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Carmencita Abaquin'S Prepare ME TheoryA

Nursing (Saint Mary's University Philippines)

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Carmencita Abaquin’s
“PREPARE ME” Theory

Theoretical Foundation of Nursing

Group Members

Ortiguero, April Cielou E.

Salamanca, Nicole Denisse C.

Salazar, Jessi Ann D.

Velasco, Daphne Alexis

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• Carmencita M. Abaquin is a nurse with Master's Degree in

Nursing obtained from the University of the Philippines
College of Nursing.

• An expert in Medical Surgical Nursing with subspecialty in

Oncologic Nursing, which made her known both here and
abroad.

• She had served the University of the Philippines College of

Nursing, as faculty and held the position as Secretary of the
College of Nursing.

• Her latest appointment as

Chairman of the Board of
Nursing speaks of her competence and integrity in the field she
has chosen.
Background:
During the past decade, the incidence of cancer has significantly increased not only in the
Philippines but also worldwide. Cancer has been associated with multifaceted issues and
concerns regardless of stages of development. For patients with advanced progressive cancer,
these problems are compounded, thus the need to develop interventions that can address the
needs especially those those concerning the ability to be in control and maintaining their
dignity.

PREPARE ME theory provides a framework on non-pharmacologic, non-surgical approach

of care to advanced cases of cancer patients. The focus is not on cure but on assisting the
patient to explore her humanity and internal serenity as one is faced with the challenge of life
and death. Nurses must be seen not as mere caregivers but facilitators of peaceful acceptance
of condition.

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PREPARE ME (Holistic Nursing Interventions)

-Are the nursing interventions provided to address the multidimensional problems of cancer
patients that can be given in any setting where patients choose to be confined. This program
emphasizes a holistic approach to nursing care.

PREPARE ME has the following components:

1. Presence
– being with another person during the times of need. This includes. therapeutic
communication, active listening, and touch.

2. Reminisce Therapy
- recall of past experiences, feelings, and thoughts to facilitate adaptation to present
circumstances.

3. Prayer
- refers to a solemn communication, request for help, and/or expression of thanks addressed
to the Divine or a Higher Being.

4. Relaxation
-Breathing- techniques to encourage and elicit relaxation for the purpose of decreasing
undesirable signs and symptoms such as pain, muscle tension, and anxiety.

5. Meditation
– Encourages an elicit form of relaxation for the purpose of altering patient’s level of
awareness by focusing on an image or thought to facilitate inner sight which helps establish
connection and relationship with God. It may be done using music and other relaxation
techniques.

6. Values Clarification
- This refers to assisting the patient to clarity his own values about health and illness in order
to facilitate patient develops am open mind that will facilitate acceptance of disease state or
may help deepen or enhance values.

Quality of Life
• Defined as a multifaceted construct that encompasses the individuals’ capabilities and
abilities of enriching life when it can no longer be prolonged.
• This includes proper care and maintaining integrity of the body, mind and spirit despite the
limitations brought about by the present condition.
• Seen through the patient's many dimensions.

METAPARADIGM
 PERSON

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- Her theory is specific to patients in advanced stages of cancer.

- They are holistic being with physical, psychological, social, religious level of
independence, and environmental aspects.
- Patients who are terminally ill or those with incurable diseases as with cancer must be
approached in multifaceted care to improve their quality of life.

 ENVIRONMENT
- An aspect or dimension integrated to the cancer patient.
- Quality of life can also be assessed in this aspect thus it must be given consideration
in the provision of care.

 HEALTH
- The concept of her theory revolves around illness, particularly cancer and the
provision of holistic care to improve quality of life despite their terminal cases.

 Nursing
- Goal: The improvement of quality of life for advance stage cancer patients despite
their current situation.

Findings and Recommendations

1. Terminally ill patients require holistic approach of nursing that encompasses the
different aspects of man namely physical, psychological, social, religious, level of
independence, environment, and spiritual. in this premise, patients with incurable
illness, especially cancer patients, require a whole faceted care that will improve the
quality of their life.

2. PREPARE ME Interventions are said to be effective in improving the quality of life

of cancer patients. this can be further applied not only with terminally ill patients but
also promisingly introduced to those patients with acute and chronic diseases and
those with prolonged hospital stays.
3. The utilization of the intervention as a basic part of care given to cancer patients is
recommended, as well as the incorporation of the intervention in the basic nursing
curriculum in the care of these patients. The said components of PREPARE ME must
be introduced and focused during the training of nurses both in the academe and
practice to answer the needs of this special kind of clients.

4. Development of training programs for care providers, as well as health care

professionals where intervention is a part of treatment modalities, is also
recommended.

5. For patients, an honest view and feedback regarding their illness and management and
obtaining their perceptions can lead to improvement of services and communication
between patients with advanced progressive cancer, their families and health team.

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6. Supportive environment where patients with advanced progressive cancer and the
terminally-ill patients can attain dignity of dying with peace while their families are
given the necessary support they need to cope up with. thus, healthcare professionals
and family members have to provide this kind of venue whether in the home of
hospital setting. This will maintain a holistic support for this special type of clients.

APPROACHES

Carmencita Abaquin’s Prepare Me Theory implies a type of Nursing Care or

Holistic Nursing approach that deals on:

 How to care for cancer patients.

 Improve the quality of life of patients with cancer and other chronic
diseases/terminal illnesses.

REFERENCES:
https://upoun2072013.blogspot.com/p/conceptual-model.html
https://upoun2072013.blogspot.com/p/metaparadigms.html
https://networks.upou.edu.ph/41284/prepare-me-theory-holistic-nursing-interventions-for-
cancer-patients-dr-carmencita-abaquin/
https://www.academia.edu/37549543/Carmencita_Abaquin_pptx

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