NURS 3330 Chapter Notes - Chapter 5: Lifesaving, Pediatric Nursing, Palliative Care

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Chapter 5: End-of-Life Care
Overview of end of life
Death is the end of sustainable life, for infants and pediatric patients, death is
the end of a short life, caused by disease or trauma
Routine nursing care in pediatrics differs from end-of-life care in pediatrics
o End-of-life care differs from routine pediatric nursing in that is based
on the palliative needs of the patient and family rather than a
diagnosis of disease
o The goal of end-of-life care differs from that of routine care in the goal
is a natural death versus continuation of a healthy life
A terminal diagnosis or disease is one that will end the life of the patient
A terminal diagnosis categorized as being the result of either trauma or
physiologic causes
Communication In care of the dying patient
Communication with family
Determination of legal guardians necessary to know whom information can
be released to
Family Centered Care in End of Life
The basis for all interactions with the family of a patient receiving end-of-life
care
Communication
Communication with each family member of the care team on an individual
biases takes place to ensure optimum care of the patient and family
Nurses have an important communication role in end-of-life care; within the
multidisciplinary care team, the nurse has the most contact with the patient
and family and acts as an advocate and voice for them to provide optimum
care.
Communication within the palliative care team can be different than
communication with the routine multidisciplinary care team; understand the
role of palliative care to provide professional education
Palliative Care
Care provided at end of life to promote patient comfort and family
involvement
When palliative care is appropriate: at end of life, within 6 months of death.
What makes palliative care different is it promotes a graceful, natural death
rather than attempting to prevent death
It offers compassionate care that focuses on the comfort of the patient and
inclusion of the family
It offers the patient comfort, compassionate care with as few invasive devices
and procedures as possible
The goals are to provide for comfortable and graceful end-of-life care
Initiation of palliative care is generally done by the physician with input from
the multidisciplinary care team
Pain control is an important aspect of the definition of palliative care and is
the job of the nurse, physician, and pharmacist
Pediatric Pain Control
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