Nursing In Nursing

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Nursing Roles in End-of-Life Decision Making
Introduction
Encountering death constitutes one of the most stressful events that a nurse inevitably encounters. Patients and families often face complex choices as patients approach the end of their lives. These decisions often affect many aspects of a person’s well-being and may be spiritual, psychosocial, or legal. Dying patients have to consider their wants and needs from treatment, while also considering the ramifications that can accompany these choices. This paper discusses a professional nurse’s role in promoting a good death, personal experiences regarding my encounters with death, and how all nurses can effectively facilitate end of life decisions.
Characteristics of a Good Death
The
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(2006) the main obstacles that created barriers to a good death included, but were not limited to, the shortage of nurses and inconsistent staffing patterns, communication challenges, disagreement related to the physician’s decisions and behavior, and unrealistic expectations from those receiving care. Staffing patterns and shortage was the most prominent complaint among nurses. The nurses’ desire for afforded time-sensitive care was often impaired by unrealistic assignments and staffing shortages. Time spent with the patient and family is crucial in building relationships and allows for a better death to be facilitated. Another barrier includes the lack of communication by the healthcare team and patient. To address this, the healthcare team must educate the patient on potential options for their plan of care and respect these wishes. Unrealistic expectations can stem from this lack of communication. Realistic and compassionate care is essential in breaking the barriers associated with the end of life process (Beckstrand, Callister, & Kirchhoff,…show more content…
Nurses are often affected by personal attitudes, fears, and experiences that can prevent them from providing the best care possible. These personal factors must first be addressed to understand our own personal prejudices and decisions about dying. The nurse must also remember to fully focus on the patient’s desires and outcomes. This section explores communication, advocacy, and caring from a nursing

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