Helping the Client with Chronic Disability Achieve High-Level Wellness

Davidhizar, R; Shearer, Ruth

doi:10.1002/j.2048-7940.1997.tb02082.x

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…Nurses should invite patients to talk about their losses and support the patients through active listening, being patient and allowing time for expression of feelings. In this way, nurses will provide some measure of comfort despite the occurrence of chronic sorrow (Davidhizar & Shearer 1997, Ahlström & Hansson 2000).…”

Section: Conclusion and Implications For Clinical Practicementioning

confidence: 99%

Experiences of loss and chronic sorrow in persons with severe chronic illness

Ahlström

2007

Journal of Clinical Nursing

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Aims and objectives. The aims of the present study were to describe losses narrated by persons afflicted with severe chronic physical illness and to identify the concomitant occurrence of chronic sorrow. Background. Reactions connected with repeated losses are referred to in the literature as chronic sorrow, which has recently been described in conjunction with chronic illness. Design. A qualitative study with an abductive approach of analysis, including both inductive and deductive interpretations. Method. The study is based on 30 persons of working age with average disease duration of 18 years. The average age was 51 years. All of the persons had personal assistance for at least three months because of considerable need for help in daily life due to physical disability. Each person was interviewed twice. There was also an independent assessment of the deductive results concerning chronic sorrow. Results. The inductive findings show that all persons had experienced repeated physical, emotional and social losses. Most common were ‘Loss of bodily function’, ‘Loss of relationship’, ‘Loss of autonomous life’ and ‘Loss of the life imagined’. ‘Loss of identity’ included the loss of human worth, dignity and a changed self‐image. In addition, the deductive findings suggest that chronic sorrow exists in the study population. Sixteen of 30 participating subjects were assessed by both assessors to be in a state of chronic sorrow and there was an especially high agreement with respect to one criterion of chronic sorrow ‘Loss experience, ongoing or single event’ (28 of 30 subjects). Conclusions. This study shows that persons with severe chronic illness often experience recurring losses. These experiences are consistent with the phenomenon of chronic sorrow. Relevance to clinical practice. Knowledge of the existence of chronic sorrow in persons with chronic illness will enable nurses to support these persons in a more sensitive and appropriate way.

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Section: Conclusion and Implications For Clinical Practicementioning

confidence: 99%

Experiences of loss and chronic sorrow in persons with severe chronic illness

Ahlström

2007

Journal of Clinical Nursing

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“…In the last phase, resynthesis, interpreting and consoling and integrating activities focus on helping the person and his or her family establish new relationships within the family structure and between the family and its social context. A health promotion approach supports behaviors that reduce risks for future illness (Fowler, 1997) and facilitate hope and wellness (Davidhizar & Shearer, 1997). Family care promotes exploration and potential negotiation of family roles and social activities: reallocating decision‐making tasks, being a care recipient or caregiver rather than a marital partner, being inactive rather than active, or doing enough rather than doing it all.…”

Section: Model‐based Nursing Carementioning

confidence: 99%

A Framework for Care During the Stroke Experience

Brauer

Schmidt

Pearson

2001

Rehabilitation Nursing

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This article describes a model we developed to guide the selection and design of nursing activities that will facilitate the health of persons with stroke and their families. Care in the context of stroke has been structured by the medical model's focus on functional ability. As a result, nursing is viewed as ancillary to other professions; yet, studies of the stroke experience from the patient's view suggest that distinctive nursing interventions are needed. Current models of illness do not sufficiently address the nature of stroke and thus cannot serve as a framework for nursing care. Our model conceptualizes stroke as a progressive, holistic experience with physiological, psychological, and social dimensions. It was developed from a synthesis of research articles identified through searches of CINAHL, MEDLINE, and PSYCHLIT (1980-1999) indexes using the terms "stroke," "stress," "coping," "chronic illness," and "transitions and growth" and from our clinical experiences. Our research established that the stroke experience involves the deterioration of the whole person and the development of a new person through discovery and resynthesis. Each of these processes progressively dominates the experience and together they form a three-phase model. This model of the stroke experience suggests that nursing care should focus initially on limiting deterioration and then concentrate on facilitating growth. Selection of specific interventions requires an understanding of the uniqueness of each stroke experience, as well as the commonalities, among these experiences.

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Complementary medicine and older people: past research and future directions

Willison

Andrews

2004

Complementary Therapies in Nursing and Midwifery

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Helping the Client with Chronic Disability Achieve High-Level Wellness

Cited by 3 publications

References 13 publications

Experiences of loss and chronic sorrow in persons with severe chronic illness

Experiences of loss and chronic sorrow in persons with severe chronic illness

A Framework for Care During the Stroke Experience

Complementary medicine and older people: past research and future directions

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