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.…
The people that I know and passed so far never said anything even on their last days just quiet and they slip away slowly. I remember two years ago the one person I loved the most my grandmother, which was the bosom of the family got sick and all family members from all over country gather to say their final goodbyes, I, on the other hand, did not because in my mind my grandmother was a steal I truly thought she will never die I learned the hard way what keeps me going is knowing she is in a better place. My grandmother was so lucky because she was surrounded not just her children but also her great grand kids in her last months of dying. It breaks my heart when some of the residents in the long care pass in their room alone.…
Other limitations found in the qualitative studies were a lack of response from physicians in sub-specialties outside of the oncology setting. A larger sample size may provide a more diverse collection of information. Many of the studies reviewed only focus on the physicians’ knowledge of hospice care and their perceived barriers to end of life care. Further qualitative and quantitative studies are needed to investigate the patients’ and caregivers ‘perspective to barriers to terminal care. Failure to incorporate both perspectives creates bias among the literature and leaves out some of the most important knowledge that can be obtained and applied in the area of receiving timely end of life care.…
Death is often a hard thing to understand and very emotional for everyone who is affected by it. More times than not it is hard to react in the proper way when someone else is dealing with a death. The book “Final Gifts: Understanding the Special Awareness, Needs and Communication of the Dying” by Maggie Callan and Patricia Kelley is all about Hospice care nurses. They tell many stories about their dying patients and their families reactions to the death process. Most of the stories show how to better listen to someone who is dying, how to react to certain situations not just initially react but truly analyze the situation, how to make both the dying and the people around them that more comfortable and also they showed the steps of grieving.…
Has someone important to you passed away and you feel like words were left unspoken, or conflicts were left unresolved? In The Four Things That Matter Most, Dr. Ira Byock teaches us how to practice the following four phrases in our day-to-day lives to avoid that feeling of unrest after losing someone: “Please forgive me,” “I forgive you, “Thank you,” and “I love you”. Dr. Byock is an international leader in palliative care and is a Professor at the Geisel School of Medicine at Dartmouth. He is a recipient of numerous awards for academic achievement and community service and is the author of two other books, “Dying Well” and “The Best Care Possible”. In The Four Things That Matter Most, Dr. Byock shares his stories of helping families reconnect during difficult times and leaving them with the knowledge of how to use the four important phrases daily.…
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.…
In two years, 19 interviews were performed by three teams of student researchers in four different long term facilities. These researchers asked the families how they comprehended their family member’s death, whether or not the person had an advance directive, and also if they had any suggestions for other families and healthcare workers during a person ends of life care. 3.) Advance…
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…
Ethical principles are not laws, but guiding principles about what is good and what is bad, that should direct doctors and other health care professionals in their work and decision making. Issues arising over end-of-life care involving decisions that affect the nature and timing of an individual's death raise difficult ethical conflicts for all concerned and can be a source of discord between health professionals within a team, health professionals and family members, or between different family members. Ethical dilemmas arise when there is a perceived conflicting duty to the patient, such as a conflict between a duty to preserve life and a duty to act in a patient's best interests, or when an ethical principle such as respect for autonomy conflicts with a duty not to…
Harris (2014) said, “Terminal illness makes patients and families susceptible to physical, emotional, and spiritual distress. Older patients may worry about becoming a burden to their family at end of life” (p. 58). When the issue of assisted suicide is discussed it is important to understand why the patient believes this is the best option. The patient should involve their loved ones in the discussion. The nurse must be prepared to offer emotional support to both the patient and the family.…
In Kitchen Table Wisdom, Dr. Rachel Remen offers countless stories demonstrating the importance of creating a medical environment that fosters intimacy, vulnerability, and a willingness to accept the hardest moments of human life. In Remen’s book, these moments all center around death and dying. Through storytelling, Remen is able to illuminate the hidden stories and feelings associated with death, the uncertainty of death, and the fear of losing a loved one. Remen demonstrates that only by breaking away from the bureaucratic and emotionless medical narrative, and instead, by simply offering open ears and a hand to hold for those who are most afraid, can create a sense of inner-peace and an acceptance of death for those dying of terminal illnesses.…
1.Discuss at least three components of hospice care. Then, compare these elements to other forms of life options. What form of end-of-life care would you want for yourself? Why? (SLO 4c: Chapter 6)…
Death is final with no point of return and extremely painful for the ones left behind to grieve. This was especially true for me when I lost my mother. Losing her was one of the most difficulty experiences in my life because I was not prepared for her death. Looking back on the situation, there was nothing for which to prepare; she was only fifty-one years old. I knew her health was not the best; however, the diagnosed health problems were not what killed her.…
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…
My dad was recently hospitalized and is awaiting a form of open heart surgery at Sunnybrook Hospital in Toronto. Only a few months earlier, after learning material in this course, I addressed important questions to my family relating to their personal preferences when in the face of death. My family has always held relatively private attitudes towards death. When my grandmother passed away, each member of my family went to our separate rooms and dealt with our own emotions separately and never addressed the death with support from each other. Looking back, all our attitudes have all drastically changed as a result of my dad’s health issues; our family is now very supportive of each other and we tackle emotional setbacks as a team.…