DNR Does Not Mean No Care

Lorraine Fields, MSN, CNS


J Neurosci Nurs. 2007;39(5):294-296. 

In This Article


End-of-life care involves a systems approach to change a hospital culture. Hospitals need to liberalize visiting hours, provide educational materials regarding critical illness, and make counselors available to families. Care managers, patient care coordinators, and pastoral care may be used to coordinate further family and spiritual care. Nurses should attend and organize palliative care in-services and other education offerings and make sure all new employees attend palliative care and hospice classes during their orientation. In addition, nurses need to be proactive with end-of-life care and refuse to accept substandard patient care from healthcare workers that are not familiar with end-of-life issues. Unfortunately, none of these measures were taken for this patient. However, as a result of communication between the hospital and the patient's daughter, a new palliative care team was formed and is in the process of educating staff. Comfort care involves comfort for the patient and familyóand that should be the priority.


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