DNR Does Not Mean No Care

Lorraine Fields, MSN, CNS

Disclosures

J Neurosci Nurs. 2007;39(5):294-296. 

In This Article

Summary

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.

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as:

processing....