Sentido, conexión y trascendencia al final de la vidaaplicación del enfoque narrativo desde el trabajo social sanitario

Abstract

During the last decade there has been an increase in the sensitivity of the health professions in the palliative care units due to the attention to the spiritual dimension in end-of-life situations. The spiritual is one of the dimensions of the human being who, together with physical, psychic and social, is singularly committed in the process of dying. Understanding the process of dying as an existential and biographical process that affects the whole of the person and in which the search for meaning and meaning of the human experience emerge radically, it is necessary for the professionals to have intervention strategies That facilitate the accompaniment during its transit. A fruitful body of know- ledge that brings together diverse theoretical perspectives of Western and Eastern philosophical currents has widened the horizon of models of care in palliative care. From the social work, there is evidence on the relevance of the narrative approaches to understand the human experience of sickness and dying and to intervene on it. In this article the application of the narrative model developed by the social workers M. White and D. Epston to the case of a patient in final situation of life entered in a palliative care unit is shown. The results reveal the possibilities offered by this model of intervention to work together with the sick person in the adaptive elaboration of meaning that requires the transition that is going through, endowing its life path with meaning and giving it dignity.