Hospice Nurses: A Case Study

Improved Essays
Despite a growing interest in thanatology over the past 20-25 years general attitudes American attitudes towards death and dying are fraught with apprehension, fear and avoidance (Leming & Dickinson, 2011). In order to deal with the incongruent values of hospice with medical values of preserving life at all costs, these nurses must develop coping mechanisms. Coping mechanisms are any aware or unaware shift or acclimation, which reduces friction and anxiousness in a taxing experience or scenario (Psychology dictionary, 2014). The coping mechanisms and acclimation strategies used by hospice nurses in dealing with the dying process are similar to those used when individuals face their own deaths or the death of significant others (close family member or friend). By defining and conceptualizing a Good Death, Re-adjusting ones self-evaluation standards and giving meaning and purpose to a Good Death, Hospice nurse are able to acclimate to their experiences and shift their perspectives to a Good Death (Sinclair, 2011)
Redefining and conceptualizing death as a Good Death
…show more content…
Medical doctors and health professionals are taught the art and science of keeping people alive. Many times, death is seen as a failure of medical intervention, as something inherently bad. This attitude is evident in The Patient Protection and Affordable Care Act (PPACA) of 2010, which attempts to inhibit insurance companies from denying policies to people diagnosed with pre-existing conditions, including cancer, yet palliative care for the chronically ill is not a universally reimbursable expense (The Affordable Care Act and End of Life,

Related Documents

  • Decent Essays

    Several years ago, when I was a brand new nurse’s aide, I had an experience with a dying patient that changed my perspective completely. I was scheduled to be a 1:1 companion with her for a 12 hour shift. The lady had received the news the day before that she most likely not live more than another week or two. And she was very much at peace with this, when talking to throughout my shift I inquired how she could be so calm and collected. She told me that death was just the next step.…

    • 208 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    In your discussion post, you spoke of being an oncology nurse. Working in a large hospital as both a social worker and radiographer, I have had the opportunity to work side-by-side with nursing staff. The care and compassion that is demonstrated by your profession is inspiring. I have seen nursing staff insert themselves into the middle of a situation; thereby, ensuring a patient receives the best care possible which at times can cause a heavy burden and emotional toll. Callanan and Kelly (2012) discuss how working with patients who have terminal illnesses can be “all-consuming and creeps into every corner of your life” (p. 12).…

    • 389 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Pas Vs Euthanasia

    • 928 Words
    • 4 Pages

    The mystery of mortality and death has perplexed humans for centuries. Many individuals question, “What happens when we die?” and “Why do bad things happen to good people?” One asks themselves, who genuinely possesses the right to determine who can live and who must die? Few countries and American states allow legalized participation in physician assisted suicide (PAS) which permits individuals to make the choice regarding whether they live or die based on their inevitable suffering due to disease.…

    • 928 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Hello, Tera~~ Good post this week. End-of-life care interventions must report arrangement and strategy alterations, as well as developments in specific nurse's communication expertise regarding end-of-life conversations. The hospice training and development and diffusion of efforts for the general public and experts in palliative care will affect the growth and acceptance of end-of-life conversations. Also continue to participate in the skills and experience to enhance the level of comfort and the opportunity to foster dialogue and end of life, as well as individual experts, it is important for them to work within the organization. These efforts will not only nurses but also the most important for the doctor (Giovanni, 2012).…

    • 181 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    The number of patients who were served by hospice has steadily increased over the past several years. (“Facts”) V. AMA Policy on End-of-Life Care (“AMA”) A. Opinion E-2.037 Medical Futility in End-of-Life Care When further intervention to prolong the life of a patient becomes futile, physicians have an obligation to shift the intent of care toward comfort and closure. B. Opinion E-2.035 Futile Care Physicians are not ethically obligated to deliver care that, in their best professional judgment, will not have a reasonable chance of benefiting their patients. VI.…

    • 534 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Second, even for patients with health insurance, there are well-documented and widespread inadequacies in end-of-life care that could lead patients to choose physician assisted suicide who would not do so if they had access to higher quality end-of-life care; the widespread failure to provide dying patients with adequate pain management and control is a special concern. Moreover, the availability of the "easier out" of physician assisted suicide might undermine society's and physicians' motivations to improve the…

    • 1455 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Palliative care is a form of specialized, medical care for people who only have a limited amount of time left to live. According to Saunders, as cited by Fernandes, palliative care offers a much more humane attitude than physician assisted suicide does. The article goes on to ponder what kind of precedent we would be setting if we consider assisted suicide to be good end-of-life care. It then argues how moral clarity is imperative, and that the conflict between valuing life and ending life are too great to consider physician assisted suicide as an option (Fernandes,…

    • 1048 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Physicians need to be willing to provide their patients with the best treatment options, even if they include physician assisted suicide. Once palliative…

    • 1946 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    In healthcare, saving one’s life is as equally important as supporting them in their death. Death is a natural part of one’s life and frequently occurs in the healthcare world. The realization of death as a part of health care has brought about several resources that assist patients with the dying process. Hospice and Palliative Care are two resources that are particularly useful when a patient nears the end of life. However, some patients choose to not use these resources and instead pursue a path of ending their life.…

    • 1519 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Hospice Nurse Role

    • 625 Words
    • 3 Pages

    I choose these roles because they are very different from each other one deals with the start of life and one deals with the end of life. I could see myself working both these jobs. Discuss how the PHNs in this specialty improve the health status of individuals/families and communities by addressing the determinants of health. Hospice Nurse: As a role it does not really improve health status yet the role improves the quality of life through pain management. The hospice nurse also improves the quality of the lives of the loved one of the client they are supporting.…

    • 625 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    It is a critical duty of a nurse to participate in end-of-life situations that require their quick responsiveness to react on the current emergency or need. The nurses that face mostly this stress are the ones assigned in a critical care unit or in the intensive care unit. There are different factors that contribute on this anxiety that is being felt by the nurse. It is necessary to be equipped with knowledge and skills to be able to work as an effective critical care unit nurse. On a study conducted by Ulrich et al.…

    • 1377 Words
    • 6 Pages
    Superior Essays
  • Superior Essays

    Abstract Coping with death is an individualized experience. Every individual must find their own effective coping strategies. Americans commonly use religion as a mechanism of coping. Religion helps people find meaning and comfort in death. Nurses must assess the coping of patients and help them find effective ways to deal with death.…

    • 1235 Words
    • 5 Pages
    Superior Essays
  • Superior Essays

    Constructive Argument Generally the thoughts of death are taboo and death is seen as a terrible part of life. Most people fear death as it brings an uncertainty—both for what is to come after life and for how death will occur. An individual who has a terminal illness faces the questions surrounding death as doctors state that this person does not have long to live. While this person suffers through an immense amount of physical and psychological pain, doctors are required to keep the individual alive.…

    • 1593 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    But based on what I believe today, I find that death secretly excites me. It is no longer some unknown void that keeps me awake at night, half curious and half afraid – but something to look forward to at the end of a life well-lived. This does not mean that I want to end my own life, because I feel very blessed to be alive with the opportunity to learn and to help others. It also doesn’t mean that I won’t grieve when others die, or that I won’t be afraid as a patient facing imminent death.…

    • 1005 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    This book taught me that once I can come to terms with death and loss, I can work on improving myself and helping myself accomplish what I feel is adequate before my passing. I hope to be able to provide this type of help to my patients. Being a caregiver and having people be dependent on me, I will need to be able to practice caring and compassion, but I will also need to cope with death and loss. Caregiver role strain is very difficult for nurses because they want to be able to help their patients the…

    • 2293 Words
    • 10 Pages
    Superior Essays