Meeting the Needs of a Dying Patient

Meeting the Needs of a Dying PatientTitle caring for a patient who is death is an experience most nurses will caseful at some stagecoach of their career. With reference to patients you wear cared for, describe how you were up to(p) to meet the needs of dying(p) patients.As a certainty, completely of us will have to face death at some stage. Some of us are flushed enough to be able to do so with caring, supportive and sympathetic people around us. (Seale C et al. 2003). Nurses must be able to rout out their professional responsibilities in this area with this comment in mind. In this forgetful essay we will explore how a nurse can empathise, show and assist the patient in dealing with the various issues that arise.We will hold forth these issues in relation to atomic number 53 specific case, Mrs G. The case was complex, just now, in essence, it twisting a lady who had just been given a terminal diagnosing and entered into a phase of complete denial and overt avoidance behaviour. She would wobble the subject when talking about her health and keep herself almost manically in use(p) with trivial tasks so as not to have to consider the existence of the situation.Dobrantz (2005) points to the fact that it is well recognised that some patients deal with life crises exclusively by ignoring them, other will use mechanisms of varying degrees of cognitive torture (CDs), which may range from undue optimism to complete denial (as Mrs.G did).The main treat dilemma here is should the nurse actively confront Mrs.Gs denial and grant her to see the reality of the situation or is it perhaps kinder to allow her to continue in her state of overt denial. ( dean A. 2002)On first analysis, single might take the view that, given the fact that Mrs.G had only a short time left to live, it might be a almsgiving to allow her not to confront the psychological pain of anticipating her imminent death. Against this program line is the concept of a unplayful death. (Cuttini et al. 2003). Many authorities (viz. Roy C 1991)that in read for a patient to have a good death, they need time to accept the inevitable and to mentally condesc reverse to terms with it, make what preparations they need (financial, practical, spiritual, personal) so that they can court it in a calm and considered way. Clearly this cannot be achieved if they are actively go in into a degree of denial about the situation. (The A-M et al. 2000)Demonstrate ability to confine relevant nurse knowledge to individualised patient careThe quick therapeutic problem to be confronted by the healthcare professionals involved is to decide the degree of collusion with the denial that can be respectablely employed. (Sugarman J Sulmasy 2001). To a degree, this is a matter of personal and clinical judgement. Most experience healthcare professionals would suggest that justness is commonplacely the dress hat policy, the degree of truth however, can be a matter of negotiation. (Pa rker and Lawton 2003).The important concept to handle in this type of situation is that of individualised patient care. In order to come to a considered ratiocination, the nurse must carefully consider all the elements of the patients coping mechanisms and assume a holistic approach to the matter. We note that the concept of holistic care can best be visualised with the understanding that the concept of health is based on a translation of the Anglo Saxon word for wholeness (or holism). The key to this approach is that it recognises that health has both spiritual and psycho-social elements as well as the overtly physical. (Wright et al 2001)The main elements of managing Mrs.G s case seem to revolve around the ethical concept of autonomy (Coulter A. 2002). One has to make a professional decision whether or not Mrs.G is considered to have the right to make completely self-directed decisions for herself. In many clinical situations (such as consent, for example), the issue of autono my is close to inviolate. There are other situations, and we suggest that this is one, where other ethical principles may take precedence. The Principle of Beneficence suggests that the healthcare professional should effectively do goodness or much accurately in these circumstances, as doing what is the best for the patient. (Dordrecht et al. 1983Demonstrate ability to make own judgment and decisions based upon the rating of the treat situation.There are a number of nursing models which could be used to construct a response to this situation. They all assimilate the general nursing scheme of assessment, planning, implementation and evaluation. (Fawcett J 2005)The Roper, Logan, Tierney model (2000) would be book to assess the activities of daily living in a problem resolution manner, but this process is primarily of use in those situations that are physically orientated and therefore the psychological denial element is not distinctly addressed by this model.The Roy Adaptation model (Roy 1991) is certainly more serviceable in explaining the adaptive processes that the patient experiences as they come to terms with the sickness role. Mrs.G however, did not adapt and, by adopting a strategy of denial, was able to maintain her belief of wellness almost until the end, when her unwellness eventually labored her into accepting it. In real terms, Mrs.G did not adapt at all.The Johnson behavioral System model (Wilkerson et al 1996) suits our purposes better as it clearly describes the processes of illness denial, but it doses not combine it with the adaptive processes that eventually over to a faultk Mrs.G at the end of her life.Wadenstein (et al. 2003) sums up this type of situation with the conclusion that when there is multifactorial etiology in a given situation there is seldom one nursing model that will encompass all eventualities.ConclusionsMrs.J.s excited pain of deforming to cope with imminent death was clearly too great for her to assimilate. This must be understood by her medical attendants if she is to have a good death (Marks-Moran flush 1996)In order to try to provide Mrs.G with the best care that she could have, the clinical staff tried to economic aid Mrs.G towards the realisation that she should confront her own imminent mortality. Unfortunately for all concerned, this proved to be impossible and Mrs.G died about two weeks after her admission, only openly acknowledging the imminence of her death when she became too weak to lift a cupful of tea to her mouth on the day before she died. Arguably, when this acceptance came rest home to her, the nursing staff were actually able to help and support her more than Mrs.G had allowed them to in the preceding two weeks. (Yura H et al. 1998References Coulter A. 2002The autonomous patient.capital of the United Kingdom The Nuffield Trust, 2002.Cuttini, Veronica Casotto, Rodolfo Saracci, and Marcello Orzalesi 2003In search of a good death Health professionals beliefs may under mine effective pain relief for dying patientsBMJ 2003 327 222.Dean A. 2002 Talking to dying patients of their hopes and needs. Nurs Times. 2002 Oct 22-28 98( 43) 34-5.Dobratz, M 2005Gently Into the Light A distinguish for the Critical synopsis of End-of-Life Outcomes. 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