Thai Buddhist families' perspective of a peaceful death in ICUs

Abstract

The five core qualities of a peaceful death reported in this study could be used as a framework for nurses to create nursing practice interventions for quality end-of-life care for Thai Buddhists.

Teorías de enfermería para la investigación y práctica en cuidado paliativo

“…Por ejemplo, comparan la creación de un ambiente de cuidado y el promover el cuidado al final de la vida con los conceptos de no sentir dolor, estar cómodo y tener dignidad y respeto. En otro estudio fenomenoló-gico, Kongsuwan et al(2012) describen los conceptos de la muerte tranquila en unidades de cuidado intensivo desde la perspectiva de familias budistas. Los hallazgos exponen cinco cualidades centrales para el morir tranquilamente en una uci: 1) saber que la muerte es inminente; 2) preparación de un estado tranquilo de la mente; 3) no sufrimiento; 4) estar acompañado, y 5) familiares sin remordimientos.…”

Religious and Spiritual Differences Within Families: Influences on End-of-life Decision Making

“…7 Among many Buddhist patients of Asian cultural affiliation, it is considered inappropriate to inform patients about a poor prognosis, so advance care planning for these patients is best discussed as a routine part of care rather than in the context of illness and dying. 8 Studies documenting the rate of advance health care planning among Buddhist patients in the US are limited. A study of advance care planning among elderly Buddhist patients in Japan found that although 72.9% approve of the idea of a living will and 62.2% are in favor of designating a health care proxy, only 0.9% have actually executed advance directives.…”

“…According to traditional Buddhist teaching, the process of the consciousness leaving the body continues for several days after death, so, when possible, the body should be left undisturbed for as long as possible. 8 Advance directives that detail preferences for postmortem care may best help Buddhist patients express their desires about the dying process.…”

Análise E Avaliação Da Teoria Final De Vida Pacífico Segundo Critérios De Fawcett

“…The application of the Theory encouraged nurses to be with and provide palliative care to terminal patients and families. 12 In Brazil, however, no articles were found that used the Theory in the period investigated. It cannot be inferred, however, that the Peaceful End of Life Theory is devalued in Brazilian academic and professional spaces.…”

“…A study on holistic care for buddhist patients created a practical guide to promote a peaceful death, summarized based on the Peaceful End of Life Theory. 12 Testability is regarded as the main feature of a scientifically useful theory. Medium-range theories fulfill the criterion of testability when specific instruments or protocols have been developed to observe the concepts of the theory and statistical techniques are available to measure the assertions made by the propositions.…”