Article

Care of the Body After Death

Jill Olausson

Betty R. Ferrell
end of life, death, advance care planning, cultural aspects
CJON 2013, 17(6), 647-651. DOI: 10.1188/13.CJON.647-651

Care of the body after death is an important nursing function that occurs in a wide variety of contexts. After a patient dies, nursing care continues as physical care of the body as well as care of the family members. In this descriptive, qualitative study, the authors explored nurse perceptions of what it means to care for the body after death. Narratives describing this care were collected and analyzed. The descriptions were coded and two overarching themes emerged: giving respectful and dignified after-death care (ADC) that is sensitive to the needs of the family and ADC providing nurses with a mechanism for coping with care of dying patients. To ensure patient and family ADC needs are not superseded by nurses' own coping needs, comprehensive patient and family-centered ADC planning is recommend. Grief resolution opportunities, end-of-life education, and mentoring should be available to support nurses with post-death experiences.

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    References

    American Association of Colleges of Nursing. (1998). Peaceful death: Recommend competencies and curricular guidelines for end-of-life nursing care. Retrieved from http://www.aacn.nche.edu/elnec/publications/peaceful-death
    Berry, P., & Griffie, J. (2010). Planning for the actual death. In B. R. Ferrell & N. Coyle (Eds.), Oxford textbook of palliative nursing (3rd ed., pp. 629-644). New York, NY: Oxford University Press.
    Conte, T. M. (2011). Pediatric oncology nurse and grief education: A telephone survey. Journal of Pediatric Oncology Nursing, 28, 93-99. doi:10.1177/1043454210377900
    Corbin, J. M., & Strauss, A. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory (3rd ed.). Thousand Oaks, CA: Sage.
    Crump, S. K., Schaffer, M. A., & Schulte, E. (2010). Critical care nurses' perceptions of obstacles, supports, and knowledge needed in providing quality end-of-life care. Dimensions in Critical Care Nursing, 29, 297-306. doi:10.1097/DCC.0b013e3181f0c43c
    Dunn, K. S., Otten, C., & Stephens, E. (2005). Nursing experience and the care of dying patients. Oncology Nursing Forum, 32, 97-104. doi:10.1188/05.ONF.97-104
    End-of-Life Nursing Education Consortium. (2013). ELNEC-Core Curriculum. City of Hope and American Association of Colleges of Nursing. Retrieved from http://www.aacn.nche.edu/elnec
    Gerow, L., Conejo, P., Alonzo, A., Davis, N., Rodgers, S., & Domian, E. W. (2010). Creating a curtain of protection: Nurses' experiences of grief following patient death. Journal of Nursing Scholarship, 42, 122-129. doi:10.1111/j.1547-5069.2010.01343.x
    Hildebrandt, L. (2012). Providing grief resolution as an oncology nurse retention strategy: A literature review. Clinical Journal of Oncology Nursing, 16, 601-606. doi:10.1188/12.CJON.601-606
    Maslach, C., & Leiter, M. P. (2008). Early predictors of job burnout and engagement. Journal of Applied Psychology, 93, 498-512. doi:10.1037/0021-9010.93.3.498
    National Comprehensive Cancer Network. (2012). Clinical Practice Guidelines in Oncology: Palliative care [v.2.2012]. Retrieved from http://www.nccn.org/professionals/physician_gls/f_guidelines.asp#palliative
    National Consensus Project for Quality Palliative Care. (2013). Clinical practice guidelines for quality palliative care (3rd ed.). Retrieved from http://www.nationalconsensusproject.org/Guidelines_Download2.aspx
    National Hospice and Palliative Care Organization. (2002). Guidelines for bereavement care in hospice. Alexandria, VA: Author.
    Puchalski, C. M., Ferrell, B. R., Virani, R., Otis-Green, S., Baird, P., Bull, J., … Sulmasy, D. (2009). Special report: Improving the quality of spiritual care as a dimension of palliative care. The Report of the Consensus Conference. Journal of Palliative Medicine, 12, 885-905. doi:10.1089/jpm.2009.0142
    Purnell, L. D., & Paulanka, B. J. (2012). Transcultural health care: A culturally competent approach (4th ed.). Philadelphia, PA: F. A. Davis Company.
    Saldana, J. (2012). The coding manual for qualitative researchers (2nd ed.). Thousand Oaks, CA: Sage.
    Vachon, M. L. S., & Huggard, J. (2010). The experience of the nurse in end-of-life care in the 21st century: Mentoring the next generation. In B. R. Ferrell & N. Coyle (Eds.), Oxford textbook of palliative nursing (3rd ed., pp. 1131-1155). New York, NY: Oxford University Press.
    Wright, P. M., & Hogan, N. S. (2008). Grief theories and models: Applications to hospice nursing practice. Journal of Hospice and Palliative Nursing, 10, 350-358. doi:10.1097/01.NJH.0000319194.16778.e5