Date of Award


Document Type

Restricted Access Thesis

Degree Name

Master of Arts in Nursing (MAN)




Palliative care has been well documented to enhance quality of life for individuals with advanced illness including end-stage renal disease (ESRD). It provides holistic, comprehensive care when cure of the disease process is not an option. In these situations, palliative care can lessen the symptom burden of ERSD and help individuals focus on quality of life over survival time. Palliative care programs that are emerging in renal care settings today face unique challenges in providing symptom management, advanced care, planning, education, and emotional support to individuals suffering with ESRD. Parse’s Human Becoming Theory provides a framework to support palliative care as an alternative bio-medical approach to care. A collaborative pathway is essential to support ESRD individuals’ preferences and priorities with the participation of renal nurses and palliative professionals. Renal nurses can address the gap in providing palliative care by developing an educational pathway for renal nurses to acquire specific palliative competences to heighten confidence and less anxiety in meeting ESRD patients' complex cares and quality of life goals.


SC 11.MAN.2015.BuckTipton.J