Terminal Pediatric Client Research Paper

Superior Essays
Effective Communication with Terminal Pediatric Clients
Kaye T.L. Berg
University of Alaska, Anchorage

Effective Communication with Terminal Pediatric Clients
One of the most challenging aspects of nursing is providing end-of-life care for clients. These clients may require extensive medical interventions to promote their comfort, however supporting their psychosocial needs also plays a critical role in nursing management. Although communication is taught to nursing students, further efforts are needed to provide future nurses with the skills to effectively communicate with all of their clients. When caring for terminal pediatric clients, nurses need to understand what factors shape a child’s concept of death, how to create opportunities for clients to discuss his/her feelings, different techniques for exploring a client’s feelings, and how to incorporate the family into the process of communication.
When communicating with a terminal pediatric client, it is important for the nurse to understand what impacts the client’s concept of death. A major determinate of a child’s view of death is developmental age (Nielson, 2012). Young children and
…show more content…
(2012). Nurse’s nonverbal methods of communicating with patients in the terminal phase. International Journal of Palliative Nursing, 18 (1), 40-46. Retrieved from

Related Documents

  • Decent Essays

    Abdul Katz Case 5.07

    • 414 Words
    • 2 Pages

    I disagree completely with this statement. In the film, every moment counts it mentions how Margret whom is three years old currently expressing her feelings and understanding that her baby brother was not going to make it. Kastenbaum mentions how “a child(s) understanding of death is influenced by both maturation level and life experience, although much remains to be learned about the both interaction of these factors” (Kastenbaum 314). Margret seems to be very mature for her age and therefore helps her understand that her brother is dying. Margret’s family communicating with her about her brother’s death could also help her understand for example Kastenbaum mentions how, “develop and maintain an open communication pattern with children is extremely helpful because it helps the child develop skills that would prove to be useful in difficult situations” (Kastenbaum, 325).…

    • 414 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Understanding delayed hospice referrals Discussion Draft Janet Zarzour Middle Tennessee State University April 4, 2016 Discussion Literature findings concluded there are identifiable barriers to early hospice referrals. Past studies have discovered certain barriers that prevent health care providers from referring an individual for hospice care in a timely manner. Studies have shown delayed referrals lead to inadequate management of physical, emotional, and spiritual needs of the patient and their family members. Even though Medicare, Medicaid, and private insurances provide hospice benefits, not every terminally dying person was given to option to receive this specialized care.…

    • 1635 Words
    • 7 Pages
    Improved Essays
  • Decent Essays

    Therapeutic communication is significant in the nursing practice to understand, empathize and provide adequate care. In scenario 1 “just because I am dying doesn’t mean I don’t want someone to talk to “. It is important that as nurses we can help a dying patient make the best of the little time left to live. This can be done by making an effort to carry out intervention of the patient’s needs, help keep the patient comfortable; for example, adminstering and assessing for pain on a regular basis as well as being supportive in any way possible. The goal of the nursing practice is to heal the whole person.…

    • 182 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Paper Grader Not all children are able to be cured from serious illnesses such as different forms of cancer, diabetes, or rare diseases. Sometimes the illness will continue to progress or worsen despite the numerous medical treatments attempted by the child’s health care provider to help the child get better. When this type of situation comes about, the child’s health care provider and their health care team shift their focus from trying to cure the child’s illness to providing the best end of life care they can offer. They attempt to make the child as comfortable and pain free as much as they can. Providing end of life care of a patient is something that requires a holistic approach encompassing the social, spiritual, and psychological needs…

    • 734 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The Nurses’ Role in Aid-in Dying”, by Peggy Connolly, David R. Keller, Martin Leever, and Becky Cox White, addresses the realistic situation of whether nurses should partake in aiding a patient to end their life. There is a lot in which experts…

    • 951 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Nursing 304 Assignment

    • 1106 Words
    • 5 Pages

    Nursing 304 Assignment: My First Experience with Death Introduction My first experience with death founded my passion for nursing. Amidst the spinning tornado of emotions that struck me on that day, I was shown true compassion by a stranger, by a nurse. For all that he did for me and my family, I will forever be grateful, and as a student, I hope that I will be able to follow his example.…

    • 1106 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    1. How do you help you child cope with death? The prognosis of death should be made know to children as soon as it is clear and final (Kavanough, 1972). We know how to trust the dying child kindly. Knowledge is kindness; ignorance is cruelty.…

    • 797 Words
    • 4 Pages
    Decent Essays
  • Superior Essays

    Palliative Care Model

    • 1316 Words
    • 6 Pages

    The major strategies that are used in this care provision model are focused mainly on relieving any forms of suffering on the side of the patients by detecting the illnesses early enough, careful assessment of the illnesses, and applying the most appropriate treatment methodologies in addressing the pain that these patients and their families may be going through. Additionally, this care provision regimen takes into account the physical, psychological and spiritual needs of the patient (Palliative care NSW, 2012). It should be noted however that the palliative care that is suited for an adult cannot be used on a child and vice versa. For this reason therefore, there is the need to develop age-appropriate palliative care that will effectively address the specific needs of a particular patient and their families. An important factor that needs to be taken into consideration is that palliative care goes beyond diagnosis and providing clinical care to the patient and dwells a lot on addressing the individual needs of the patient.…

    • 1316 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    ICU Field Experience

    • 586 Words
    • 3 Pages

    Another tough case in the ICU was a 40 year old male involved in a construction accident that left him with irreversible brain damage. The family decided to keep him on the ventilator for another couple of days to let family members say their goodbyes and then donate any viable organs. The patient’s wife, two small children (8 and 6 years old), and parents were all present. It was heartbreaking watching this family and trying to fathom the pain they must be feeling. When we were doing doctor rounds, standing outside the patient’s room discussing the patient’s status with other disciplines, the patient’s son was sitting on his grandmother’s lap in the chair next to…

    • 586 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Laycock, W. (2011) Think about it: A prompt to discuss end of life care. Nursing Times 107(18):12-13 Stanton, M. and Dunkley, C. (2011) First Steps in Mindfulness.…

    • 685 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Advanced Care Planning

    • 552 Words
    • 3 Pages

    The discussion of advanced directives by the nurse with patients and their families should initiate before illness occurs. This discussion will empower the patient and family members with knowledge and an opportunity to ensure that at the end of life their wishes will be respected (Clabots, 2012). Developing a nurse-patient relationship will foster communication about end of life care planning by building a trusting…

    • 552 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Pediatric Palliative Care

    • 1729 Words
    • 7 Pages

    This paper used the palliative and end-of -life care model, which are models used in Evidence based practice nursing. The researchers found that having home visits, providing holistic care, and symptom management give the best patient outcomes when it comes to pediatric palliative. Children that receive palliative care have improved quality of life and normalcy in their family unit. It is imperative to implement palliative care at the beginning of a life-ending disease. This way, emphasis can be given on adding quality to the child’s life and not just years.…

    • 1729 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Essay On Hospice Nursing

    • 569 Words
    • 3 Pages

    The skilled hands and compassionate heart of a nurse are symbols of prestige and trustworthiness. Being able to identify one's self as a nurse indicates that a nurse is someone who most people are willing to trust with their most confidential information. During times of need, a nurse can be a shoulder to cry on, a listening ear, a gentle and sincere touch when words cannot provide comfort, or one who breathes life back into a lifeless body. Nurses spend countless hours enduring their own pain, while relieving the aches and pains of others. Although the nursing profession is about providing care and humanity throughout the lifespan of patients; within the area of hospice nursing, providing care and humanity to a patient until the end of their…

    • 569 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    They found that there was a lack of consistency or accuracy from the nurse’s ability to interpret nonverbal communication. (Happ & Garrett, 2011). “Nurses admit to becoming frustrated, giving up, and avoiding contact with patients with whom communication is difficult” (Happ & Garret, 2011, p.10). When comparing my situation to the situation the nurses face in this article I can relate to the feeling of frustration. From my situation I found that it took me a lot longer to some of the care that was required because since my patient was non-verbal I felt like I need to make sure all the care I could give was given because he could not communicate to me what he wanted.…

    • 1071 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Reflection Of Extremis

    • 916 Words
    • 4 Pages

    It also relates closely to an experience I had at clinical when caring for a patient who was very sick and being transferred to hospice care. In this film, I learned a lot about the family involvement in the end of life decisions for patients. There was a variety of patients featured in the film, some who could make decisions on their own but wanted the help and support of their families, some who couldn’t speak their mind at all, and some who were not necessarily psychologically safe to make their own decisions. Specifically in the documentary, I learned about the two most common options for patients who have a breathing tube, the first option being to remove the tube and hope that the patients own lungs can support their breathing needs at least for some…

    • 916 Words
    • 4 Pages
    Improved Essays