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Peaceful End of Life Nursing Theory by Cornelia Ruland and Shirley Moore

Peaceful End of Life Nursing Theory by Cornelia Ruland and Shirley MoorePeaceful End of Life Nursing Theory by Cornelia Ruland and Shirley MooreWhat need to be cover on PowerPoint.ContentCovers primary elements of theoryContains definitions of person, environment, health, and nursingDiscusses how the theory is used in nursing practiceAccurate and current informationIncludes diagram or graphic of theoryShows evidence of critical thinkingOrganizationWell organized with introduction, body, & conclusionGood transitionsIntroduction includes attention-getterLogical progression and connectionsConclusion includes summary and closureORDER A PLAGIARISM-FREE PAPER HEREDeliveryClear, precise and appropriate word usageArticulate and expressiveLevel appropriate for audienceMaintains audience interest/responds to cues from listenersFree of distracting mannerismsAvoids reading from notes or over-reliance on written materialEnthusiasmCreativityReference ListUses a variety of appropriate referencesBooks, journals, websites, etc.Correct APA formatPeaceful End of Life Nursing Theory by Cornelia Ruland and Shirley Moore Graphic RepresentationIncludes principle elementsof the theoryClearNeed a PowerPoint 12 pages on the following nursing theory   Peaceful end of life by Cornelia Ruland and Shirley Moore. APA format with reference.All references must be with in the last 5 years and different sources most be used. PLEASE SEE ATTACHMENT FOR EXAMPLE OF WHAT IT IS SUPPOSE TO LOOK LIKE. Peaceful End of Life NURSING Theory.Yadira Abstengo ASNInternational college of Health SciencesNursing Theory ClassProf. Nataly BermudezAugust 2020Peaceful End of Life Nursing TheoryThe Peaceful End of Life theory (PEOL) is classified as a medium-range theory. It was developed in 1998 by Cornelia Ruland and Shirley Moore.Peaceful End of Life Nursing Theory by Cornelia Ruland and Shirley MooreThis middle-range theory is more circumscribed and substantially specific, allowing’s nursing professionals to discover the complexity of caring for a terminally ill patient and how they can contribute to a quiet end of life.MAJOR ASSUMPTIONSPeaceful End of Live theoryThis middle-range theory does not address each metaparadigm concept. The theory explicitly explains nursing and person.Person: The experiences and felling at the end of life are personal and individualized.Nursing: Nursing care is crucial to understand the end-of-life patients’ experiences. Their interventions are essential to maintain a peaceful experience appropriately, even if the patient is not able to communicate verbally.Family: This is included because of the importance of all significant others have in the end-of-life patient’s care.The Theory of the Peaceful End of Life has its nursing goal “the best possible care will be provided through the judicious use of technology and comfort measures to enhance the quality of life and achieve a peaceful death” (Ruland & Moore, 1998)METHAPARADIGMNURSING CAREPERSON AT THE END OF THEIR LIFEFamily and other relativesThe Five Significant Concepts in the Peaceful End of Life Theory.Five significant concepts were identified: Not being in pain, experiencing comfort, experiencing dignity and respect, closeness to significant others, and being in peace.Expert nurses created The peaceful end-of-life standards in response to a lack of direction for managing the complex care of terminally ill patients.Peaceful End of Life Nursing Theory by Cornelia Ruland and Shirley MooreThe nurses most important role is to identify patients’ cues that indicate the process of dying in not peaceful and intervene appropriately (Ruland & Moore,1998)Theoretical Assertions and PropositionsAccording to Ruland & Moore, the relational statements identified as theoretical assertions for theory as follows:A. Monitoring and administering pain relief and applying pharmacological or non-pharmacological interventions contribute to the patient’s experiences of not being in pain.B. Preventing, monitoring and relieving physical discomfort, facilitating rest, relaxation and contentment, and preventing complications contribute to the patient’s experience of comfort.C. Including the patient and significant others in decision making regarding patient care, treating the patient with dignity, empathy and respect, and being attentive to the patient’s expressed needs, wishes, and preference contribute to the patient’s experience of dignity and respect.D. Providing emotional support, monitoring and meeting the patient’s expressed needs for anti anxiety medications, inspiring trust, providing the patient and significant others with guidance in practical issue, and providing physical preference of another caring person if desired contribute to the patient’s experience of being at peace.E Facilitating participation of significant others’ grief, worries, and questions, and facilitating opportunities for family closeness contribute to the patient’s experience of closeness to significant others or person who care.Relevance of Peaceful End of Life theory into the Nursing PracticeDeath is a common phenomena in nursing practice. Terminally ill patients demand compassionate care not curative treatment that is the importance of the nursing palliative care.Help terminally ill patients and families find closure and peace during the final time of life treat them with dignity, respect and empathy.Peaceful End of Life Nursing Theory by Cornelia Ruland and Shirley MooreNurses can play a vital role in preparing patient and families for transition in treatment and to find a peaceful end.Nurses can bridge the communication gap between patient, family and physician during end of life care decisions they can promotes and advocates for rights of dying patient.We have unique relational bond with the patient and family to improve individualized patient’s needs, Individualized care planning .Application of Peaceful End of Life theory into the Nursing PracticeThe theory cover multiples aspect of PEOL care:During the dying process. : Most essential Nursing interventions:Pain assessment, and minimizing invasive painful procedures, therapeutic touch.final sedation for intractable suffering, breves interruption of sedative treatment to promote patient-family interactionKeeping continue communication with patient and family and Sharen the decision-making processMotivating family to keep talking to the patient, explaining that it’s the last sense to loss,Improving hygiene care, positioning, clean odor free environmentSymptoms management: dyspnea, agitation, nausea, vomitus,Providing emotional support and empathy,Respect patients and families cultures and believes,Permit the family to pray or do any different cultural ritualsApplication of Peaceful End of Life theory into the Nursing PracticeDuring the Care after death process:Peaceful End of Life Nursing Theory by Cornelia Ruland and Shirley MooreNursing interventions:Involves family members is decision makingsRespect and dignity for the body,Facilitating organ donation process,Doing culturally sensitive last interventionsThe primary importance of this theory and its applicability is most in the nursing palliative care field. The theory has some generalization limitations related to time, setting, and patient populationReferencesAlligood M.R. (2018). Nursing Theorists and Their Work. 9th ed. St. Louis, MO: Elsevier,Ruland, C. M., & Moore, S. M. (1998). Theory construction based on standards of care: A proposed theory of the peaceful end of life. Nursing Outlook, 46[4], 174. doi:10.1016/s0029-6554(98)90069-0Zaccara, A. A. L, Costa, S. F. G., Nóbrega, M.M.L, França, J. R F, Morais, G.S,N, & Fernandes, M. A (2017). A ANALYSIS AND ASSESSMENT OF THE PEACEFUL END OF LIFE THEORY ACCORDING TO FAWCETT’S CRITERIA. Texto & Contexto – Enfermagem, 26(4), e2920017. Epub January 08, 2018. doi.org/10.1590/0104-07072017002920017. Peaceful End of Life Nursing Theory by Cornelia Ruland and Shirley Moore

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