...Peaceful End of Life Theory of C. Ruland and S. Moore I. Introduction a. Entire lives and careers are dedicated to postponing or avoiding death while caring for the living. Yet each day that passes, death is one day closer, unwavering. It is inevitable and unavoidable. Leaving loved ones behind creates sadness and shakes even the most stoic. Possibilities of pain evoke fear. Questioning faith, even the most devote become anxious when considering what has never been felt or seen. Ruland and Moore theorize that by easing the fears and anxieties, both real and/or perceived for the patient and family, nurses can create a more peaceful end of life, rather than simply complete the tasks at hand in the day to day when caring for the dying. II. Theory Perspective b. Defining “Peaceful” c. Dying is a personal experience and should never be alone. d. Five Outcome Indicators e. 16 Outcome Criteria III. Relationship to Nursing Practice f. Relevancy to Nursing i. Educate ii. Influence iii. Research g. Observe. Look, listen and feel h. Understand and Interpret i. Intervene with dignity, respect and empathy IV. Case Scenario V. Conclusion References Bjarnason, D. (2000, May). End-of-life care: Understanding and enhancing the nurse-patient dialogue. Retrieved May 3, 2011, from Proquest: http://proquest.umi.com/pqdweb?did=732206511&Fmt=2&clientId=14884&RQT=309&VName=PQD ...
Words: 277 - Pages: 2
...Single Quantitative Study (e.g., Randomized Controlled Trial, Nonrandomized Controlled Trial, Case-Control Study, Cohort Study) Template | Citation (APA) | (Uchiyama, Kurosawa, & Inaba, 2006) | Title | MMR Vaccine & Regression in Autism Spectrum Disorders: Negative Results Presented from Japan | Database Source (& ID number) | PubMed (PMID: 16865547) | Type of Evidence | Non-experimental cohort study/casual comparative research | Hierarchical Evidence Rating Level | Level 4 | Your Summary of the Study/Publication (use paraphrasing, not quotes) | What was the stated research question/objective of the study? | To evaluate the correlation between the MMR Vaccine and Autism Spectrum Disorders | What research methodology was used (e.g., RCT, Case-Control, Cohort)? | Cohort StudyCasual Comparative Research | Describe the sample (including size)? | 904 patients with Autism Spectrum Disorders | How was the sample selected (e.g., randomization, inclusion/exclusion criteria)? | Inclusion Criteria: Young children born between 1976-1999 from the Yokohama Psycho-Developmental Clinic (YPDC) Regression reported from questionnaireExclusion Criteria: Young children who received the MMR Vaccine in foreign countries, reports denying regression in questionnaire, and subjects parents who provided no response or information on the questionnaire regarding regression. | What methods were used for data analysis? | The study analyzed data from clients of the Yokohama...
Words: 870 - Pages: 4
...Discrete Structure To be submitted to: Mr. Roger Intong Faculty BITE DEPARTMENT CATHERINE PIANO BSIT2 DESIGN * ------------------------------------------------- Device type: * Tablet * ------------------------------------------------- OS: * Windows (8) * ------------------------------------------------- Dimensions: * 11.97 x 7.46 x 0.39 inches (304 x 189.4 x 9.9 mm) * Weight: * 26.46 oz (750 g) the average is 17.4 oz (496 g) DISPLAY * ------------------------------------------------- Physical size: * 11.6 inches * ------------------------------------------------- Resolution: * 1366 x 768 pixels * ------------------------------------------------- Pixel density: * 135 ppi * ------------------------------------------------- Technology: * LCD * ------------------------------------------------- Colors: * 16 777 216 * ------------------------------------------------- Touchscreen: * Multi-touch * Features: * Light sensor MULTIMEDIA * ------------------------------------------------- Music player: * Filter by: * Album, Artist * Features: * Album art cover, Background playback * Speakers: * Stereo speakers TECHNOLOGY * Data: * LTE, HSPA (unspecified) OTHER FEATURES * ------------------------------------------------- Sensors: * Accelerometer * Voice recording ...
Words: 1802 - Pages: 8
...to take a look at us today, this hour, this minute, this very second. Are we at peace with ourselves or with the individual next to us?Yes. So are we a peaceful species at heart? Yes. Don't mention the Egypt crisis please, thats a different issue and its just a minor percentage of the worlds' population. Yes throughout out history we have fought like maniacs, but are we peaceful deep inside? I think we could be, its just environmental factors or lack of knowledge in my view, like religion, race, territory, wealth and of course the natural factors like envy and jealousy, etc. We need people who can sit still and be able to smile, who can walk peacefully. We need people like that in order to save us. You are that person. I am that person. We are the peace the world needs. We are angels experiencing humanity. You wouldn't know it by current world events, but humans actually evolved to be peaceful, cooperative and social animals. Early man was not an aggressive killer nor fighter, he was a talker. It was just the natural instinct for survival. If they didn't hunt they would end up being cannibals and that's definitely not peaceful. Our intelligence, cooperation and many other features we have as modern humans developed from our attempts to out-smart the predator. Although great freedom fighters did use weapons to free life but the explicit idea and technique of non-violence evolved by Gandhiji was miraculous. Non-violence had been the strongest weapon through which the Indians...
Words: 749 - Pages: 3
...To what extent did the aims and methods of Martin Luther King differ from those of black power activists? There is no question that the aims and methods of Martin Luther King differed from those of Black Power activists. King was peaceful and wanted integration with whites while Black Power activists confronted violence and believed in black supremacism and separatism. But they were also similar in some ways, such as speaking out on the Vietnam War. The aims of king differed significantly from those of Black Power activists. The aims and methods of MLK did differ from those of Black Power activists. For example, King’s campaigns such as the Montgomery Bus Boycott in 1955 and Birmingham 1963 were very peaceful, despite facing violence. King was brought up by a rich black family, with a good education, and a good chance at life. He was a black aristocrat, and a wealthy man. King’s peaceful message was due to him being a devout Christian and believing in love for all mankind. As a result, they were successful because they drew on the support from white people. King also wanted integration with whites, which can be contributed to his ‘love your fellow man’ philosophy. This was clear in King’s March on Washington 1963, where both whites and blacks marched on Washington to hear speeches from civil rights leaders. King didn’t just want integration with whites, as shown in his Poor Peoples Campaign 1968. In this, King called for a coalition of blacks, native Americans, Hispanics...
Words: 1079 - Pages: 5
...not the destination". Millman The Journey Between Dan and Socrates is the focus in Peaceful warrior, a true story about Dan Millman. In the movie Dan has a strong ego that mixes with his pride. Until one man will show him all the Negative that he will need to let go of and turn his life around. However, the constant troubles that Dan is facing his Pride will get the most of him, which is one of the main theme in Peaceful Warrior. First in Peaceful Warrior Dan’s pride gets the best of him when he keep trying to do the impossible triple flip that no man can do. Since Dan is a very strong athlete he has the ability to do what he desire most. However, he uses his strength and pride to be better than his teammates in the gym. As Dan say, “ Better never begin; once begun, better finish”. Therefore, Dan is senseless about what he is doing . In that case Dan will still be head stuck through the movie until he learns....
Words: 614 - Pages: 3
...A dying man lying in the bed is begging his relatives to stop his life. This scene in a movie remains in my brain for several years. There is a famous sentence from Seneca, a great Roman orator, “if I must suffer without hope or relief, I will depart, not through fear of the pain itself, but because it prevents all for which I would live.” Euthanasia is a cure rather than a poison, for it bringing life a peaceful ending. Firstly, euthanasia embodies the respect to life. Some people believe that euthanasia violates the right of living. However, life is not equal to living. “If old age leaves me not life but breath, I will depart from the putrid or tottering edifice,” http://www.51lunwen.com/dxessay/ said Seneca. Life should be a condition of inner serenity and consciousness rather than a process of battling with uncured diseases with unbearable pain. As a result, when the ultimate end is as inevitable as it now appears to be, the individual should have the right to gain a peaceful ending. Secondly, euthanasia rescues not only the dying patients from pain, but also their relatives who are under serious mental and financial pressure. The opponents urge to stop the appliance of euthanasia to procrastinate death, when the dying patients who are suffering from unbearable pain may just feel the endless pain and torment. Francis Bacon used to say, “The duty of a doctor is not only to cure the patients, but also to ease their pain and sorrow.” On the other hand, the relatives...
Words: 482 - Pages: 2
...believed that peaceful protests were the key to fighting the evils of the day, such as racial segregation and discrimination. If violent and non-peaceful protests took precedence over peaceful ones, then the situation would only have grown worse. Violent protests would have proven that the African Americans were unequal to the Americans, and the racial discrimination would only have become worse. The use of nonviolent and peaceful protests showed that not all African Americans were bad people, and they were just looking for a better way of life. Eventually, Martin Luther King Jr. was able to help end racial discrimination, utilizing only peaceful...
Words: 463 - Pages: 2
...August 28th, 1963. Your oxford shirt is damp with sweat as the humid air of summer in D.C. sticks to your skin. Voices shout to the beat of feet marching in unison. The voices beg for freedom, beg for representation. You are surrounded by people you’ve never met but now, they feel like family. They understand you more than you thought anyone would be able to. You didn’t think it was possible for people to be different from you and still the same. None of you sound the same or walk in the same shoes any other day but today, you are one. You fight for the same thing. Today, you all stand together literally and make your voices heard in a world that wishes to make you invisible. 54 years later. January 28th, 2017. The air is cold and smells like...
Words: 687 - Pages: 3
...ENG 2D April 4, 2014 The Quiet Door One of the hardest tasks to accomplish in life is obtaining a sense of peace. In a disordered world that circles with fear and confusion, it is difficult to find. The concept faced and feared by all is the idea of death. It is not the act of dying that humankind desires to avoid, but the unknown beyond it. It is obvious through culture how the world fears death; movies, literature, and general behavior prove it. However, there are few who contradict the idea that death is dark and forbidding. In a poem called ‘Death is a Door,’ the author, Nancy Byrd Turner, writes, “Death is only a quiet door / in an old wall” (11-12). Some believe that death can be approached peacefully, rather than unwillingly. In the poem ‘Let Evening Come,’ Jane Kenyon uses various poetic devices, such as imagery, repetition, and symbolism, to create a peaceful mood. The peace the reader feels while reading the poem is the peace that can be adopted when crossing the threshold into death. Imagery is one of the most important literary devices a writer could use. Imagery allows the reader to become a part of the story and to interact with characters. Without imagery, there is no picture or setting, only empty words and actions that cannot be understood. The mood of a piece of writing can be created using imagery. In ‘Let Evening Come,’ Kenyon instills a peaceful mood by creating peaceful, comforting images in the reader’s mind. “Let the cricket take up chafing” (5), paints...
Words: 830 - Pages: 4
...There is no question that the aims and methods of Martin Luther King differed from those of Black Power activists. King was peaceful and wanted integration with whites while Black Power activists confronted violence and believed in black supremacism and separatism. But they were also similar in some ways, such as speaking out on the Vietnam War. The aims of MLK differed significantly from those of Black Power activists. The aims and methods of MLK did differ from those of Black Power activists. For example, King’s campaigns such as the Montgomery Bus Boycott in 1955 and Birmingham 1963 were very peaceful, despite facing violence. King’s peaceful message was due to him being a devout Christian and believing in love for all mankind. As a result, they were successful because they drew on the support from white people. In contrast, was Black Power Activists who some like Malcolm X, believed that blacks should defend themselves because it made them look weak and allowed whites to take advantage. Malcolm X wasn’t a Christian and so he didn’t believe in King’s Christian philosophy. This is a clear difference in both methods and ideology. King also wanted integration with whites, which can be contributed to his ‘love your fellow man’ philosophy. This was clear in King’s March on Washington 1963, where both whites and blacks marched on Washington to hear speeches from civil rights leaders. King didn’t just want integration with whites, as shown in his Poor Peoples Campaign 1968. In this...
Words: 971 - Pages: 4
...Bilbo Baggins Bilbo Baggins, one of the main characters of The Hobbit, he was a hobbit who lived a very peaceful, timid, and sheltered life before he was approached by Thorin and the dwarves. They invited him to go with them on some adventures. He was known as a respectable, humble, and an unadventurous hobbit by others. When Bilbo was approached to go on the adventures, he was reluctant to go at first; however, he wanted and found a new sense of adventure and excitement that he was missing previously in his life. During his early years as a hobbit, he always had a sense of curiosity and was eager to learn new things but he never did until later in life. Bilbo wanted to prove to himself that he was adventurous and he wanted to live his life to the fullest. He came out of his shell eventually and some of his earlier adventurous actions with the dwarves were somewhat wreck less and illegal and he lost some respect of others. He wanted to prove that he was capable of great things and he had heroic abilities of one who could help defeat the dragon or his opponents. He gained confidence in himself overtime. He also found himself in life threatening situations through out his adventures. These made him stronger physically as well as mentally. He became more self assured about his abilities as a fighter and adventurer. He changed over time because he learned to fight his fears, became more aggressive and clever. During his adventures, he acquired some treasures, became the ring bearer...
Words: 435 - Pages: 2
...when we aren’t burden with the outside world and still on the outskirts of reality, engulfed in a worry free peaceful zone. As the sleeper is in his peaceful state, the window is open and he hears the “cry of the pulleys” as laundry is being hung and what I envisioned also was him hearing the flapping of the laundry because he says “The morning air is all awash with angles”. That maybe the flapping laundry instead of awakening him even more, reminds him of the flapping wings of an Angel. As the sleeper is in the world of the Angels and harmony, consciousness eventually wins and the sleeper is now aware that it is just laundry flapping in the wind and nothing more. The soul is now descended back into it body and daily life. One then wonders why we would want to wake up from this blissful state of being and the answer to that I believe is love. Just like the title says “Love Calls Us to the Things of This World”. We do things for love and that is why the sleeper leaves the peaceful wondrous state and awakens to a new day. “Love Calls Us to the Things of this World” shows us how different the spiritual world and the real world can be. The man then goes to describe the thieves in the gallows should have clean linens for their backs, the lovers should go fresh and sweet and the heaviest nuns should walk as if floating. And at the end of these observation the man ends the poem with the line “Of dark habits, keeping their difficult balance” showing that difference does not have...
Words: 349 - Pages: 2
...should be granted when life has come to its last chapter and all that is sought is a peaceful passing. The decision between a physician and terminally ill patient to hasten their death should be accepted and granted. A terminal illness can be described as an incurable disease which will end the life of the sufferer. If death is inevitable, why must we wait for natural causes to occur? Physician-assisted deaths should be legalized in all states so that the terminally ill can request a final act of dignity. “Physician-assisted death is defined as the physician providing the means for death, most often with a prescription. The patient not the physician will ultimately administer the lethal medication” (Braddock & Tonelli, 1998). If a patient can come to a decision when it is time to stop treatment for their terminal illness, they should also be allowed to choose when to bring death. End of life care has become an equally important issue to physicians as well as the patients. If physician-assisted deaths were permitted in all 50 states, physicians could openly discuss end of life wishes with their patients. With all the advances in modern medicine, people are living much longer which allows for a higher risk in developing a terminal illness. A few examples of terminal illnesses are cancer, strokes, Alzheimer’s disease, renal failure, and heart failure. With increasing numbers in terminal illnesses more options for end of life decisions need to be available...
Words: 2055 - Pages: 9
...at their own rate. Is it okay to kill Someone because they are ill or sick? People should live out their final days without The help of killing them. It gives people the option to kill people without merit or Notion. It is considered murder by most if a person help kills someone with their Permission. Helping the terminally ill At what point does a person with cancer or HIV have the right to end their lives with The assistance of euthanasia from a doctor or nurse. It is often the someone have the The right to tell someone to kill them. The pain and suffering will be great on both Ends of the spectrum with any family member. It can be so much suffering on the Person wanting to end their life to prevent anymore pain. The pain from the actually Act of killing someone can be a great issue for all involved. The quality of life in the End stages of cancer and other diseases can be awfully bad. When you are dying from An illness such as cancer, end stage kidney disease, end stage heart failure, and so on, Ending your life in a painless manner with professional assistance is a very dignified Way to die. Is there a way for someone to past away peacefully in their sleep without Someone helping to go to the other side? Everyone should have the right to die in a Fashionably way with complete respect. Respect and dignity should be a honorable Reflection of a person’s wishes to die in such a humane or inhumane way. Past...
Words: 823 - Pages: 4
