The Nursing Role In Palliative Care

THE NURSING ROLE IN PALLIATIVE CARE

Abu-Rakiah Riad

RN-MAPALLIATIVE CARE SPECIALIST

OBJECTIVES:

Main Areas of Practice

The nursing role in palliative care

Standards of care

Communication issue

Holistic assessment

The family and the nurse

Loss and nursing role

MAIN AREAS OF PRACTICE

Co-ordinating of the program and Treatment plan

role in the multidisciplinary team

Clinical expanded role in the symptoms management

Education and research

THE NURSING ROLE IN PALLIATIVE CARE

Relief for physical symptoms Achieving quality of life Maintaining an independent patient

Relief for mental anguish and social isolation

Family support Reducing isolation, fear and anxiety Good death or dying well

ANGUISH

STANDARDS OF CARE

Relief of symptoms

patient independence and

open dialogue.

Support patient, family, therapists and colleagues.

Contact with other staff members providers power to the patient

improved communication inter- personal

COMMUNICATION

ESSENTIAL BEHAVIORS OF THE NURSE IN PALLIATIVE CARE

To enable convenience

Respond to anger.

Respond to colleagues

Improve quality of life until death

Respond to family

Be when the death occur

PRINCIPLES OF NEEDS ASSESSMENT

Trust

Identification and Classification Needs

Order of priorities

Multidisciplinary approach to estimate

Diagnoses nursing care

PSYCHOLOGICAL NEEDS ASSESSMENT

Communications support

Will Information According to the patient

Encouraging the patient to discuss concerns and feelings

Finding a connection between thoughts and feelings

Examining Solutions

Test anxiety factors

SOCIAL NEEDS ASSESSMENT

Social isolation

loss of relationship

change roles

economic problems

SPIRITUAL NEEDS ASSESSMENT

Finding meaning to life

Suffering and death

Need hope

Need to belief in yourself ,Others and God

TEAMWORK DEPENDS ON

Level of integration between professionals

Degree of collective responsibility

Membership

Organizational structure and administrative

LEADING THE TEAM

Understanding the role of each individual within the team

Shared decision making

Effective communication

Common goals

Set roles overlap, overload.

conflicts solving

THE NURSE AND THE FAMILY

Contact between the family nurse

Providing access to family

Recognition of the stress of the family

Reference to factors related to the environment, state, private person

Identifying family communication patterns

Identifying the need of family support

family support

REDUCED FAMILY STRESS BY

Convenience of the patient Nurse regular update on the situation

Familiarity with the therapists

Recognition of the uniqueness of the patient Caring and friendly attitude from the staff

Privacy family with patient Support of family and friends

Accessibility of social worker and psychologist

INCREASED FAMILY STRESS

Due to the patient's suffering

Uncertainty about future

Noise Department or environment

Lack of privacy

Official team and distant

Patient not respected

COPING WITH LOSS –NURSING ROLE

Climate of commitment to mental recovery

Maintaining the human face of pain and distress

Be with the family

Involvement and control of the family

communication through contact

Emotional support and providing information

Help closing circuits

DEALING WITH LOSS DEPEND ON

The relationship between the patient's family

Circumstances of death

Physical health of family

Personality of the grieving person

Social factors

Age of the dying patient Family Status

SPECIALIST IN PALLIATIVE

CARE NURSING

Proven professional experience

Working with Thought

Independence in practice

Support academic learning by clinical work

Continue learning and research

IN PALLIATIVE CARE NURSING

RESEARCH

The nurse is member of the interdisciplinary team

Collecting information is essential

Distributing information to patients, families and other team

problematic issue ,ethical issue in palliative research

REMEMBER YOUR KEY TASKS

Communication

Co-ordination

Control of symptoms

Continuity

Continued learning

Carer support

Care in the dying phase

“I learned that people forget what you say, I learned that people will forget

what you do, but I learned that people will never forget how you

made them feel”

(Maya Angelou,1928)

I BELIEVE THAT NURSES IN PALLIATIVE CARE WORKING WITH:

Humanity

Heart

Head

Humor

honesty

THANK YOU