Suffering and Chronic Sorrow: Characteristics and a Paradigm for Nursing Interventions

Melvin, Christina S.

doi:10.20467/1091-5710.8.2.42

Cited by 7 publications

(8 citation statements)

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“…Two models concentrate primarily on nurse attributes or actions the client receives from the nurse. The Mayo nursing care model (Harms, Eversman, Matt-Hensrud, Ruen, & Schroeder, 2010) identifies seven principle caring roles of the nurse, while the paradigm for nursing interventions (which is specific to suffering and chronic sorrow) identifies components of nurse inputs (Melvin & Heater, 2004). This model also describes the client trajectory and outcomes.…”

Section: Research Questionmentioning

confidence: 99%

“…Paradigm for nursing interventions Suffering and chronic sorrow Melvin & Heater (2004) Through enacting of nursing presence, the client receives expert communication skills, compassion, human touch, trust, and honesty. These inputs move the client to experience self transcendence, autonomy, feeling of truly being heard, with decreases in isolation, abandonment, and despair.…”

Section: Research Questionmentioning

confidence: 99%

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State of the Science of Nursing Presence Revisited: Knowledge for Preserving Nursing Presence Capability

Turpin¹

2014

Int J Hum Caring

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Nursing presence has been a central focus for theorists, researchers, educators, and practicing professional nurses for over a half a century . Knowledge development and measurement of this experience is crucial at a time when human communication is becoming more impersonal, and nursing presence capability is potentially declining . A literature search was conducted using Cumulative Index to Nursing and Allied Health Literature and other discipline-specific databases . Extensive manual review of all relevant journals, reference lists, and additional publications were explored and synthesized . This article provides an updated state of the science report on nursing presence in regard to cross-discipline conceptual comparison, nursing theoretic model development, and instrument development .

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Section: Research Questionmentioning

confidence: 99%

Section: Research Questionmentioning

confidence: 99%

State of the Science of Nursing Presence Revisited: Knowledge for Preserving Nursing Presence Capability

Turpin¹

2014

Int J Hum Caring

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“…When we suffer, we sometimes feel undeserving and become withdrawn [9]. We look down, we stare at our feet.…”

Section: Being Heard and Acceptedmentioning

confidence: 99%

“…An enlightened witness can help these silently suffering people feel seen and accepted despite hiding their shameful secrets for years [9].…”

Section: The Enlightened Witnessmentioning

confidence: 99%

Hidden Suffering and the Effects of Adverse Childhood Experiences

Fulford¹

2017

Religions

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Abstract:To understand suffering is to understand what it means to be human. Suffering focuses our attention on our vulnerability, which we would rather ignore or deny. As health care professionals (HCP) we need to be able to listen, to attune and be empathic to the suffering patient. If we act as an "enlightened witness" we provide a safe place for a suffering patient to grieve their loss and be vulnerable. This is skilled and demanding work, it is also important to tend to our own needs through a practice of self-care and reflection to prevent burn-out and compassion fatigue. The topic of adverse childhood experiences (ACE), which are common in the general population, are addressed in the second part of this paper. Their effects are profound, and increase with the degree of maltreatment. The maltreatment and suffering of these children usually remains hidden into adulthood beneath years of shame and denial. One aspect of our job in health care is to help patients acknowledge, experience, and bear the reality of life with all its pleasures and heartache. In order to do this well, we need to keep in touch with our own humanity, but also continue to take care of ourselves.Keywords: suffering; meaning; healing; grieving; enlightened witness; spiritual; adverse childhood experiences; healthcare professional Avoiding ChangeWhen we see a nurse, or a doctor we want to be cured. We want them to remove, or correct our problem. A surgeon's knife cuts out an inflamed appendix. The patient is happy, she has survived, and her scar will not show on the beach. She returns to her family, friends, job, and all that makes up a life. She is essentially unchanged back to normal. We all like to be cured; we want to return to our regular life. We want to avoid change [1]. Suffering and LossIn most human suffering, there is often nothing to see. We all suffer at some time or other in our lives; it is usually related to love or loss. We fall in love, we get rejected. As we move through our lives loved ones die, or dreams disappear. We feel it to the core of our being, if we can allow it.Suffering is a state of distress associated with a symptom or an event that threatens our integrity [2]. We become fearful of the significance of a symptom, or how an event may affect our future. The perceived negative meaning may involve the actual or perceived loss of one's integrity or autonomy. The interpretation and the ensuing anxiety will be unique and personal even in an identical situation [3]. It is caused by the loss or threatened loss of what we most cherish [4]. To understand suffering is to appreciate what it is to be human. In contrast to pain, suffering is our experience of being cut off. No matter what we do, we have lost touch with our vital center, the deep well of our being. The loss of love or the life-altering implications of serious disease for instance, enforce change into our lives. How do we heal that suffering?

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“…Management of an individual's chronic sorrow can be accomplished with compassionate, empathetic, sensitive, and nonjudgmental care. 2 Patients who come to the emergency department are often in crisis, either psychological or physical, related to their own health issues or the health of their loved ones, friends, or family. According to Bhuiya et al, 3 abdominal pain is one of the most common reasons people visit the emergency department.…”

mentioning

confidence: 99%

Recognizing Chronic Sorrow in the Habitual ED Patient

Joseph

2012

Journal of Emergency Nursing

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Suffering and Chronic Sorrow: Characteristics and a Paradigm for Nursing Interventions

Cited by 7 publications

References 0 publications

State of the Science of Nursing Presence Revisited: Knowledge for Preserving Nursing Presence Capability

State of the Science of Nursing Presence Revisited: Knowledge for Preserving Nursing Presence Capability

Hidden Suffering and the Effects of Adverse Childhood Experiences

Recognizing Chronic Sorrow in the Habitual ED Patient

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