Theories related to dying
Internal sadness resulting from loss, cannot be measured in time
Loss absence of someone/something meaningful
Bereavement a response to the loss
Mourning feeling or expression of sorrow/sadness
Dying with Dignity
Holistic Nursing Care of the Dying
Meaning reflects the human need to sense design and find significance in life
Caring to share in the patients suffering by listening, or by being fully present
Empathy the ability to know i
What is the problem?
Anxiety fear of the unknown and the general state of discomfort stimulated by new
Fear more focused than anxiety
Example of anxiety vs. fear
Anxious about being old, but fearful of being dependent on others.
Less than 1% of patients become addicted to pain meds. Unfortunately, patients are prescribed
meds like there are many more people that become addicted
Definition of pain whatever the patient says it is
pain is subjective
JCAHO can arrive at an
Legal and Ethical Issues
Giving relevant information and supporting the decisions made by the patient
Do not pass judgment, influence the patient, or make decisions for them just provide
Based on the moral right of people to self-dete
Caring for Families
Why is palliative care needed?
(Can be found on blackboard)
Goals of the patient and goals of the caregiver Are they the same?
Needs of the caregiver
Are they familiar with patient care?
How much have they done in carin
Hospice and Palliative Care
England 1950s 1960s
Dr. Cicely Saunders developed a comprehensive program for physical, emotional, and
St. Christophers Hospice in England
Dr. Elizabeth Kubler-Ross promoted movement here but changes base