Module 05: Local Theories in the Philippines (Part 02) Flashcards
Who developed the “PREPARE ME” Interventions & the Quality of Life of Advance Progressive Cancer Patients?” She is a Nurse with Master’s Degree in Nursing obtained from the University of the Philippines College of Nursing. She is also an expert in MS - Oncologic Nursing
Ermecita Abaquin
These are the nursing interventions provided to address the multi-dimensional problems of cancer patients that can be given in any setting where patients choose to be confined. It provides non-pharmacological and non-surgical approaches.
PREPARE ME (Holistic Nursing Interventions) - it focuses not on the cure but on the patient
What was the basis of PREPARE ME (Holistic Nursing Interventions)?
Oncology (there were a lot of patients with cancer during that time; hence, nurses should have the capacity to help patients cope with cancer through multidimensional approaches)
According to Abaquin’s PREPARE ME model, this pertains to being with another person during the times of need. This includes therapeutic communication, active listening, and touch.
Presence
How did Abaquin perceive nursing?
Nurses must not be seen as mere caregivers but facilitators of the patient’s acceptance of the condition.
According to Abaquin’s PREPARE ME model, this pertains to the recall of past experiences, feelings and thoughts to facilitate adaptation to present circumstances (exploration of the patient’s emotions.
Reminisce Therapy
According to Abaquin’s PREPARE ME model, this pertains to a solemn expression of feelings through deliberate communication directed towards a deity.
Prayer
According to Abaquin’s PREPARE ME model, this pertains to the techniques to encourage and elicit relaxation for the purpose of decreasing undesirable signs and symptoms such as pain, muscle tension, and anxiety.
Relaxation Breathing
According to Abaquin’s PREPARE ME model, this pertains to the encourages an elicit form of relaxation for the purpose of altering patient’s level of awareness by focusing on an image or thought to facilitate inner sight which helps establish connection and relationship with God. It may be done through music and other relaxation techniques.
Meditation (allowing patients to introspect and ponder on their own feelings as well as connect with God)
According to Abaquin’s PREPARE ME model, this pertains to assisting another individual to clarify his own values about health and illness to facilitate effective decision-making skills. Through this, the patient develops an open mind that will facilitate acceptance of disease state or may help deepen or enhance values. The process of values clarification helps one become internally consistent by achieving closer between what we do and what we feel.
Values Clarification (clarifying what they want and what they value)
What is the goal of nursing according to Abaquin?
“To Nursing… may be able to provide the care that our clients need in maintaining their quality of life and being instrumental in “Birthing” them to External life (to go back to their routines or rather accept the fate that they have)”
Explain the prepare me interventions and the quality of life of advance progressive cancer patients.
If the Holistic Nursing Intervention “PREPARE ME” is constituted of presence, prayer, reminisce therapy, relaxation activities, meditation, and value clarification for terminally ill patients with cancer, they are able to procure symptom relief from symptoms and be able to cope and have quality of life.
What do terminally ill patients require?
Terminally-ill patients especially cancer patients require holistic approach of nursing in different aspects of man namely the emotional, psychological, social and spiritual. In this premise, patients with incurable disease require multidimensional nursing care to
improve quality of life.
What should nurses do to patients with cancer?
(1) Utilization of intervention as a basic part of care given to cancer patients, likewise, incorporation in the basic nursing curriculum in the care of these patients.
(2) The nurse must be honest about the feedback on his/her condition. Nurses must do this so that they would know what the expectations of the patient and the family so that they may render a holistic caring
style for the patient together with his family in his dying days. This would help the patient and family address the needs of the patient in any manner possible. (physical, emotional and spiritual)
(3) The nurse must help make a supportive environment for the patient and his family in his dying days. An environment like this would promote dignity in his days left thus helping the patient accept his fate
and help him/her be ready for the afterlife. The family is also guided in this rough time addressing their grieving process by instilling in them that death is part of life.
According to Abaquin, these are included in the development of treatment modalities
Development of training programs for care provider as well as health care profession where intervention is a part of treatment modalities
This theory provides us standardized and holistic approached in addressing the needs of terminally ill cancer patients. It can also be used for other terminal cases.
PREPARE ME” Interventions & the Quality of Life of Advance Progressive Cancer Patients (in this it takes more time)
What problems were addressed by the PREPARE ME” Interventions & the Quality of Life of Advance Progressive Cancer Patients?
(1) “Understaffing in Philippine hospitals is prevalent. (Inamarga, 2009)
(2) In the Philippine setting, due to understaffing and financial constrain, time for bed side care is limited Usefulness (practicability)
How is the PREPARE ME model be applied in nursing?
(1) Addresses and provides the multidimensional
problems of cancer patients.
(2) Helps nurses to easily communicate with patients
(3) Applies the holistic approach of nursing for peaceful
communication between the nurse and the patient.
(4) Gives a system of non-pharmacologic, non-surgical
approach of care to advance cases of cancer patients.
(5) Standardizes the quality of nurses in the country à
becomes organized.
Who proposed the theory of nursing practice and career? She focused on helping a patient through support systems, specifically the family.
Cecilia Laurente
What paper did Cecilia Laurente publish?
“Categorization of Nursing Activities as Observed in Medical-Surgical Ward Units in selected Government and Private Hospitals in Metro Manila.”
What did Cecilia Laurente emphasize in her theory of nursing practice and career?
In her theory of nursing practice, she emphasized effective communication and championed using the family as an entry point to help a patient.
What is the entry point of helping the patient according to Cecilia Laurente?
She states that the other entry point of helping the
patient is through the family to prevent at the very
beginning serious complications (empowering and communicating with the family)
How can the nurse help according toe Cecilia Laurente?
The nurse can help strengthen the family’s term of
knowledge, skills, and attitude through effective communication, employed informative, psychotherapeutic, modeling, behavioral, cognitive behavioral and/or hypnotic techniques
This is the key to engage nurses with the family in their care.
Communication (when there is no communication, problems arise in patient care)
Based on the theory of nursing practice and career, this pertains to the mental state of fear or nervousness
about what might happen
Anxiety (happens when there are patent gaps or absence of communication between the nurse, patient and family)
What are the three (3) nursing caring behavior that affect the patient’s anxiety?
(1) Presence ➢ Person to person contact between the client and the nurses.
(2) Concern ➢ Development in the time though mutual trust between the nurse and the patient
(3) Stimulation ➢ Nurse stimulation through words tops the powerful resources of energy of person for healing (encouraging words to the patient or telling them that the intervention is effective)
These are defined in these models as factors that exert their effects prior to a behavior occurring, by increasing or decreasing a person or population’s motivation to undertake that particular behavior.
predisposing Factor (if the nurse is not aware of this, the intervention will not be effective)