Wasserman Linda S
Western State Hospital, Tacoma, WA, USA.
Clin J Oncol Nurs. 2008 Aug;12(4):621-6. doi: 10.1188/08.CJON.621-626.
The Respectful Death Model (RDM) is a research-based, holistic, and practical model developed to improve end-of-life care. A respectful death is one which supports dying patients, their families, and professionals in the completion of life cycles and can be used by all members of the healthcare team. The model is a process method commencing with the establishment of a therapeutic relationship with the dying patient and his or her family and, as a result, their stories are heard and incorporated into the care plan. This article demonstrates that hospice and palliative care nurses have been practicing this model since the origination of care of the dying. Other topics addressed are the current culture toward death in the United States, the roles of nurses in the RDM, and the barriers and benefits of the RDM. Recommendations for future research in end-of-life care also are addressed.
尊重死亡模式(RDM)是一种基于研究的、全面且实用的模式,旨在改善临终关怀。尊重死亡是指支持临终患者、其家人及专业人员完成生命历程,可供医疗团队的所有成员使用。该模式是一种流程方法,始于与临终患者及其家人建立治疗关系,从而倾听他们的故事并将其纳入护理计划。本文表明,自临终关怀开始以来,临终关怀和姑息护理护士一直在践行这种模式。还讨论了美国当前对待死亡的文化、护士在尊重死亡模式中的角色以及该模式的障碍和益处。此外,还阐述了对临终关怀未来研究的建议。