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Why Is End Of Life Care Important In Nursing?

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Why Is End Of Life Care Important In Nursing?

Not only palliative care institutions but also other types of healthcare facilities offer end of life care. In order to offer patients with safe and high-quality care, it is crucial to evaluate all obstacles to end-of-life care. The purpose of this essay is to examine the challenges to and supportive behaviours of nurses in high-profile hospitals. It also aims to describe the significance of nurses in providing end-of-life care. The nurses’ job in providing end-of-life care is to assist these patients in communicating their feelings, as well as any final requests or secrets they may want to share with their loved ones.

Importance of End of Life in Nursing

EOL care should be given to clients in pain management units or clinics where staff members have sufficient expertise of EOL care, according to nurses, doctors, and other allied health professionals. However, EOL care is offered in a range of healthcare facilities, not just palliative care institutions. For this reason, it’s crucial to identify all of the obstacles to EOL care and to offer patients secure, high-quality treatment. Consequently, giving end of life care in any environment might be difficult. 

The approach nurses take to patient EOL care and readiness is a vital component in achieving quality patient- and family-centered care. Nurses play an important role in EOL care. In addition to offering practical assistance with daily duties, end-of-life and palliative care. The objective is to enhance patient, family, friend, and caregiver quality of life. Palliative care and end-of-life care are dependent on the patient’s requirements.

Nurses’ attitudes toward death and readiness to provide end-of-life care may have an impact on the care they provide to individuals who are critically ill or dying. In addition to culture, society, value orientation, and religion, an individual’s perception and attitudes regarding death and dying have a role in determining views toward these topics. The effectiveness of patient care can be impacted by the stress and negative attitudes that patients’ deaths frequently cause in nurses. 

A nurse’s approach toward communicating with hospice and terminally ill patients may be reflected in their interactions. As a result, the technical preparedness of both doctors and nurses to deliver EOL care has a significant impact on the quality of care. Many nurses will never have the opportunity to interact with or care for a dying person. No matter the environment in which they practise, registered nurses must all have training in end-of-life care because death can happen anywhere at any moment.

Role of Nurses in End of Life Care

The following general duties are assigned to nurses who provide end-of-life care: 

  • Assessing patients’ anxiety levels and other emotional and mental states
  • Determining the degree of perceptual and cognitive impairment and physical fitness
  • Evaluating the progression of a patient’s disease or condition
  • Assisting patients’ families in resolving any issues that may arise from end-of-life care.

A nurse needs to have expertise in end-of-life care in order to satisfy these needs effectively and professionally. This getting ready for death could involve:

  • Skills assessment: Every nurse must be able to evaluate the patient’s needs and development, as well as pay attention to every conversation and desire that is expressed.
  • Consultation: The nurse should start or join conversations with patients and families about death and dying.
  • Coordination: It’s important to have a clear plan and blueprint for the patient’s needs and care. If some other nurse takes up patient care and treatment, the first nurse should have a synchronised record to prevent confusion or treatment lapses.
  • Self-care: Regarding the care provided to a patient nearing death, every nurse ought to be compassionate and committed. However, they ought to be sensitive to themselves as well. They will be more capable of managing the feelings of their patients and their families if they prioritise their own mental and physical well-being in addition to patient care. Anyone participating in providing end-of-life care might benefit from specific mental health techniques including anticipatory grief and mindfulness.

It’s easy to overlook how death affects nurses. However, nurses will be equipped to handle any situation by having a greater awareness of and planning for end-of-life care.

Patients and Relatives at the End of Life Advice and Assistance

In addition to managing a patient’s sickness, nursing care also focuses on their physical comfort and acknowledges that a patient’s well-being also involves mental, relational, and spiritual components. Nurses should be able to make decisions about hospice and end-of-life care alongside patients and families and handle discomfort and other sensations for people with critical or life-limiting illnesses.

Aggressive symptom control, supportive judgement, and end-of-life care are all parts of palliative care. Basic diagnosis and treatment, the capacity to allow, and the capacity to offer support for patients and families are all examples of primary palliative care knowledge and abilities that all healthcare professionals should possess. Specialist palliative care is the practise of using consulting specialists with advanced training in palliative care to enhance the care provided to patients and their families. Similar models are employed to improve patient care in the areas of the cardiovascular system, the kidneys, the nervous system, and other areas.

The physiological realities of the patient’s state are the primary consideration in clinical decision-making. The decision-making alternatives are framed by these physiological truths. Is it the intention to heal this patient? Is it the intention to help the patients to find their terrible illness? Do we already know that the patient will soon pass away from their illness? The patient has to understand what is still doable and what is no longer conceivable.  Nurses or other hospice care professionals must acknowledge receiving this information and then clearly communicate it to the patients and families. 

When the medical staffs determine that the condition of the patient is critical or that death is imminent, the knowledge should be disclosed. After framing options with physiologic data, patient preferences can subsequently be solicited based on clinical facts. Similar to what happens to patients and families, various members of the healthcare team may recognise the necessity and appropriateness of end-of-life care at different times. 

Patients may miss out on possible possibilities at the end of life if a nurse fails to notice that a patient is near death. Patients may miss out on possible possibilities at the end of life if a nurse fails to notice that a patient is near death. Failure to identify and communicate a patient’s impending death may also prevent them from fulfilling final obligations like making a will or taking care of financial problems.

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