Transformation in the Nurse-Patient Dyad or the Caregiver-Patient Dyad

Palabras clave: Cuidado al final de la vida, Educación interdisciplinaria, Enfermería, Cuidado paliativo


Dependent nursing practice is following the doctor’s orders for medications, treatments, diet, activity, tests, etc. We ensure that the medical treatment is given.
Shared practice is when the doctor is giving us parameters but leaves us to make judgments, as well. One example is giving medications “as needed” or titrating vasoactive medications in the intensive care unit according to blood pressure.
Independent practice is what we do in our own scope of practice. What do we do with and for patients for which we do not need an order?


1. Lee S. Coakley E. Geropalliative care: A concept
synthesis. Journal of Hospice and Palliative Nursing.
2011; 13(4): 242-248.
2. Lee S. Lee Geropalliative Caring Model: A
Situation-Specific Theory for Older Adults. Adv
Nurs Sci. Apr/Jun 2018; 41(2):161-173.
3. Watson, Jean. Nursing, Revised Edition (Kindle
Locations 1623-1627). University Press of
Colorado. Kindle Edition.
Cómo citar
Lee, S. (2018). Transformation in the Nurse-Patient Dyad or the Caregiver-Patient Dyad. ACC CIETNA: Revista De La Escuela De Enfermería, 5(2), 11 - 15.