Nursing 4400A/B Lecture Notes - Lecture 3: Palliative Care, Confidence Interval, Jargon

• School: Western University
• Department: Nursing
• Course: Nursing 4400A/B
• Professor: amyhorton

Document Summary

Palliative and end-of-life care: understanding, communicating, and myth busting. Model of palliative care (heideman et al. , 1987) ex. Att(cid:396)i(cid:271)utes of a (cid:858)good(cid:859) death comfortable su(cid:396)(cid:396)ou(cid:374)ded (cid:271)(cid:455) lo(cid:448)ed o(cid:374)es (cid:894)u(cid:374)less the(cid:455) do(cid:374)(cid:859)t (cid:449)a(cid:374)t (cid:455)ou a(cid:396)ou(cid:374)d(cid:895) honour the wishes of the pt while respecting the family peaceful death (not lots of flurry, violent) private room. 2 autonomy*** reconciliation (with spirituality or with themselves) Encourage/sustain hope: through the journey we re-define hope, w. a. i. t. Pt/family: * misunderstanding/miscommunication of illness, px, rx options, * est(cid:396)a(cid:374)ged/dista(cid:374)(cid:272)e fa(cid:373)il(cid:455) (cid:373)a(cid:455) see(cid:373) (cid:858)de(cid:373)a(cid:374)di(cid:374)g(cid:859) : a(cid:374)(cid:454)iet(cid:455), guilt, sho(cid:272)k at (cid:272)ha(cid:374)ge in pt(cid:859)s (cid:272)o(cid:374)ditio(cid:374, * preconceptions about role of palliative care. * language barrier: hcps, * depth of pt/hcp relationship (e. g. ) if fp, * personal experiences w illness/death, beliefs, values, * lack of education, * fears of emotional outbursts/being the messenger. Circumstances: * lack of prev relationship w pt/family, * lack of privacy, * unavoidable interruptions.