Professional Presence and Influence in Nursing

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Hospice Care Nurse Definitions of palliative care, hospice care, DNR orders, and end-of-life care Hospice care is a model of care that focuses on relieving symptoms and supporting patients with a life expectancy of six months or less (Altshuler, 2013). For most nurses, caring for a dying elder (individual aged 65 years and above) is a discrete, time-limited experience that begins with first contact, often in a hospital, emergency room, or long term care facility, and ends with the death itself (Phillips & Reed, 2008). Palliative care, somewhat similar to Hospice care, focuses on relieving or preventing suffering from a life altering illness. The goal for both Palliative and Hospice care is to provide the best possible quality of life to…show more content…
The assessments of the patient in an end of life situation must occur frequently as to detect rapid and/or minimal changes in the patient’s condition. It is also the primary nurse’s role to report any and all changes to the multidisciplinary team, including the family members. Despite significant advances in the multidisciplinary approach of palliative care and the growing body of evidence-based practice, a multitude of variables continue to interfere with excellence in end-of-life care for everyone (Anonymous, 2007). Because of this the primary nurse must be diligent in administering the proper medications to allow the patient to have minimal pain or suffering and provide emotional support and reassurance to family members, and possibly fellow staff members Professional attributes necessary to fulfill the primary nursing roles in hospice or palliative care Among the numerous professional attributes the primary nurse uses, such as superior communicator and an effective listener, empathy is of most importance. If the nurse is able to understand and feel what others are going through, he or she will be well suited to provide care to the dying patient (Altshuler, 2013). Also the professional nurse must be able to separate his or her career from their daily life, being able to decompress and leave work behind is an important attribute in this type of nursing care. Knowing what the patient and the patient’s family or support system

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