Kontakt 2009, 11(2):333-338 | DOI: 10.32725/kont.2009.053

Taking advantage of the theory of calm end of life in community careNursing

Alena Machová*, Gabriela Sedláková, Valérie Tóthová
Jihočeská univerzita v Českých Budějovicích, Zdravotně sociální fakulta, katedra ošetřovatelství

The article acquaints the reader with possibilities of using the conceptual model of the "Theory of the calm end of life" by the authors Cornelie M. Ruland and Shirley M. Moore in taking nursing care of patients at the terminal stage of their life within the framework of the hospice care.
In spite of the existing spontaneous development of medicine and nursing, the care for patients at the terminal stage of their disease is still insufficient in the Czech Republic. The World Health Organization puts emphasize on the development of community nursing, which practically means a shift of the nursing care from hospital to the patient's home environment. In the case of a terminally diseased patient, this means the community care provided in home environment. This form of care enables the family members and professional nursing personnel to satisfy all the needs of patients in their natural environment by the method of the nursing process.
In the Theory of the calm end of life, family is the basic structure (the patient at the terminal stage of life and all his/her close relatives) and the nursing care is given in cooperation with professionals in hospital as well as home environment. The nursing process is defined as nursing interventions aimed at the result: condition free from pain, feelings of comfort, feelings of dignity and respect, feeling conciliation and feeling of nearness of close relatives and caregivers. The same targets are established for the hospice care, since the authors of the model started from standards of nursing care for patients at terminals stage in the formation of the Theory of the calm end of life. The theory is based on empiric demonstrations coming from practical experience of professional nurses and detailed reviews of literature focused on the problem of patients at terminal stage.

Keywords: conceptual model; terminal stage; community care; pain; dignity; respect

Received: June 29, 2009; Accepted: November 16, 2009; Published: December 18, 2009  Show citation

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Machová A, Sedláková G, Tóthová V. Taking advantage of the theory of calm end of life in community care. Kontakt. 2009;11(2):333-338. doi: 10.32725/kont.2009.053.
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