End of Life_Hospice Care - END OF LIFE/HOSPICE CARE Nursing...

Info iconThis preview shows pages 1–3. Sign up to view the full content.

View Full Document Right Arrow Icon
END OF LIFE/HOSPICE CARE Nursing care involves the support of general well-being of our patients, the provision of episodic acute care and rehabilitation, and when a return to health is not possible, a peaceful death. Dying is a profound transition for the individual. As healthcare providers, we become skilled in nursing and medical science, but the care of the dying person encompasses much more. Certain aspects of this care are taking on more importance for patients, families, and healthcare providers. These include pain and other symptom management; psychological, spiritual, and grief/bereavement support. Recent studies have identified barriers to end-of-life care including patient or family member’s avoidance of death, influence of managed care on end-of-life care, and lack of continuity of care across settings. In addition, if the dying patient requires a lengthy period of care or complicated physical care, there is the likelihood of caregiver fatigue (psychological and physical) that can compromise the care provided. The best opportunity for quality care occurs when patients facing death, and their family, have time to consider the meaning of their lives, make plans, and shape the course of their living while preparing for death. CARE SETTING Much of the care of the dying is still provided by nurses in hospitals, primarily in oncology and critical care areas. However, other care settings are becoming more common, e.g., the home, assisted living/extended care setting, or hospice inpatient unit. RELATED CONCERNS Cancer Extended care Psychosocial aspects of care Care Plan(s) reflecting underlying pathology of terminal condition Patient Assessment Database Data depend on underlying terminal condition and involvement of other body systems. EGO INTEGRITY May report: Stress related to recent changes in ability to care for self and decision to accept hospice services Feelings of helplessness/hopelessness, sorrow, anger; choked feelings Fear of the dying process, loss of physical and/or mental abilities Concern about impact of death on SO/family Inner conflict about beliefs, meaning of life/death Financial concerns; lack of preparation (e.g., will, power of attorney, funeral) May exhibit: Deep sadness, crying, anxiety, apathy Altered communication patterns; social isolation; withdrawal SOCIAL INTERACTION May report: Apprehension about caregiver’s ability to provide care Changes in family roles/usual patterns of responsibility May exhibit: Difficulty adapting to changes imposed by condition/dying process NURSING PRIORITIES 1. Control pain. 2. Prevent/manage complications. 3. Maintain quality of life as possible. 4. Plans in place to meet patient’s/family’s last wishes (e.g., care setting, Advance Directives, will, funeral).
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
NURSING DIAGNOSIS: Pain, acute/chronic May be related to Injuring agents (biological, chemical, physical, psychological) Chronic physical disability Possibly evidenced by Verbal/coded report; preoccupation with pain
Background image of page 2
Image of page 3
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 02/01/2011 for the course PNR 182 taught by Professor Toole during the Spring '10 term at Orangeburg-Calhoun Technical College.

Page1 / 9

End of Life_Hospice Care - END OF LIFE/HOSPICE CARE Nursing...

This preview shows document pages 1 - 3. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online