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THE NURSING ROLE IN PALLIATIVE
            CARE

            Abu-Rakiah Riad

                    RN-MA
         PALLIATIV...
OBJECTIVES:
 Main Areas of Practice
 The nursing role in palliative care

 Standards of care

 Communication issue

 ...
MAIN AREAS OF PRACTICE

 Co-ordinating of the program and
  Treatment plan
 role in the multidisciplinary team

 Clinic...
THE NURSING ROLE IN PALLIATIVE CARE


 Relief for physical symptoms
 Achieving quality of life
 Maintaining an independ...
ANGUISH
STANDARDS OF CARE
   Relief of symptoms
   patient independence and
   open dialogue.
   Support patient, family, ther...
COMMUNICATION
ESSENTIAL BEHAVIORS OF THE NURSE
IN PALLIATIVE CARE


 To enable convenience
 Respond to anger.
 Respond to colleagues
...
PRINCIPLES OF NEEDS ASSESSMENT



   Trust
 Identification and Classification Needs
 Order of priorities
 Multidiscipl...
PSYCHOLOGICAL NEEDS ASSESSMENT

 Communications support
 Will Information According to the patient

 Encouraging the pa...
SOCIAL NEEDS ASSESSMENT


 Social isolation
 loss of relationship

 change roles
 economic problems
SPIRITUAL NEEDS ASSESSMENT

   Finding meaning to life
 Suffering and death
 Need hope

   Need to belief in yourself ...
TEAMWORK DEPENDS ON

   Level of integration between
    professionals
 Degree of collective responsibility
 Membership...
LEADING THE TEAM
 Understanding the role of each individual
  within the team
 Shared decision making

 Effective commu...
THE NURSE AND THE FAMILY

 Contact between the family nurse
 Providing access to family

 Recognition of the stress of ...
REDUCED FAMILY STRESS BY

 Convenience of the patient
 Nurse regular update on the situation

 Familiarity with the the...
INCREASED FAMILY STRESS

 Due to the patient's suffering
 Uncertainty about future

 Noise Department or environment

...
COPING WITH LOSS –NURSING ROLE

   Climate of commitment to mental recovery
 Maintaining the human face of pain and
  di...
DEALING WITH LOSS DEPEND ON

 The relationship between the patient's
  family
 Circumstances of death
 Physical health ...
SPECIALIST IN PALLIATIVE
            CARE NURSING

 Proven professional experience
 Working with Thought

 Independence...
NURSING IN PALLIATIVE CARE
                 RESEARCH
 The nurse is member of the
  interdisciplinary team
 Collecting in...
REMEMBER YOUR KEY TASKS


 Communication
 Co-ordination
 Control of symptoms
 Continuity
 Continued learning
 Carer ...
“I learned that people forget what you
  say, I learned that people will forget
     what you do, but I learned that
    p...
I BELIEVE THAT NURSES IN PALLIATIVE
CARE WORKING WITH:

 Humanity
 Heart

 Head

 Humor
 honesty
THANK YOU
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Transcript of "The Nursing Role In Palliative Care"

  1. 1. THE NURSING ROLE IN PALLIATIVE CARE Abu-Rakiah Riad RN-MA PALLIATIVE CARE SPECIALIST
  2. 2. OBJECTIVES:  Main Areas of Practice  The nursing role in palliative care  Standards of care  Communication issue  Holistic assessment  The family and the nurse  Loss and nursing role
  3. 3. MAIN AREAS OF PRACTICE  Co-ordinating of the program and Treatment plan  role in the multidisciplinary team  Clinical expanded role in the symptoms management  Education and research
  4. 4. THE NURSING ROLE IN PALLIATIVE CARE  Relief for physical symptoms  Achieving quality of life  Maintaining an independent patient  Relief for mental anguish and social isolation  Family support  Reducing isolation, fear and anxiety  Good death or dying well
  5. 5. ANGUISH
  6. 6. STANDARDS OF CARE  Relief of symptoms  patient independence and  open dialogue.  Support patient, family, therapists and colleagues.  Contact with other staff members providers power to the patient  improved communication inter- personal
  7. 7. COMMUNICATION
  8. 8. ESSENTIAL BEHAVIORS OF THE NURSE IN PALLIATIVE CARE  To enable convenience  Respond to anger.  Respond to colleagues  Improve quality of life until death  Respond to family  Be when the death occur
  9. 9. PRINCIPLES OF NEEDS ASSESSMENT  Trust  Identification and Classification Needs  Order of priorities  Multidisciplinary approach to estimate  Diagnoses nursing care
  10. 10. PSYCHOLOGICAL NEEDS ASSESSMENT  Communications support  Will Information According to the patient  Encouraging the patient to discuss concerns and feelings  Finding a connection between thoughts and feelings  Examining Solutions  Test anxiety factors
  11. 11. SOCIAL NEEDS ASSESSMENT  Social isolation  loss of relationship  change roles  economic problems
  12. 12. SPIRITUAL NEEDS ASSESSMENT  Finding meaning to life  Suffering and death  Need hope  Need to belief in yourself ,Others and God
  13. 13. TEAMWORK DEPENDS ON  Level of integration between professionals  Degree of collective responsibility  Membership  Organizational structure and administrative
  14. 14. LEADING THE TEAM  Understanding the role of each individual within the team  Shared decision making  Effective communication  Common goals  Set roles overlap, overload.  conflicts solving
  15. 15. THE NURSE AND THE FAMILY  Contact between the family nurse  Providing access to family  Recognition of the stress of the family  Reference to factors related to the environment, state, private person  Identifying family communication patterns  Identifying the need of family support  family support
  16. 16. REDUCED FAMILY STRESS BY  Convenience of the patient  Nurse regular update on the situation  Familiarity with the therapists  Recognition of the uniqueness of the patient  Caring and friendly attitude from the staff  Privacy family with patient  Support of family and friends  Accessibility of social worker and psychologist
  17. 17. INCREASED FAMILY STRESS  Due to the patient's suffering  Uncertainty about future  Noise Department or environment  Lack of privacy  Official team and distant  Patient not respected
  18. 18. COPING WITH LOSS –NURSING ROLE  Climate of commitment to mental recovery  Maintaining the human face of pain and distress  Be with the family  Involvement and control of the family  communication through contact  Emotional support and providing information  Help closing circuits
  19. 19. DEALING WITH LOSS DEPEND ON  The relationship between the patient's family  Circumstances of death  Physical health of family  Personality of the grieving person  Social factors  Age of the dying patient  Family Status
  20. 20. SPECIALIST IN PALLIATIVE CARE NURSING  Proven professional experience  Working with Thought  Independence in practice  Support academic learning by clinical work  Continue learning and research
  21. 21. NURSING IN PALLIATIVE CARE RESEARCH  The nurse is member of the interdisciplinary team  Collecting information is essential  Distributing information to patients, families and other team  problematic issue ,ethical issue in palliative research
  22. 22. REMEMBER YOUR KEY TASKS  Communication  Co-ordination  Control of symptoms  Continuity  Continued learning  Carer support  Care in the dying phase
  23. 23. “I learned that people forget what you say, I learned that people will forget what you do, but I learned that people will never forget how you made them feel” (Maya Angelou,1928)
  24. 24. I BELIEVE THAT NURSES IN PALLIATIVE CARE WORKING WITH:  Humanity  Heart  Head  Humor  honesty
  25. 25. THANK YOU
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