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The role of the nurse in palliative care
Palliative care nurse role
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“Canadian hospitals are used to coping with the nuclear family, not the extended family. Rooms tend to be small, and are often shared. If possible, a dying indigenous patient should have a private room, close to an entrance, so that the many visitors will not disturb other patients, and so that the family will have privacy as well as access. “(Longboat, 2002) Although the Aboriginal may request a private room they may not always be available. Furthermore, depending on facility protocol they may be given on a first come first serve basis or there may be a cost involved. As much as the nurse may want to help and provide a private room, in some cases it may not be possible. As stated by Longboat and many other Aboriginal information sources, the …show more content…
Not only does the patient receive encouragement, strength, and support, but also the spiritual leader’s role is to listen to the dying person’s stories of life, dreams, visions, fears, regrets or guilt.” (Longboat, 2002) It would be difficult for a nurse to always be able to provide privacy for the many rituals and ceremonial events. A nurse still must monitor, provide care and give medication to the patient, this may interfere with the rituals. “Elders might be participants in decision making, as they are highly respected in aboriginal communities. They are valued for their wisdom and experience” (Kelly, 2007) An aboriginal at end of life care may want to consult with their elders and family before making decisions, nurses must allow privacy and time for them to discuss. The possible difficulty with this is in time sensitive situation the health care team may have to wait an extended period of time for a decision to be made. As we’re not just dealing with the patient, but in some cases a whole community or family contributing to making the health care decisions for the patient, along with their alternative culturally beliefs, a situation can quickly become
Charalambous, A. (2010). Good communication in end of life care. Journal of Community Nursing, 24(6), 12-14. Retrieved from EBSCOhost.
Due to the growing issue dealing with the aging baby boomers generation, gerontology has been brought into immediate attention in the health care system. We are still learning and discovering about the anonymities behind the aging processes. Aging and death is a normal stage of life, even though there is an increase in technology and knowledge that would lengthen your existence, bringing the body back to youth is not possible. As one ages it is very common for one to go through physical, psychological and mental degeneration of the body. In the gerontological setting, it is important for nurses to commit to caring and providing a good quality of life. This is done by providing a dignified death instead of simply sustaining life. In order to make this happen it is important to incorporate Jean Watson’s caritas processes into the care plan. By providing good person to person care a nurse can improve the quality of life of patients and their family members. This paper will focus on the use of caritas process number 9 in the gerontological setting to develop a healing relationship with my client, use of professional knowledge needed to assist my client in his/her needs, a nursing action that helped my client’s needs and the difference the care made to my clients healing. In the gerontological setting, “spirituality must be considered a significant factor in understanding healthy aging” (Touhy, Jett, Boscart, & McCleary, october 2011, p. 98). Gerontological nurses have to put spirituality of an older adult in priority, because as you age spirituality is very important to them and it is source of hope and helps them in adaptation of their illness. Findings of a Canadian community health sur...
Hispanics are the fastest growing minority in the United States, and the majority of them are Mexican in origin (Kemp, 2001). The Roman Catholic Church plays a vital role in the culture and daily life of many Mexican Americans. Consequently, healthcare personnel must become culturally competent in dealing with the different beliefs possessed by these individuals. Nurses must have the knowledge and skills necessary to deliver care that is congruent with the patient’s cultural beliefs and practices (Kearney-Nunnery, 2010). The ways that a nurse cares for a Mexican American patient during the process of dying or at the critical time of death is especially important. The purpose of this paper is to examine Mexican Americans’ beliefs concerning terminal illness and death, explain the role of the nurse desired by Mexican Americans, and discuss how the knowledge gained will be incorporated into future nursing practice.
The American Nurses Association (ANA) thinks that nurses should stay away from doing euthanasia, or assisting in doing euthanasia because it is against the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001; herein referred to as The Code). Overall, nurses are also advised to deliver a quality of care what include respect compassion and dignity to all their patients. For people in end-of-life, nursing care should also focus on the patient’s comfort, when possible the dying patient should be pain free. Nurses have also the obligation to support the patient but also the patient’s family members during these difficult moments. We must work to make sure that patients and family members are well informed about every option that is
Granted, textbooks and nursing classes deal with death, but Marks explains that you do not really understand it until it is right in front of you. Overtime it becomes something that nurse’s become accustom to. To clarify the subject of death never becomes easy, it just becomes bearable. After 31 years of experience Marks explained to me that nurses have to learn how to distance themselves, yet still be caring at the same time; a trait that does not come easily to most. In the same way treating someone with a terminal illness is just as hard. In these cases nurses must step into the role of councillors. They must learn how to comfort their patient, yet not become too attached. As well they must learn how to explain to them what is happening, which can become especially hard when dealing with
The difference is that Indigenous people maintain a cyclic nature of death and return to the land whereas a contemporary Western view sees transitions as a need for families to cope and understand the “fading away of a person” (Ferrell & Coyle, 2010). The palliative care nurse needs to appreciate that in Indigenous communities, large numbers of Indigenous people may be expected to visit the patient and talk amongst themselves to carry out “sorry business”. For the nurse it becomes paramount to facilitate this interaction and process through the development of rapport with family and community members to allow cooperation and mutual respect (Aboriginal and Torres Strait Islander Health Branch, 2011). The importance of creating a therapeutic relationship that facilitates the freedom of the community in the palliative space and interaction between health professionals and Indigenous groups was shown by Pam McGrath in an interview with indigenous people caring for a palliative family member. McGrath reported the family member explaining that many of the issues they had to deal with regarded having to define to family members and health professionals who can actually help with the care of the patient (Mcgrath,
...endent judgments about their own fate. In keeping with this trend there is now a growing drive to review the current laws on euthanasia and assisted suicide.” (McCormack, 1998) Nurses are faced with various ethical dilemmas every day. If theses ethical decisions are not treated in a professional manner there can be harsh consequences for both the patient and the nurse.
It is found that nurses report that their most uncomfortable situations come with prolonging the dying process and some struggle with ethical issues by doing so (Seal, 2007). Studies have shown that implementation of the RPC program and educating nurses have increased the nurses’ confidence in discussing end-of-life plans (Austin, 2006). With confidence, the nurse is able to ask the right questions of the patient and make sure that the patient’s wishes are upheld in the manner that they had wanted, such as to not resuscitate or to make sure their spiritual leader is present when passing (Austin,
Nurses are both blessed and cursed to be with patients from the very first moments of life until their final breath. With those last breaths, each patient leaves someone behind. How do nurses handle the loss and grief that comes along with patients dying? How do they help the families and loved ones of deceased patients? Each person, no matter their background, must grieve the death of a loved one, but there is no right way to grieve and no two people will have the same reaction to death. It is the duty of nurses to respect the wishes and grieving process of each and every culture; of each and every individual (Verosky, 2006). This paper will address J. William Worden’s four tasks of mourning as well as the nursing implications involved – both when taking care of patients’ families and when coping with the loss of patients themselves.
The end-of-life nurse’s primary objective is to provide comfort and compassion to patients and their families during an extremely difficult time. They must satisfy all “physical, psychological, social, cultural and spiritual needs” of the patient and their family. (Wu & Volker, 2012) The nurse involves their patient in care planning, as well as educating them about the options available. They must follow the wishes of the patient and their family, as provided in the patient’s advance directive if there is one available. It is i...
The nurse becomes the confidant, the guide through the darkness, a source of comfort for those experiencing the trauma of losing a child. To successfully fulfill these nursing roles, in addition to roles that must be fulfilled to meet other patient’s needs, one must acknowledge their own definition of death and educate themselves on cultural and societal norms associated with death and dying. It is important to identify one’s own definition of death and dying but also understand that one’s preference does not define the death experience for others. The individuality and uniqueness of each death experience means that one definition of death may be hard for one to accomplish. It is important to maintain an open mind, nonjudgmental spirit, and impartiality for the cultures and practices of others surrounding death and dying. A culturally competent nurse is not only responsible for acknowledging the cultural norms of others but also respecting and educating themselves about the death rituals of their patient’s culture and providing the family with as many resources to safely and effectively fulfill their cultural practices. Education is empowering for the nurse who is navigating the death and dying process. Education often supplements ones credibility with the dying patient and their family which can ease overall anxiety and further promote ones role as a patient advocate and provider of
Religion is a significant aspect of culture that must be understood and respected. Through understanding the differences in peoples cultures, a nurse who is tending to a patient who’s beliefs differ from his or her own can appropriately adjust care to respect the patient’s beliefs and
Growing up I was the only one in my family with an olive skin tone who didn’t burn in the sun. Everyone always told me that I inherited my grandfather’s Cherokee Indian features. He never talked about his culture, so I have never associated myself with being Native American. Each Native American tribe has unique cultural beliefs and traditions that are passed down from generation to generation through storytelling. In my family, those traditions ended when my grandfather passed away. As an increasingly diverse country, it is important for nurses and health care providers to deliver culturally competent care. The purpose of this paper is to discuss Native American’s cultural beliefs related to end of life care and how health care providers can
The subject of death and dying is a common occurrence in the health care field. There are many factors involved in the care of a dying patient and various phases the patient, loved ones and even the healthcare professional may go through. There are many controversies in health care related to death, however much of it roots from peoples’ attitudes towards it. Everyone handles death differently; each person has a right to their own opinions and coping mechanisms. Health care professionals are very important during death related situations; as they are a great source of support for a patient and their loved ones. It is essential that health care professionals give ethical, legal and honest care to their patients, regardless of the situation.
Taking an example of EOL decision again, death and dying of self or immediate family is the most difficult subject to talk about. She arranges a meeting with next of kin and other health professional depending on the situation and explains the whole situation, the pros and cons of each decision in an unbiased manner (Burgess, Braunack-Mayer, Crawford & Beilby, 2014). With the previous experience and the training received on end of life care, geriatric nurse gets a well-written treatment plan by the treating physician. She communicates the decision among the multi-disciplinary team (Stewart, Goddard & Schiff, 2011) and documents all discussions and decisions for shift handover and as a legal record for later (Chan &