Død hjemme — hvordan kan sykepleieren bidra til å fremme mulighet for personer med langtkommen kreft til å dø hjemme?

Abstract

The aim of this paper is to present and describe factors influencing the opportunities for people with terminal cancer to die at home. The theoretical framework was developed from relevant literature: present research, Orem's nursing model and elements from hospicephilosophy. A deductive, descriptive design was used. 31 primary caregivers, relatives of people with terminal cancer who have died at home, have been interviewed. The results have been analysed by means of Miles and Huberman's three point process. A model presenting the factors identified in this study has been developed. This chart contains the following factors: Autonomy, Availability of relatives, Maintenance of self-care deficits for the person with terminal cancer, Maintenance of self-care deficits for the relatives, Availability of nursing care and Equipment availability. The findings illustrate the importance of nurses' contribution to relatives coping with different aspects of the patient's condition. The relatives describe that they want the nurse to help the patient with practical options and functions, e.g related to self-care deficits and symptom relief. The study results show the necessity of supporting the relatives as well, especially when they need rest and leisure, and time to eat and sleep.