ABSTRACT
Este artículo identifica los elementos más significativos del proceso de atención enfermera a los últimos días y horas de vida en el contexto de una enfermedad en situación terminal previamente diagnosticada. Para ello se revisan las principales guías clínica de cuidados integrales y, en especial, la diseñada por el Hospital San Juan de Dios de Sevilla. Se concluye que es necesario saber identificar la fase de agonía para aplicar, en consecuencia, un plan asistencial predeterminado capaz de responder de forma personalizada a las necesidades específicas que se presentan en las últimas horas de la vida de un paciente en situación terminal. La actuación interprofesional continuada y coordinada sobre el paciente y la familia siguiendo estándares normalizados permite el logro de una muerte en paz y libre de un sufrimiento evitable (AU)
This article identifies the most significant elements of the process of nurse attention to the last days and hours of life in the context of a disease previously diagnosed like a terminal situation. For this object, we have reviewed the main clinical guidelines on comprehensive care and, especially, the guideline that was designed by the Saint John of God Hospital in Seville. We conclude that it is necessary to know how to identify the phase of agony to apply, therefore a default care plan that allows to respond customized to the specific needs that occur in the last hours of the life of a terminal patient. A continued and coordinated interprofessional assistance to patient and family following standardized standards allows achieving a peaceful death and free from avoidable suffering (AU)
Subject(s)
Humans , Male , Female , Terminally Ill/psychology , Hospice and Palliative Care Nursing/instrumentation , Hospice and Palliative Care Nursing/methods , Hospice and Palliative Care Nursing/trends , Nursing Care , /psychology , Hospice and Palliative Care Nursing/organization & administration , Hospice and Palliative Care Nursing/standards , Deep SedationABSTRACT
Health professional daily confront the pain and suffering persons who need our help undergo. From a nurse's methodology this article describes a new perspective about nurses' role regarding total pain, employing as a tool to deal with this topic the AREA holistic pain model, a model which centers on the person and his/her family permanently seeking results derived from a plan which joins together all treatments and based on the creation of a reasoning network that will provide prioritized nursing diagnoses.
Subject(s)
Pain/nursing , Humans , Nursing ProcessABSTRACT
Los profesionales de la salud a diario nos enfrentamos con el dolor y el sufrimiento de personas que necesitan de nuestra ayuda. Este artículo realiza, desde la metodología enfermera, un nuevo planteamiento sobre el rol de la enfermería en el dolor total, utilizando como herramienta para un abordaje holístico del dolor el modelo AREA (Análisis del Resultado del Estado Actual), modelo centrado en la persona y su familia, con la búsqueda permanente de resultados derivados de la planificación conjunta de los cuidados y basado en la creación de la red de razonamiento que darán lugar a los diagnósticos enfermeros prioritarios(AU)
Health professional daily confront the pain and suffering persons who need our help undergo. From a nurses methodology, this article describes a new perspective about nurses role regarding total pain, employing as a tool to deal with this topic the AREA holistic pain model, a model which centers on the person and his/her family, permanently seeking results derived from a plan which joins together all treatments and based on the creation of a reasoning network that will provide prioritized nursing diagnoses(AU)
