THE NURSING ROLE IN PALLIATIVE
            CARE

            Abu-Rakiah Riad

                    RN-MA
         PALLIATIVE CARE SPECIALIST
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
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
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
ANGUISH
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
COMMUNICATION
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
PRINCIPLES OF NEEDS ASSESSMENT



   Trust
 Identification and Classification Needs
 Order of priorities
 Multidisciplinary approach to estimate

 Diagnoses nursing care
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
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 ,Others and
    God
TEAMWORK DEPENDS ON

   Level of integration between
    professionals
 Degree of collective responsibility
 Membership

 Organizational structure and
  administrative
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
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
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
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
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
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
SPECIALIST IN PALLIATIVE
            CARE NURSING

 Proven professional experience
 Working with Thought

 Independence in practice
 Support academic learning by clinical
  work
 Continue learning and research
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
REMEMBER YOUR KEY TASKS


 Communication
 Co-ordination
 Control of symptoms
 Continuity
 Continued learning
 Carer support
 Care in the dying phase
“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)
I BELIEVE THAT NURSES IN PALLIATIVE
CARE WORKING WITH:

 Humanity
 Heart

 Head

 Humor
 honesty
THANK YOU

The Nursing Role In Palliative Care

  • 1.
    THE NURSING ROLEIN PALLIATIVE CARE Abu-Rakiah Riad RN-MA PALLIATIVE CARE SPECIALIST
  • 2.
    OBJECTIVES:  Main Areasof Practice  The nursing role in palliative care  Standards of care  Communication issue  Holistic assessment  The family and the nurse  Loss and nursing role
  • 3.
    MAIN AREAS OFPRACTICE  Co-ordinating of the program and Treatment plan  role in the multidisciplinary team  Clinical expanded role in the symptoms management  Education and research
  • 4.
    THE NURSING ROLEIN 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.
  • 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.
  • 8.
    ESSENTIAL BEHAVIORS OFTHE 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.
    PRINCIPLES OF NEEDSASSESSMENT  Trust  Identification and Classification Needs  Order of priorities  Multidisciplinary approach to estimate  Diagnoses nursing care
  • 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.
    SOCIAL NEEDS ASSESSMENT Social isolation  loss of relationship  change roles  economic problems
  • 12.
    SPIRITUAL NEEDS ASSESSMENT  Finding meaning to life  Suffering and death  Need hope  Need to belief in yourself ,Others and God
  • 13.
    TEAMWORK DEPENDS ON  Level of integration between professionals  Degree of collective responsibility  Membership  Organizational structure and administrative
  • 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.
    THE NURSE ANDTHE 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.
    REDUCED FAMILY STRESSBY  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.
    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.
    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.
    DEALING WITH LOSSDEPEND 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.
    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.
    NURSING IN PALLIATIVECARE 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.
    REMEMBER YOUR KEYTASKS  Communication  Co-ordination  Control of symptoms  Continuity  Continued learning  Carer support  Care in the dying phase
  • 23.
    “I learned thatpeople 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.
    I BELIEVE THATNURSES IN PALLIATIVE CARE WORKING WITH:  Humanity  Heart  Head  Humor  honesty
  • 25.