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End of Life Care
End of Life Care
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Presentation Slides & Transcript
“Life lives, life dies,
Life laughs, life cries.
Life gives up and life tries,
But life looks different through everyone’s eyes.”
What does this mean?
What is palliative care?
What is the goal?
What is hospice care?
What aspects of care are essential to providing a comprehensive and humane approach at end-of-life?
Something To Think About
What is the impact of technological advances in health care?
Should medical professionals prolong life through the use of technology just because they can?
Has attention to care of the dying been overlooked because of improved ability to prolong life?
Interest in the care of individuals at end-of-life has surged in the past 30 – 40 years, but still falls short of what is needed.
What are the barriers to improving end-of-life care?
What is the prevalent social context of illness and disease in the United States?
What is the care/cure dichotomy?
What is most valued?
Legal only in Oregon
Opposed by nursing and medical organizations
Would you ever be tempted to assist a patient who requests your assistance?
How does the ANA define the role of the nurse?
End-of-Life Care Provider
What skills are essential to providing end-of-life care?
What must a nurse (student) do in order to effectively communicate and provide care at end-of-life?
Reflect on your own experiences and values concerning illness and death
Deliver and interpret technical information without hiding behind medical terminology
Realize the best time for the patient to talk may be at the least convenient time for you
Be fully present during all communication
Allow the patient and family to set the agenda regarding the depth of the conversation
Be comfortable with silence
Allow patient/family time to reflect and respond
Do not give advice
Avoid canned responses
Assess understanding, both your own and the patient’s
Dr. Kubler-Ross on dying
“Those who have the strength and the love to sit with a dying patient in the silence that goes beyond words will know that this moment is neither frightening or painful, but a peaceful cessation of the functioning of the body.”
How will you spend your Dash?
“Somebody should tell us, right at the start of our lives, that we are dying. Then we might live life to the limit, every minute of every day. Do it! I say. Whatever you want to do, do it now! There are only so many tomorrows.”
Pope Paul VI
“Live as if you were to die tomorrow. Learn as if you were to live forever.”
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