Role of the Nurse

Role of the Nurse 150 150 Tony Guo

Role of the Nurse

  • Relieve suffering
  • Clarify misunderstanding about the use of pain medications
  • Addiction is not a concern when providing comfort for the terminally ill patient

End of Life: Nursing Management

  • Nurses spend more time with patients and families
  • Respect, dignity, and comfort are important for patient and family
  • Psychosocial and physical needs

Nursing Assessment

  • If patient is alert
    • Brief review of body systems to detect signs and symptoms
    • Assess for discomfort, pain, nausea, or dyspnea
    • At least every 8 hours in the inpatient setting
  • Assess coping abilities of patient and family
  • Monitor for system failure as death approaches
  • Attention to subtle physical changes requires vigilance
  • In the last hours of life
    • Limit to comfort measures
    • More peaceful for patient and family
    • Transition your efforts to emotional support for patient and family as death approaches

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