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- https://med.libretexts.org/Bookshelves/Nursing/Nursing_Care_at_the_End_of_Life_(Lowey)/01%3A_Anticipation
- https://med.libretexts.org/Bookshelves/Nursing/Nursing_Care_at_the_End_of_Life_(Lowey)/02%3A_In_the_Moment/2.03%3A_Ethical_Concerns_in_End-of-Life_CareThere are often ethical issues that can arise in the context of end-of-life care, particularly when patients and families make decisions regarding the care they will accept or not accept. As nurses, s...There are often ethical issues that can arise in the context of end-of-life care, particularly when patients and families make decisions regarding the care they will accept or not accept. As nurses, sometimes our morals and values are in conflict with those that our patients have, and this can cause some distress for the nurse. By having an understanding about some of the issues that can arise during end of life decisions, the nursing student or novice nurse can be better prepared.
- https://med.libretexts.org/Bookshelves/Nursing/Nursing_Care_at_the_End_of_Life_(Lowey)/01%3A_Anticipation/1.04%3A_Models_of_Organized_End-of-Life_Care_-_Palliative_Care_vs._HospiceThe following terms have been used in both clinical and research domains that fall within end-of-life care: palliative care, supportive care, comfort care and hospice care. For the purposes of this ch...The following terms have been used in both clinical and research domains that fall within end-of-life care: palliative care, supportive care, comfort care and hospice care. For the purposes of this chapter, we will focus on the two most widely recognized and used among these terms: palliative care and hospice care. These two models of end-of-life care are not the same, though they are commonly misconstrued as such among the lay population as well as within the health care community.
- https://med.libretexts.org/Bookshelves/Nursing/Nursing_Care_at_the_End_of_Life_(Lowey)The purpose of this textbook is to provide an in-depth look at death and dying in this country and explore the vital role of the nurse in assisting patients and families along the journey towards the ...The purpose of this textbook is to provide an in-depth look at death and dying in this country and explore the vital role of the nurse in assisting patients and families along the journey towards the end of life. There is an emphasis throughout the book on the simple, yet understated value of effective interpersonal communication between the patient and clinician. The text provides a basic foundation for understanding death and dying.
- https://med.libretexts.org/Bookshelves/Nursing/Nursing_Care_at_the_End_of_Life_(Lowey)/02%3A_In_the_Moment
- https://med.libretexts.org/Bookshelves/Nursing/Nursing_Care_at_the_End_of_Life_(Lowey)/02%3A_In_the_Moment/2.02%3A_Management_of_Emotional_and_Spiritual_DistressWhile much of the focus of end-of-life care is on the assessment and management of physical pain and symptoms, emotional and spiritual distress can also be experienced by patients who are dying. This ...While much of the focus of end-of-life care is on the assessment and management of physical pain and symptoms, emotional and spiritual distress can also be experienced by patients who are dying. This can help assist the patient to evolve their original hope for a cure into hope for other things, such as hoping to have well-managed symptoms, hoping to feel well enough to spend quality time with family and friends, and hoping to accomplish any goals they have before their death.
- https://med.libretexts.org/Bookshelves/Nursing/Nursing_Care_at_the_End_of_Life_(Lowey)/01%3A_Anticipation/1.03%3A_Conceptual_Frameworks_Guiding_Death__DyingOften, daily events such as preparing a meal or taking care of errands are burdens instead of normal parts of the day. The way that people understand and cope with their illness varies from person to ...Often, daily events such as preparing a meal or taking care of errands are burdens instead of normal parts of the day. The way that people understand and cope with their illness varies from person to person. Some people do well and some do not; it is a multi-factorial process. In nursing and healthcare in general, scholars have developed ways that can help clinicians to better understand how people react to their health and illness.
- https://med.libretexts.org/Bookshelves/Nursing/Nursing_Care_at_the_End_of_Life_(Lowey)/01%3A_Anticipation/1.02%3A_Types_and_Variability_within_Illness_TrajectoriesMost nurses learn about the term “illness trajectory” at some point during their nursing program. In loose terms, trajectory means “course,” and therefore illness trajectory means “course of illness.”...Most nurses learn about the term “illness trajectory” at some point during their nursing program. In loose terms, trajectory means “course,” and therefore illness trajectory means “course of illness.” By understanding which type of illness trajectory a patient has, it will help to provide answers for two important and common questions many patients have: “How long do I have?” and “What will happen?” (Murray, Kendall, Boyd, & Sheikh, 2005).
- https://med.libretexts.org/Bookshelves/Nursing/Nursing_Care_at_the_End_of_Life_(Lowey)/02%3A_In_the_Moment/2.04%3A_Care_at_the_Time_of_DeathDying is a process. It involves the cessation of physical, psychological, social and spiritual life here on earth. What happens beyond death is unknown to those reading this book. Typically, before a ...Dying is a process. It involves the cessation of physical, psychological, social and spiritual life here on earth. What happens beyond death is unknown to those reading this book. Typically, before a person dies, there is a cascade of events that are collectively known as the dying process. The dying process is the transition that a person goes through that ultimately ends in death. Each person’s dying process and death is individual to that person.
- https://med.libretexts.org/Bookshelves/Nursing/Nursing_Care_at_the_End_of_Life_(Lowey)/01%3A_Anticipation/1.01%3A_A_Historical_Overview_of_End-of-Life_CareDeath, especially in the United States, is a topic that makes people uncomfortable. Physical death is the cessation of all vital functions of the body, including heartbeat and respiration. Some religi...Death, especially in the United States, is a topic that makes people uncomfortable. Physical death is the cessation of all vital functions of the body, including heartbeat and respiration. Some religions believe that it is the end point of life here on earth. As such, death is often an event that is both dreaded and perceived negatively. People do not like to talk about it, plan for it, or acknowledge it, even when it is present. Death can be a normal event that occurs in the daily work setting.
- https://med.libretexts.org/Bookshelves/Nursing/Nursing_Care_at_the_End_of_Life_(Lowey)/03%3A_Afterwards
