Chapter 29: Communicating at the End of Life
Maria is a 42-year-old woman who is dying from cancer. You are assigned to Maria. Her transition to hospice care has not been going well. Her chemo is no longer working, and she has been in increasingly more pain. Maria has three children ages 3, 5, and 8, and she tells you she cannot fathom what their lives will be like without their mother. Maria feels there are so many lessons that they have yet to learn. You find Maria frequently crying, and she tells you her children need her and she is not ready to go. Maria asks if you would help her to hire a videographer and get her all the materials she needs so she can "make a movie" for the kids. This idea is new to you.
What is your best response to Maria?
a. "That is such a special idea. How would it feel for you to make this type of movie? Let's talk about what you would require to get started."
b. "A movie? Aren't they a little young to watch it?"
c. "Maria, as your nurse I don't think at this time you have the strength to take on a project like this. Do you have any other ideas?"
d. "I'm not clear, Maria, how this would help you. Can you tell me how it would make you feel better to do all of this?"