Introduction
The United States Department of Health and Human services reports that more than one third of all deaths occur in the hospital setting (2011). However, most patients who die in the hospital setting do not receive palliative care (Imhof, Kaskie, & Wyatt, 2007). In their 2007 article “Finding the way to a better death: an evaluation of palliative care referral tools” Imhof, Kaskie and Wyatt assert that palliative care allows patients to experience a good death; a death in which pain and symptoms are better managed, and patients receive the emotional, spiritual and psychological support necessary to experience dignified life closure. They also argue that nurses are in the prime position to make palliative care referrals because …show more content…
Clabots (2012) found that nurses face significant barriers to initiating and maintaining effective end-of-life discussions with patients and families. Watts (2012) argued that the most significant barrier in the initiation of end-of-life services for patients is the health care professional’s knowledge deficit with regard to palliative care services (Watts, 2012). Additional barriers include role confusion and the difficulty in identifying patients who would benefit from palliative care services. Health care providers are uncertain about who should initiate end-of-life discussions which results in missed opportunities …show more content…
Watts (2012) found that when the interaction between the patient, family and nursing staff are rushed or inadequate it can lead to the patient and family members feeling “isolate, confused, frustrated and frightened.” An essential part of the nursing role in end-of-life discussions is to promote and monitor the patient’s and families’ engagement in the decision making process to ease the transition into end-of-life care (Watts. 2012).
Patient centered nursing diagnosis.
The diagnoses presented here are intentionally patient-focused to underline the effect of deficits in nursing care in end-of-life communication and initiation of palliative care. Alternative diagnoses considered were:
Nurse knowledge deficit related to palliative care services, specifically which patients qualify for, who should initiate discussions, when and where to initiate discussions, and what palliative care services are available within the specific health care setting.
Nurse knowledge deficit related to end-of-life discussions, specifically which patients to engage, who should initiate discussions, who should participate in end-of-life discussions, when and where to initiate discussions, and what end-of-life discussions should
The United States Department of Health and Human services reports that more than one third of all deaths occur in the hospital setting (2011). However, most patients who die in the hospital setting do not receive palliative care (Imhof, Kaskie, & Wyatt, 2007). In their 2007 article “Finding the way to a better death: an evaluation of palliative care referral tools” Imhof, Kaskie and Wyatt assert that palliative care allows patients to experience a good death; a death in which pain and symptoms are better managed, and patients receive the emotional, spiritual and psychological support necessary to experience dignified life closure. They also argue that nurses are in the prime position to make palliative care referrals because …show more content…
Clabots (2012) found that nurses face significant barriers to initiating and maintaining effective end-of-life discussions with patients and families. Watts (2012) argued that the most significant barrier in the initiation of end-of-life services for patients is the health care professional’s knowledge deficit with regard to palliative care services (Watts, 2012). Additional barriers include role confusion and the difficulty in identifying patients who would benefit from palliative care services. Health care providers are uncertain about who should initiate end-of-life discussions which results in missed opportunities …show more content…
Watts (2012) found that when the interaction between the patient, family and nursing staff are rushed or inadequate it can lead to the patient and family members feeling “isolate, confused, frustrated and frightened.” An essential part of the nursing role in end-of-life discussions is to promote and monitor the patient’s and families’ engagement in the decision making process to ease the transition into end-of-life care (Watts. 2012).
Patient centered nursing diagnosis.
The diagnoses presented here are intentionally patient-focused to underline the effect of deficits in nursing care in end-of-life communication and initiation of palliative care. Alternative diagnoses considered were:
Nurse knowledge deficit related to palliative care services, specifically which patients qualify for, who should initiate discussions, when and where to initiate discussions, and what palliative care services are available within the specific health care setting.
Nurse knowledge deficit related to end-of-life discussions, specifically which patients to engage, who should initiate discussions, who should participate in end-of-life discussions, when and where to initiate discussions, and what end-of-life discussions should