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Komunikacija medicinske sestre z neozdravljivo bolnim pacientom : diplomsko delo
ID Perčič, Petra (Author), ID Thaler, Darja (Mentor) More about this mentor... This link opens in a new window

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Abstract
Uvod: O neozdravljivi bolezni govorimo, ko je zadnja faza bolezni umiranje in smrt. S takšno diagnozo se je težko soočiti, zato morajo pri tem s pogovorom pomagati medicinske sestre in pacienta spodbujati k iskanju smisla in sodelovanju. Velik pomen ima tudi komunikacija s svojci pacienta in njegovimi bližnjimi, saj so preživeli veliko časa s to osebo in jo najbolje poznajo, pomembna pa je tudi zato, da se na smrt bližnjega čim bolj pripravijo. Namen: Namen diplomskega dela je predstaviti pomembnost komunikacije s pacientom in njegovimi svojci o bolezni in možnih izidih le te. Metode dela: Uporabili smo deskriptivno metodo dela z iskanjem literature v podatkovnih bazah: CINAHL, Medline, SAGE Journals, COHRANE Library in COBBISS.SI, in sicer s ključnimi besedami: sprejemanje bolezni, soočanje s smrtjo, vloga medicinske sestre, pomen komunikacije, strah, pogovor s svojci. Naredili smo vsebinsko analizo. Rezultati: Pacient z neozdravljivo boleznijo se o tej temi navadno boji razpravljati. Zato je naloga medicinske sestre, da vodi pogovor, ga delno usmerja ter stalno skrbi za dobro počutje pacienta. Vključevanje svojcev v te pogovore pa je najlažje izvedljivo z družinskim sestankom, pri katerem so vsi enakovredni. Pri komunikaciji se lahko pojavijo ovire, saj je velikokrat prisoten strah, da bomo pri pacientu vzbudili žalost in nelagodje. Te ovire je potrebno premagovati, da pridemo do želenega cilja in informacij, kar je najlažje doseči z dobrimi komunikacijskimi sposobnostmi. Razprava in zaključek: Cilj medicinske sestre pri neozdravljivo bolnem pacientu je, da bi čim bolj užil preostali čas ter da se ne bi bal smrti in tem, povezanih z njo. Če želimo to doseči, pa se je s pacientom potrebno o vsem skupaj čim več pogovarjati in mu pomagati poiskati želje, ki jih ima glede preostalega časa. Kvalitetno komuniciranje brez ovir in strahov je ključnega pomena in nujno potrebno tudi za pripravo svojcev na najhujše. Zato je pomembna odprta komunikacija med vsemi.

Language:Slovenian
Keywords:neozdravljiva bolezen, soočanje svojcev z boleznijo, vloga medicinske sestre, pogovor s pacientom, vprašanja o smrti, odprta komunikacija
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Year:2019
PID:20.500.12556/RUL-109578 This link opens in a new window
COBISS.SI-ID:5674859 This link opens in a new window
Publication date in RUL:06.09.2019
Views:2666
Downloads:479
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Secondary language

Language:English
Title:Communication of a nurse with an incurable patient : diploma work
Abstract:
Introduction: We talk about an incurable disease when the last stage of the disease is dying and death. It is difficult to cope with such a diagnosis, and in doing so, nurses need to help and encourage the patient to find meaning and co-operation. Communication with the patient's relatives and his / her loved ones also has great importance because they spend a lot of time with this person and know her best. It is also important for them to be prepared as possible to death of relatives. Purpose: The purpose of the diploma work is to present the importance of communication with the patient and relatives about his illness and possible outcomes. Methods: We used a descriptive method of work by searching literature in databases: CINAHL, Medline, SAGE Journals, COHRANE Library and COBBISS.SI with help of key words: accepting the disease, facting death, the role of the nurse, the importance of commnication, fear, talking with relatives. A substantive analysis is made. Results: A patient with an incurable disease is usually afraid of discussing this topic. Therefore, it is the task of a nurse to conduct a conversation, partly direct it, and constantly care for the well-being of the patient. The involvement of relatives in these conversations is, however, the easiest possible through a family meeting, in which everyone is equal. Obstacles may occur in communication, as there are often fears that we will put the patient in sadness and discomfort. These obstacles need to be overcome in order to reach the desired goal and information, and this is easiest with good communication skills. Discussion and conclusion: The goal of a nurse with an incurable illness patient is that he will enjoy the rest of his time as much as possible and that he would not be afraid of death and things related to her. If this is to be achieved, however, the patient needs to talk about it as much as possible and help him to find the wishes he has into the remaining time. Quality communication without obstacles and fears is crucial and it is also necessary to prepare the relatives to the worst. Open communication among all is important for this.

Keywords:incurable illnes, confrontation of relatives with, role of a nurse, talk with a patient, questions abouth death, open comunication

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