Page 15 - NAMAH-Oct-2017
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Namah                                                   Code Krishna





        practice helps to strengthen the holistic attitude  protocol of care among their professional
        through objectivity. We intend to further  duties would give them a framework to
        study and document the responses of the  adhere to. Code Krishna is unique in that
        relatives of patients, doctors, nursing staff  it encourages healthcare professionals to
        and other healthcare personnel.          express care for the departed soul (for the
                                                 believers), while at the same time, eases the
        Reflections                              grief of the bereaved family.

        Code Krishna enables healthcare professionals  Our model is unique also because it does
        to fulfil one of their well-recognised respon-  not rely on influences that are external to
        sibilities, i.e. to provide the appropriate  the hospital environment; the attempt is to
        support and care to grieving families. Despite  provide components of the spiritual tenor
        the normative nature of this obligation, it is  through the involvement of the entire treating
        known that clinicians mostly fail to do what is  team. Traditionally, the responsibility of
        required of them (6). The culture of avoiding  providing healing care and emotional support
        death and dying in acute care hospitals  to the bereaved family has been entrusted
        remains a significant barrier to the provision  to spiritual caregivers, such as chaplains and
        of end-of-life care, even when the tools are  nursing staff, in the case of institutional
        available and accepted by the staff, due to  deaths. As for deaths that take place in the
        attitudinal issues (7). Our experiences should  community, traditional healers shoulder this
        encourage others to come up with similar  responsibility. The medical team, however,
        practices that are in line with the cultural  is not called upon to play this role (4,8,9). In
        milieu in which care is being provided.  an environment in which resources are scarce
                                                 or individuals such as chaplains and nurses
        Healthcare professionals provide care which  are unavailable or unwilling to provide
        is known to cure and/or extend life, as we  healing care, a process that emanates from
        know it. The medical team sees the end of life  the medical team may have the same, or
        as a defeat, or at the least, as a termination  even better, influence. Not only does this
        of the patient-doctor relationship. However,  help the bereaved family cope better with its
        sociocultural beliefs about existence often do  loss, it may also have beneficial effects on the
        not draw the final line at death and extend  caregivers, who may have been under stress
        the phenomenon of existence to a realm  or formed strong emotional bonds with the
        beyond death. Thus, relatives may believe  deceased.
        that the patient has gone into another life.
        Whatever the personal beliefs or concepts of  It is known that those working in ICUs have
        the healthcare professionals, Code Krishna  repeated exposure to death and grief. While
        should be considered an extended aspect  most of the staff may view caring for the dying
        of the relationship with the family and/or  as just one part of their duty to rationalise events,
        departed individual. Since all healthcare  such exposure can lead to occupational stress,
        professionals may not have the ability to  disenfranchised grief and ultimately, burnout.
        provide this aspect of care or the attitude  Emotional disengagement from caring for the
        required to do so, including a clearly outlined  dying may have an impact on the quality of


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