpersonalens eller närståendes perspektiv på vad en värdig död innebär är ämnetpalliativa patienters beskrivning av en värdig död något som det bör forskas vidare på föratt förbättra just deras upplevelse av sin sista tid i livet. / Background The goal of palliative care is to relieve suffering and promote quality of life for patients inthe final stages of life. There are different types of suffering such as physical,psychological and existential, which means that suffering needs to be met from amultidimensional perspective. A compilation of palliative care patients' description of adignified death can increase healthcare professionals' knowledge and understanding ofpatients' priorities, needs and wishes at the end of life. Aim The aim was to compile palliative care patients' description of a dignified death. Method A non-systematic literature review, based on 20 qualitative and quantitative scientificoriginal articles were obtained from the PubMed database using search terms in severalcombinations. The articles have undergone a quality review based on Sophiahemmet University’s assesment documents for scientific quality and classification. Results werecompiled and then analyzed using an integrated data analysis to identify similarities anddifferences in the results. Results In the compilation of the results, three main categories were identified: Reduced sufferingof life through increased autonomy, Reduced suffering from illness and reduced sufferingfrom care. The results showed that being able to die with minimized suffering, being ableto die with autonomy preserved, and being able to die in the environment and around thoseone wishes are the most important aspects for a dignified death. Conclusions As searches for relevant articles gave several hits on articles with the aim of elucidating theview of the healthcare staff or relatives on what a dignified death means, the subject ofpalliative care patients’ view on a dignified death is something that should be furtherresearched in order to improve their experience of their last time in life.
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| 193 |
I dödens skugga : - En deskriptiv litteraturstudie av palliativa patienters perspektivWennman, Josefine, Zetterström Nygren, Sebastian January 2023 (has links)
Bakgrund: Under år 2022 inrapporterades 48,733 dödsfall till Svenska palliativregistret. Stor del av den forskning inom det palliativa fokuserar på anhöriga och vårdares perspektiv. Samtidigt medför den moderna strävan för personcentrering av vården behovet för insikt i hur de döende i sjukdom uppfattar sin situation och tillvaro. Syfte: Att beskriva döende patienters uppfattning om dödens olika aspekter. Metod: En litteratursökning genomfördes med hjälp av databasen MEDLINE via PubMed. Använda söktermer var attitude to death, perception, perceptions, qualitative research, terminally ill, view och views. Tio artiklar baserade på döende personers perspektiv om uppfattningen av döden valdes ut av författarna till litteraturstudien. Artiklarna analyserades sedan genom tematisk analys. Huvudresultat: Två huvudteman identifierades: Att ställas inför nytt perspektiv och Hur döden bemöts är viktigt. Att ställas inför nytt perspektiv som tema berör känsloreaktionen i mötet med döden, kampen om att finna mening, relationen till tillvaron och betydelsen av acceptans. Uppfattningarna kopplade till temat Hur döden bemöts är viktigt behandlar de sätt de döende sjuka hanterar sin situation, vad som hjälper och stjälper, vad som är viktigt och på vilket sätt. Slutsats: Samtidigt som patienternas uppfattning av dödens olika aspekter påvisade individuell variation relaterat till sociokulturella och psykoandliga faktorer; fanns det en övergripande överensstämmelse i uppfattningen om dödens olika aspekter. I patienternas beskrivna uppfattning av dödens aspekter påvisas möjligheten till en förbättrad personcentrerad palliativa vård. / Background: In 2022 there were 48,733 deaths reported to the Swedish register of palliative care. A big part of the palliative research is focused on relatives and care workers perspectives. At the same time the modern pursuit of patient-centered care brings the need for insight on how terminally ill patients perceive their situation and existence. Aim: To describe dying patients' perceptions on the different aspects of death. Method: A literature search was conducted in the database MEDLINE via PubMed. The searchterms used were attitude to death, perception, perceptions, qualitative research, terminally ill, view and views. Ten articles based on the perspective of terminally ill patients' perception of the aspects of death were selected by the authors of this review. The articles were then analyzed using thematic analysis. Findings: Two themes were identified: To be faced with a new perspective and How death is dealt with is important. The theme To be faced with a new perspective touches on the emotional reactions when confronted with death, the struggle to find meaning, connections to one's existence and the significance of acceptance. The perceptions connected to the theme How death is dealt with is important deals with the ways the terminally ill manage their situation, what helps and hinders, what is important and in what way. Conclusion: At the same time the patients' perceptions on the aspect of death showed individual variation related to sociocultural and psychospiritual factors; an overall congruence regarding perceptions of the aspects of death was found. In the patients' described perception of the aspects of death, the possibility for improvement of person-centered palliative care is demonstrated.
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| 194 |
Honouring sacred spaces : voicing stories of terminal illnessScrimgeour, Elizabeth 30 November 2002 (has links)
The marginalisation of palliative and pastoral care practices by conventional approaches to care for terminally ill patients, motivated the research curiosity. The significance of terminal patient's spirituality,
their language practices and communities of concern are endorsed as being the major contributing factor to meaningful 'living' with terminal illness.
Listening to stories has been the qualitative research practice, revealing meaning-making, quest stories. Feminist theology and post-modern ideas and discourses have assisted me, and the participants, in the
deconstruction of power, patriarchy and dualism as the primary contributing factors to marginalisation of people due to illness, race, gender, poverty, culture and education. Pastoral care practices and feminist theology have guided us to emphasise the necessity to recognise the God of Grace as an important part to ensuring holistic patient care.
Recognising the 'God-Self, respectful narrative and pastoral care practices paved the way to honour sacred spaces and voice stories of terminal illness. / Practical Theology / M.Th (Specialisation Pastoral Therapy)
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| 195 |
Examining home-based care of chronically/terminally ill persons by family care givers and their interaction with professional health care providersMooka, Dorethy 31 July 2013 (has links)
According to the Ministry of Health (1996:26), the most common
chronic/terminal illnesses were cardiovascular disorders, diabetes, cancer,
mental disorders, HIV/AIDS, tuberculosis and asthma. Long term treatment
and care and the growing incidence of these conditions necessitated the
introduction of home-based care (HBC). Consequently, family care givers play
a major role in the provision of care to chronically/terminally ill patients and
professional health care providers adopt a supervisory role.
This study examined the quality of home care services provided in Botswana.
The availability and accessibility of home-based care services and resources
have a direct bearing on the quality of home-based care delivery system. The
researcher used systems theory was used as the conceptual framework for this
study.
The study aimed to
• determine the accessibility and availability of home-based care services in
Molepolole East
• investigate what the perspectives and experiences of family care givers,
patients and professional health care providers of Botswana home-based
care are
• determine the roles of professionals health care providers, patients, and
family care givers and their relationships in the context of home- based
care • identify the needs of chronically/terminally ill patents and family care
givers
• determine the type of support given to family care givers and patients by
professional health care providers and make recommendations for the
improvement of home-based care
• develop a model to prepare family care givers
The research design combined quantitative and qualitative research methods.
A sample of convenience was used to obtain information from patients'
family care givers and professional health care providers. Interviews and
questionnaires were used.
A proposed care giving preparedness model is presented to meet needs of
the family care givers.
The study found that family care givers needs are neither known nor
catered for by the professional health care provider. The family care givers
were not adequately prepared before adopting the care-giving role.
It is recommended that
• The proposed preparedness care giving training model is considered for
training of patients and family care givers before discharge and during
HBC.
• Increase patients and family care givers decision-making / Health Studies / D.Litt. et Phil. (Health Studies)
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| 196 |
Examining home-based care of chronically/terminally ill persons by family care givers and their interaction with professional health care providersMooka, Dorethy 31 July 2013 (has links)
According to the Ministry of Health (1996:26), the most common
chronic/terminal illnesses were cardiovascular disorders, diabetes, cancer,
mental disorders, HIV/AIDS, tuberculosis and asthma. Long term treatment
and care and the growing incidence of these conditions necessitated the
introduction of home-based care (HBC). Consequently, family care givers play
a major role in the provision of care to chronically/terminally ill patients and
professional health care providers adopt a supervisory role.
This study examined the quality of home care services provided in Botswana.
The availability and accessibility of home-based care services and resources
have a direct bearing on the quality of home-based care delivery system. The
researcher used systems theory was used as the conceptual framework for this
study.
The study aimed to
• determine the accessibility and availability of home-based care services in
Molepolole East
• investigate what the perspectives and experiences of family care givers,
patients and professional health care providers of Botswana home-based
care are
• determine the roles of professionals health care providers, patients, and
family care givers and their relationships in the context of home- based
care • identify the needs of chronically/terminally ill patents and family care
givers
• determine the type of support given to family care givers and patients by
professional health care providers and make recommendations for the
improvement of home-based care
• develop a model to prepare family care givers
The research design combined quantitative and qualitative research methods.
A sample of convenience was used to obtain information from patients'
family care givers and professional health care providers. Interviews and
questionnaires were used.
A proposed care giving preparedness model is presented to meet needs of
the family care givers.
The study found that family care givers needs are neither known nor
catered for by the professional health care provider. The family care givers
were not adequately prepared before adopting the care-giving role.
It is recommended that
• The proposed preparedness care giving training model is considered for
training of patients and family care givers before discharge and during
HBC.
• Increase patients and family care givers decision-making / Health Studies / D.Litt. et Phil. (Health Studies)
|
| 197 |
Honouring sacred spaces : voicing stories of terminal illnessScrimgeour, Elizabeth 30 November 2002 (has links)
The marginalisation of palliative and pastoral care practices by conventional approaches to care for terminally ill patients, motivated the research curiosity. The significance of terminal patient's spirituality,
their language practices and communities of concern are endorsed as being the major contributing factor to meaningful 'living' with terminal illness.
Listening to stories has been the qualitative research practice, revealing meaning-making, quest stories. Feminist theology and post-modern ideas and discourses have assisted me, and the participants, in the
deconstruction of power, patriarchy and dualism as the primary contributing factors to marginalisation of people due to illness, race, gender, poverty, culture and education. Pastoral care practices and feminist theology have guided us to emphasise the necessity to recognise the God of Grace as an important part to ensuring holistic patient care.
Recognising the 'God-Self, respectful narrative and pastoral care practices paved the way to honour sacred spaces and voice stories of terminal illness. / Philosophy, Practical and Systematic Theology / M.Th (Specialisation Pastoral Therapy)
|
| 198 |
Die Begleitung von Schwerkranken und Sterbenden unter Berücksichtigung des Copingmodells von Richard S. Lazarus und dessen Bedeutung für die Seelsorgearbeit = Pastoral counselling of seriously ill and dying humans with regard to the "coping model" by Richard S. Lazarus and its significance for spiritual guidance / Pastoral counselling of seriously ill and dying humans with regard to the "coping model" by Richard S. Lazarus and its significance for spiritual guidanceMenn, Gerhard 07 December 2007 (has links)
Text in German / Forschungsgegenstand dieser Arbeit ist das Bewältigungsverhalten von schwer kranken und
sterbenden Menschen, die in einer Gesellschaft ihren bevorstehenden Tod bewältigen müssen,
die ambivalent mit dieser Thematik umgeht. Die unterschiedlichen menschlichen Bewältigungsformen
können mit den bisher gängigen Zugangswegen über Phasenmodelle nicht
immer befriedigend erklärt werden. Hilfreich erscheint hier das aus der Stressforschung
stammende Copingmodell von Richard S. Lazarus und seiner Forschungsgruppe, um Menschen
verstehen zu lernen. In wieweit dieses Verstehensmodell aus einem säkularen Forschungszweig
für die Seelsorgearbeit unterstützend sein kann, soll in dieser Arbeit geklärt
werden. Als Grundlage dienen Seelsorgegespräche mit unterschiedlichen Menschen, die eine
große Bandbreite an Bewältigungsverhalten demonstrierten. Die Herausforderung lag darin,
Menschen in ihrem Sterben umfassend wahrzunehmen, um möglichst viele Impulse zu erkennen,
die ihr Bewältigungsverhalten beeinflussten. Aus der Aufarbeitung dieses Verhaltens
ergaben sich Perspektiven für die Begleitung sterbender Menschen. Dies hat gleichbedeutend
Konsequenzen für den seelsorgerlichen Umgang mit Sterbenden. Das Wissen um
das christlich-biblische Menschenbild und die umfassende Kenntnis der Copingforschung
können sich durchaus gegenseitig befruchten, denn beide gehen auf die Individualität des
Menschen ein und unterstützen ihn seinen eigenen Zugang zu seinem Leben und seinem Tod
finden zu lassen. Dies führt letztlich zu einer intensiven Kommunikation zwischen Patient
und Seelsorger, der den Mut und das Vertrauen haben darf, dem Sterbenden eigenständig
sein Leben bewältigen zu lassen. Die Ansätze der Copingforschung bieten weitreichende
Impulse für vielfältige seelsorgerliche Fragestellungen auch außerhalb der Sterbebegleitung.
Object of research of this thesis is the specific behaviour of seriously ill and dying humans
coping with their impending death and being members of a society having an ambivalent attitude
towards death. People's different and individual ways of coping cannot always be sufficiently
explained by the current use of phasing models. In this context the "Coping Model"
by Richard S. Lazarus and his stress research group seems to be helpful in understanding
dying humans. In how far this comprehension model from a secular branch of research can
be supportive of pastoral counselling is the objective of this thesis. Counselling dialogues
with different persons who show a wide range of coping form the basis of this research. The
challenge of this paper was to observe and sense humans in their death experiences from a
broader point of view in order to identify as much as possible kinds of impulses crucial to
their coping behaviour. Analysing the behaviour of dying humans led to new perspectives
on spiritual guidance. Tantamountly, this has its consequences for spiritual dealing with dying
humans. The comprehension of the biblical Christian idea of man and a detailed knowledge
of coping research can, by all means, be interactive and thus show positive results as
both respond to a person's individuality and support them in their own ways of approach to
life and death. Finally, this leads to an intensive dialogue between patient and pastor who
can have the courage and the confidence in letting the person find his own way of coping.
The different kinds of approach of the coping model research offer far-reaching impulses to
various pastoral questions going even beyond terminal care. / Philosophy, Practical & Systematic Theology / D.Th. (Practical Theology)
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| 199 |
Begleitung von Schwerkranken und Sterbenden unter Berücksichtigung des Copingmodells von Richard S. Lazarus und dessen Bedeutung für die Seelsorgearbeit / Pastoral counselling of seriously ill and dying humans with regard to the "coping model" by Richard S. Lazarus and its significance for spiritual guidanceMenn, Gerhard 07 December 2007 (has links)
Text in German / Forschungsgegenstand dieser Arbeit ist das Bewältigungsverhalten von schwer kranken und
sterbenden Menschen, die in einer Gesellschaft ihren bevorstehenden Tod bewältigen müssen,
die ambivalent mit dieser Thematik umgeht. Die unterschiedlichen menschlichen Bewältigungsformen
können mit den bisher gängigen Zugangswegen über Phasenmodelle nicht
immer befriedigend erklärt werden. Hilfreich erscheint hier das aus der Stressforschung
stammende Copingmodell von Richard S. Lazarus und seiner Forschungsgruppe, um Menschen
verstehen zu lernen. In wieweit dieses Verstehensmodell aus einem säkularen Forschungszweig
für die Seelsorgearbeit unterstützend sein kann, soll in dieser Arbeit geklärt
werden. Als Grundlage dienen Seelsorgegespräche mit unterschiedlichen Menschen, die eine
große Bandbreite an Bewältigungsverhalten demonstrierten. Die Herausforderung lag darin,
Menschen in ihrem Sterben umfassend wahrzunehmen, um möglichst viele Impulse zu erkennen,
die ihr Bewältigungsverhalten beeinflussten. Aus der Aufarbeitung dieses Verhaltens
ergaben sich Perspektiven für die Begleitung sterbender Menschen. Dies hat gleichbedeutend
Konsequenzen für den seelsorgerlichen Umgang mit Sterbenden. Das Wissen um
das christlich-biblische Menschenbild und die umfassende Kenntnis der Copingforschung
können sich durchaus gegenseitig befruchten, denn beide gehen auf die Individualität des
Menschen ein und unterstützen ihn seinen eigenen Zugang zu seinem Leben und seinem Tod
finden zu lassen. Dies führt letztlich zu einer intensiven Kommunikation zwischen Patient
und Seelsorger, der den Mut und das Vertrauen haben darf, dem Sterbenden eigenständig
sein Leben bewältigen zu lassen. Die Ansätze der Copingforschung bieten weitreichende
Impulse für vielfältige seelsorgerliche Fragestellungen auch außerhalb der Sterbebegleitung.
Object of research of this thesis is the specific behaviour of seriously ill and dying humans
coping with their impending death and being members of a society having an ambivalent attitude
towards death. People's different and individual ways of coping cannot always be sufficiently
explained by the current use of phasing models. In this context the "Coping Model"
by Richard S. Lazarus and his stress research group seems to be helpful in understanding
dying humans. In how far this comprehension model from a secular branch of research can
be supportive of pastoral counselling is the objective of this thesis. Counselling dialogues
with different persons who show a wide range of coping form the basis of this research. The
challenge of this paper was to observe and sense humans in their death experiences from a
broader point of view in order to identify as much as possible kinds of impulses crucial to
their coping behaviour. Analysing the behaviour of dying humans led to new perspectives
on spiritual guidance. Tantamountly, this has its consequences for spiritual dealing with dying
humans. The comprehension of the biblical Christian idea of man and a detailed knowledge
of coping research can, by all means, be interactive and thus show positive results as
both respond to a person's individuality and support them in their own ways of approach to
life and death. Finally, this leads to an intensive dialogue between patient and pastor who
can have the courage and the confidence in letting the person find his own way of coping.
The different kinds of approach of the coping model research offer far-reaching impulses to
various pastoral questions going even beyond terminal care. / Philosophy, Practical and Systematic Theology / D.Th. (Practical Theology)
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| 200 |
Spirituelle Bedürfnisse am Lebensende: eine praktisch-theologische Studie zu Patienten mit ambulanter palliativmedizinischer Betreuung / Spiritual needs at the end of life: a practical theological study of outpatient palliative care patientsTreis, Judith Emma 01 1900 (has links)
Text in German, with German, English and Southern Sotho summaries / Includes bibliographical references (leaves 149-153) / Die praktisch-theologische Studie untersucht spirituelle Bedürfnisse von ambulanten Palliativpatienten. Dazu wurden Fokusgruppendiskussionen mit Teams aus der ambulanten Palliativversorgung in Nordhessen durchgeführt und diese nach ihren Erfahrungen und Beobachtungen gefragt. Theoretische Grundlagen zur Spiritualität im Kontext der Palliativversorgung bilden den Rahmen zur Auswertung der empirischen Masterarbeit mittels qualitativer Inhaltsanalyse.
Der Befund zeigt, dass das Erkennen von spirituellen Bedürfnissen bei Patienten die Teammitglieder mehrheitlich vor Herausforderungen stellt und multiple Verunsicherung sowie Probleme im Umgang bestehen. Außerdem prägen persönliche Überzeugungen ihre Wahrnehmung maßgeblich. Die beobachtete Spiritualität ist überwiegend kirchlich geprägt und beruht auf christlichen Elementen wie Gebete, Glauben oder Begleitung durch PfarrerInnen. Teammitglieder sprechen zudem Begegnungen, „Dasein“ und (Kirchen)Musik eine spirituelle Dimension zu. Es gibt auch Patienten, die keine spirituellen Bedürfnisse haben oder derartiges ablehnen.
Die Praktische Theologie könnte zukünftig als bedürfnisorientierte Kompetenzgeberin dienen, damit Mitarbeitende aus dem Gesundheitssystem befähigt werden, spirituelle Bedürfnisse ihrer Patienten wahrzunehmen, zu reflektieren und ihnen angemessen zu begegnen. / This practical theological study examined the spiritual needs of outpatient palliative care patients. Focus group discussions were conducted with outpatient palliative care teams. They were asked about their experiences and observations. Theoretical foundations of spirituality and palliative care formed the framework for the evaluation of empirical research by using qualitative content analysis.
Findings show that recognition of spiritual needs in patients poses a challenge to the majority of team members, as well as insecurities and problems in dealing with them. The observed spirituality is predominantly ecclesiastical and based on Christian elements such as prayers, faith and accompaniment by pastors. Team members address encounters, "being" and music as spiritual dimensions. There are also patients who have no spiritual needs.
In future, practical theology could serve as a needs-based provision of competences, so that employees of health systems can be empowered to perceive, reflect on and adequately respond to the spiritual needs of their patients. / Boithuto jwa thutobomodimo bo tlhatlhobile ditlhokwa tsa semoya tsa balwetse ba tlhokomelo ya malwetse a bofelelo ya kalafo ya balwetse ba kwa ntle. Dipuisano tsa setlhopha tsa tsepamo di ne tsa dirwa ka ditlhopha tsa tlhokomelo ya malwetse a bofelelo a kalafo ya balwetse ba kwa ntle. Ba ne ba bodiwa ka maitemogelo le ditemogo tsa bona. Metheo ya thutobomodimo le tlhokomelo ya malwetse a bofelelo di bopile letlhomeso la tlhotlhwafatso ya patlisiso ya mmatota ka go dirisa tshetshereganyo ya diteng tsa boleng.
Dipatlisiso di bontsha fa kamogelo ya ditlhokwa tsa semoya mo balwetseng e tlisa kgwetlho mo bontsing jwa ditokololo tsa setlhopha, ga mmogo le go sa itshepeng go gontsi le mathata a go samagama le tsona. Bosemoya jo bo bonwang bontsi ke jwa sekeresete, mme bo ikaegile ka dielemente tsa Bokeresete jaaka dithapelo, tumelo le tshwaragano le baruti. Ditokololo tsa setlhopha di bua ka ga dikgolagano, "go nna" le mmino jaaka ditekanyo tsa semoya. Gape go na le balwetse ba ba se nang ditlhokwa tsa semoya. / Philosophy, Practical and Systematic Theology / M. Th. (Practical Theology)
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