CHAPTER V SUMMARY, CONCLUSIONS, AND RECOMMENDATIONS This chapter finalizes the study through presentation of the summary of findings,

conclusions, and recommendations based from the critical interpretations of data done in the previous chapter. The descriptive method of research was used in the study employing the survey method of collecting data by means of questionnaires, interview, observation and documentary analysis. There were 102 respondents which comprised of the nurses including doctors of Southern Isabela General Hospital. This study assessed the Quality of care to a dying patient given by the nurses and doctors of Southern Isabela General Hospital. Particularly, it aims to determine the profile of the respondents as to age, gender, religion, monthly income, and job classification. In addition it sought to find out the factors that affect the respondents on the quality of care that they render to their dying patient, such as building health care system as well in providing emotional support to their dying patients, preserving the patients dignity, those services that they initiated for the dying patients and the common causes of death.

1. Profile of the Respondents Age. Most of the respondents belong to young adult whose age range from 20 to 29 years old with a frequency of 76 and total percentage of 74.50. On the other hand middle adulthood with a range of 30 to 39 with a frequency of 17 and the percentage of

16.06, same as with the age of 40 to 49 years old that have the frequency of 4 with a percentage of 3.93. Followed by the early adult ages 18 to 19 years old with a average frequency of 3 and 2.94 as their percentage and lastly late adult ranges from 50 years old above and we come up with the frequency of 2 and with the percentage of 1.96. Gender. As to gender, majority of the respondents are female, with a frequency of 55 and a percentage of 54. Whereas male respondents receives a percentage of 46 with a frequency of 47. Religion. In terms of religion, Roman Catholic receives the highest frequency of 64 and a percentage of 62.76. Followed by Iglesia Ni Cristo with the frequency of 16 and 14.7 as their percentage. In addition to this Methodist got the frequency of 11 and the percentage to 10.78. Whereas the religion item termed as Others got the

percentage of 7.84 and a frequency of 8, lastly for the lowest item Espiritista and Born again got the 2 as their frequency with the percentage of 1.96. Monthly Income. With a frequency of 61 and a percentage of 59.81 the majority of the respondents belong to the category which is five thousand to ten thousand a month. Followed by the category terms as Others with a calculated frequency of 18 and 17.64 for the percentage. Lastly which receive a salary of eleven to twenty thousand a month that have a frequency of 13 and a percentage of 12.75. Job Classification. For the job classification most of the respondents are categorized as Decking Nurse with a frequency of 38 and 37.25 as their percentage distribution. After that we have Volunteer nurses with a frequency of 24 and percentage

of 23.53 and lastly among the 3 highest items have been tabulated RN heals get a frequency of 20 and 19.61 is the percentage.

II. Information proper 2. Building a health care system This components implementation was viewed as Often (Total mean 4.12) based on their practice they treat their patient as a human (mean 4.57), they maintain a friendly manner with a smile (mean 4.43), and lastly they strengthen the relationship of their patients love one (mean 4.35).

3. Ways to provide emotional support As a result on the data gathered, in terms of providing emotional support to the person who is living with the dying patient. The first act that the respondents done was, they must be approachable always for the family of the patient (mean 4.62), then they
give a highest score in proving respect to the familys need for privacy with a (mean 4.44) and for the last the respondents implies that they support the families spirituality needs by respecting their belief and cultures with the mean of (4.40) in addition to this another item we got the same score with the previous items and this is providing the better understanding about present condition of their love ones through explaining them on what will going to happen.

4. Preserve the dignity The respondents are aware about preserving the dignity of their dying patient and as a result on our data gathered, respondents give a high score in treating their patients as a human as one of their way in preserving a dignity for their dying patients and this items get a mean of (4.57), in addition the respondents also implies the importance of being responsibly in giving care for their dying patient and this get a mean of (4.43), and to end this items the last was strengthen the relationship of their patients loved ones with a mean of (4.35).

5. Kind of services The respondents have a adequate choices of services that they are rendering for their dying patients and one of this was they must respect their patients likes and dislikes and it get a high score according to them and for the mean (4.56) has been calculated, the other hand the respondents also set a priority to respect their rights of their dying patient with a mean of (4.52) and lastly they preserve the dignity of their dying patient with a calculated mean of (4.51).

6. Common causes of death According to the datas weve gathered in our chosen location which is Southern Isabela General Hospital the first common causes of death in their institution was Cerebrovascular Accident with a frequency of 39 and a percentage of (16.19) followed by Pneumonia that give as a frequency of 21 and percentage of (8.72%) and Vehicular Accident is the last among the 3

for its frequency 15 is a result and the percentage is (6.22%)

Conclusions On account of the forgoing findings, the following conclusions were drawn: In terms of the respondents profile majority are age 20 to 29 years old, generally females are the respondents explaining that they have the compassionate way of giving their care to dying patients, sixty two point seventy six percent are Roman Catholic, mostly our respondents are decking nurse, and majority of the respondents received a monthly income of five to ten thousand pesos. In building a health care system to the dying patients majority of the respondents treat their patient as human they believed even their patient was near to death they should respect him or her and it implies that the nurses in Southern Isabela General Hospital was done a compassionate care because in relations with this kind of treating of patients can give a lot of exception and consideration in doing and rendering a quality care for them. The respondents also provide emotional support in improving their services in the family of dying patients and one of the trait of the nurses should be approachable and this is one traits that our respondents give a high priorities and also in doing a great job to provide the quality of care it also includes their respect to patients likes and dislikes through this they can give a quality care for the patients and it can help the patient die with dignity and in addition to this the most life threatening causes of death in the institution were we conducted our study was Cerebrovascular accident and in this case it was an alarming cases for them and according to them it needs an immediate reaction.

Recommendation With respect to the summary findings and conclusion drawn from the study, the following recommendations are offered: 1. On the data that we have gathered we come out with the three lowest items that needs a further recommendation regarding in building health care system capable of helping dying patient this are as followed, I relieve the unnecessary burdens on my patient through supporting them in their bereavement, I avoid the unnecessary prolongation of dying, and the lowest Rank, I encourage more involvement in social interaction, respectively we recommend to the institution that they will increase the number of nurses so that they can focus on giving the proper care for the dying patients because on the locale of our study the ratio of nurses to patients are too diminutive. In addition to this we also made a recommendation to the respondents itself, as the part of their work they should provide enough time to communicate to their patients and know them deeply and through this they can also empathize with their patients that can make them feel valuable in times of their bereavement as well as in involvement in social interaction. 2. In concerned towards providing emotional support to a person living with the dying patient we found out the three lowest priorities of the respondents in giving support were as follow, I allow the family to reminisce about my patients life and I dont allow to withhold difficult information (most patients prepared to include in discussion about issues that concern them) and I allow my patient to honor advance directives (living wills). As a result of this data

gathered first we recommend the government who handled this institution to increase the funds to sustain for the hiring of new nurses for the benefits of the patients and as well the nurses. This recommendation can help them to focus on rendering the needs of their patients especially in giving emotional support.