Nursing 4440A/B Lecture Notes - Lecture 3: Palliative Care, New York Heart Association Functional Classification, Hydromorphone

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Week 3: palliative and end-of-life care: understanding, communicating and myth-busting. When does palliative care begin: at the time of diagnosis. Getting started: know the basics, admitting diagnosis, surgeries, treatments, & outcomes, open questions that can be answered in any way (e. g. ) How are you? or what are you: facilitating/pausing or silence when patient speaks. Same: better, worse and same are ways for the nurse to direct the conversation. Common mistakes: using jargon, using why" (why are you feeling this way, instead of why are you angry?, using euphemisms tumour, growth, mass , i know what you"re going through/feeling, etc. Common myths/beside struggles: mom hasn"t eaten much for days. This is no way to live! : is this a state of life the patient wants?2. One simple question strikes fear in the hearts of many . How long do i have to live, nurse/doctor? .

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