Yaşam Sonu Bakımda Onurun Korunması

Öz

Yaşam her döneminde değerli, biricik ve özeldir. Özellikle son dönem hastalarının hastalık süreci, tedaviler, semptomlar ve kompleks bakım ihtiyacı doyasıyla özel haklara ve desteğe ihtiyaç duymaktadır. Son dönem hastalarının haklarının başında ölüme uğurlanırken haysiyetini ve onurunu koruyarak, bedensel manevi ve sosyal bütünlüğünü destekleyerek veda etme hakkı gelmektedir. Hastalar aldıkları sağlık hizmeti içinde en sık temasta bulundukları hemşirelerden en kaliteli ve en kapsamlı bakım hizmetini almayı hak etmekte ve hemşireler bu anlamada özel bilgi, deneyim ve donanıma sahip olmalıdır. Ölüm her canlının tadacağı bir süreçtir ve geri döndürülemez bu anlar insan onuruna yakışır şekilde noktalanmalıdır. Bu makalenin amacı son dönem hastalarının son ana kadar onuruna yakışır şekilde bakım almasını sürdürmektir. Onur kavramının anlaşılamadığı, sosyal politika, felsefi veya dini düşünceler çerçevesinde üzerinde daha derin düşünülmesi gerektiği görülmektedir. Bu sebeple, birçok palyatif bakım hizmeti veren kurum ve sağlık personelinin insan onurunu korumaya yönelik bakım sunmayı amaçlamasına rağmen nasıl ulaşılacağı hakkında bir rehber olan çok az ampirik veri bulunmaktadır. Onur Modeli yeni bilimsel araştırmalara öncü olarak kullanılabilir bir modeldir. Hemşirelerin de bu alana yönelik Türkçe geçerliği yapılmış envanterler geliştirerek alana katkı sağlaması önerilmektedir.

Anahtar Kelimeler

• hemşirelik
• onurlu ölüm
• yaşam sonu bakım

Maintaining Dignity in End-of-Life Care

Öz

Life is precious, unique, and special. Especially end-of-life patients need special rights and support due to the disease process, treatments, standards, and complex care needs. End-of-life patients have the right to say goodbye in their journey with protecting their dignity and honor, and supporting them in the spiritual and social environment. Patients deserve to receive the highest quality and comprehensive care service from the times. They're in contact with nurses mostly in end-of-life so nurses should have special knowledge, experience, and equipment. Everyone will taste death so these irreversible moments must be ended in a way human dignity. The aim of this study is to preserve dignity in the care that can be given to end-of-life patients. It's seen that the concept of honor can't be understood and it should be considered more deeply within the framework. lthough palliative services aim to provide these cares with the aim of the human dignity of caregivers and health personnel, there is little empirical data to guide how to achieve them. The Honor Model is a model that can be used as a pioneer in new scientific research. It manages to develop inventories validated in Turkish for the nurses.

Anahtar Kelimeler

• nursing
• dying with dignity
• end-of-life care

Kaynakça

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