In: Nursing
Case Study
The hospice nurse sat with Ann's husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room's only window. As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann's bedside, he took her small fragile hand in his. These hands had rocked cradles, burped babies, and groomed the horses she loved to ride. Gently holding her hand, he turned to the nurse. "She would ride like the wind was chasing her." Looking back to Ann his voice broke; choking back tears "Ann, Ann I saw Jessie…Jessie is calling." Ben turned "Jessie was our daughter. She died having a baby that was too big. When she died it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie's husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night." Ben turned back as a deep sigh escaped from Ann's lips. A soft smile remained as she joined Jessie and Abe.
According to the theory, nurses live in the art of human
becoming in presences with the unfolding of meaning, synchronizing
rhythms and transcendence. By focusing on this three the nurses can
give patients greater respect, autonomy, and empowerment.Parse's
Human Becoming Theory guides the practice of nurses to focus on
quality of life as it is described and lived.The human is open,
freely choosing meaning in a situation, as well as bearing
responsibility for decisions made. The human is unitary,
continuously co-constituting patterns of relating.
Parse's Human Becoming Theory guides the practice of nurses to
focus on quality of life as it is described and lived. The human
becoming theory of nursing presents an alternative to both the
conventional biomedical approach as well as the
biopsycho-social-spiritual approach of most other theories and
models of nursing. Parse's model rates quality of life from each
person’s own perspective as the goal of the practice of nursing.The
three major assumptions about human becoming are meaning,
rhythmicity, and transcendence.Under the assumption meaning, human
becoming is freely choosing personal meaning in situations in the
intersubjective process of living value priorities.Man's reality is
given meaning through lived experiences. In addition, man and
environment co-create.Rhythmicity states that human becoming is
co-creating rhythmical patterns of relating in mutual process with
the universe.Man and environment co-create imaging, valuing,
languaging in rhythmical patterns.Transcendence explains that human
becoming is cotranscending multidimensionally with emerging
possibilities. It refers to reaching out and beyond the limits a
person sets, and that one constantly transforms.These three themes
are permeated by four postulates illimitability, paradox, freedom,
and mystery. Illimitability is the indivisible unbounded knowing
extended to infinity, the all at once remembering and prospecting
with the moment.Paradox is an intricate rhythm expressed as a
pattern preference.Paradoxes are not opposites to be reconciled or
dilemmas to be overcome but, rather, lived rhythms.Freedom is
contextually construed liberation.People are free to continuously
choose ways of being with their situations. Mystery is the
unexplainable, that which cannot be completely known.