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Spoštovanje dostojanstva umirajočih : diplomsko delo
ID Vrhovšek, Katarina (Author), ID Ovijač, Darja (Mentor) More about this mentor... This link opens in a new window, ID Mlinar, Suzana (Reviewer)

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Abstract
Uvod: Človekovo dostojanstvo je temeljna vrednota demokratične in pravne države, ki pripada vsakemu posamezniku, ne glede na njegovo politično in ideološko usmerjenost. Paliativna oskrba nudi celostno in neprekinjeno oskrbo pacientu z napredujočo neozdravljivo boleznijo v času bolezni, ob smrti in v obdobju žalovanja. Pravica do ohranjenega dostojanstva se v času umiranja ne sme zmanjšati. Namen: Namen diplomskega dela je opredeliti in predstaviti pojem dostojanstva v zvezi z umirajočimi. Metode dela: Uporabljena je bila deskriptivna metoda dela s sistematičnim pregledom strokovne in znanstvene literature. Za iskanje literature smo uporabili časovni okvir od leta 2012 do 2022. Literaturo smo iskali v slovenskem in angleškem jeziku v podatkovnih bazah MEDLINE, CINAHL, diKul, Google Scholar in Science Direct. Obdobje iskanja literature je bilo od septembra do decembra 2022. V končni analizi je bilo vključenih 10 člankov. Rezultati: S pregledom literature smo ugotovili, da pacienti pojem dostojanstvo težko definirajo, a ga povežejo s spoštovanjem, zaupanjem in iskrenostjo. Pacienti doživljajo okrnjeno dostojanstvo pri pomanjkanju zasebnosti, poslabšanem zdravstvenem stanju in slabi finančni ter socialni situaciji. Medicinske sestre ohranjajo dostojanstvo pri pacientu tako, da spoštujejo pacienta, z njem gradijo zaupljiv in iskren odnos, mu zagotavljajo zasebnost, pri umirajočih pa upoštevajo pacientove želje ob zadnjih trenutkih življenja in lajšajo bolečine. Pri spoštovanju dostojanstva pa lahko pride do nekaj ovir; do okrnjenega dostojanstva umirajočih v bolnišnici lahko pride zaradi pomanjkanja izobraženega kadra, obilice administrativnega dela in prenapolnjenosti oddelkov. Razprava in zaključek: Dostojanstvo je človekova pravica, ki pripada vsakemu posamezniku, ne glede na spol, raso, starost ali versko prepričanje. Paliativna oskrba nudi celostno oskrbo pacientu z napredujočo neozdravljivo boleznijo. Temeljni cilj paliativne oskrbe je, da življenja ne podaljšujemo, temveč poskrbimo, da pacient zadnje trenutke preživi kar se da kakovostno in brez bolečin. Medicinska sestra mora dobro poznati temelje paliativne oskrbe, biti mora spretna pri komunikaciji s paliativnim pacientom, biti mora sočutna in predana, poskrbeti mora, da so pacientu zagotovljene fizične in psihične potrebe.

Language:Slovenian
Keywords:diplomska dela, zdravstvena nega, dostojanstvo, paliativna oskrba, umirajoči, spoštovanje, medicinske sestre
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[K. Vrhovšek]
Year:2023
Number of pages:23 str.
PID:20.500.12556/RUL-146727 This link opens in a new window
UDC:616-083
COBISS.SI-ID:155066115 This link opens in a new window
Publication date in RUL:09.06.2023
Views:1070
Downloads:152
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Secondary language

Language:English
Title:Respecting dignity among dying : diploma work
Abstract:
Introduction: Human dignity is a fundamental value of a democratic and legal state, which belongs to every individual, regardless of their political and ideological orientation. Palliative care provides comprehensive and continuous care to a patient with a progressive incurable disease during illness, at death and during the period of mourning. The right to preserved dignity must not be diminished at the time of dying. Purpose: The purpose of the thesis is to define and present the concept of dignity in relation to the dying. Methods: A descriptive work method was used with a systematic review of professional and scientific literature. For the literature search, we used the time frame from 2012 to 2022. We searched for literature in Slovenian and English in the databases MEDLINE, CINAHL, diKul, Google Scholar and Science Direct. The literature search period was from September to December 2022. 10 articles were included in the final analysis. Results: By reviewing the literature, we found that patients find it difficult to define the concept of dignity, but associate it with respect, trust and sincerity. Patients experience diminished dignity due to lack of privacy, deteriorating health and poor financial and social situation. Nurses preserve the dignity of the patient by respecting the patient, building a trusting and sincere relationship with him, ensuring his privacy, and in the case of the dying, they take into account the patient's wishes at the last moments of life and relieve pain. However, there may be some obstacles to respect for dignity; the reduced dignity of the dying in the hospital can occur due to the lack of educated staff, the abundance of administrative work and the overcrowding of the wards. Discussion and conclusion: Dignity is a human right that belongs to every individual, regardless of gender, race, age or religious belief. Palliative care provides comprehensive care to a patient with a progressive incurable disease. The fundamental goal of palliative care is not to prolong life, but to make sure that the patient spends the last moments as well as possible without pain. A nurse must know the basics of palliative care well, must be skilled in communicating with a palliative patient, must be compassionate and dedicated, must ensure that the patient's physical and psychological needs are met.

Keywords:diploma theses, nursing care, dignity, palliative care, dying, respect, nurses

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